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SAINT FRANCIS MEDICAL CENTER: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
SAINT FRANCIS MEDICAL CENTER (EIN 23-7246265)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-02-12
IRS object ID
201640439349300349
Schema version
2014v6.0
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)
Return2016-02-12T10:19:43-06:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN430352985PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KERBER ECK & BRAECKEL LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11116 W MAIN STAddressLine1Txt
CityCARBONDALECityNm
State AbbreviationILStateAbbreviationCd
ZIP62901ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

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)
PersonWILLIAM A BALSANOPersonNm
Person TitleVICE PRESIDENT OF FINANCEPersonTitleTxt
Phone5733313000PhoneNum
Signature2016-02-03SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARK DALLASPreparerPersonNm
PTINP00187265PTIN
Phone6185291040PhoneNum
Preparation2016-02-12PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSTEVEN C BJELICHPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1211 SAINT FRANCIS DRIVEAddressLine1Txt
CityCAPE GIRARDEAUCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63703ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$544,561,192GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SFMC.NETWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1972FormationYr
Legal Domicile StateMOLegalDomicileStateCd
Activity Or MissionSAINT FRANCIS MEDICAL CENTER IS A 284-BED FACILITY SERVING MORE THAN 650,000 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.ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee2881TotalEmployeeCnt
Total Volunteers291TotalVolunteersCnt
Total Gross UBI$5,693,462TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$139,289NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,156,980PYContributionsGrantsAmt
CY Contributions Grants$1,556,054CYContributionsGrantsAmt
PY Program Service Revenue$413,731,469PYProgramServiceRevenueAmt
CY Program Service Revenue$432,873,658CYProgramServiceRevenueAmt
PY Investment Income$12,042,431PYInvestmentIncomeAmt
CY Investment Income$22,928,646CYInvestmentIncomeAmt
PY Other Revenue$5,984,179PYOtherRevenueAmt
CY Other Revenue$4,944,148CYOtherRevenueAmt
PY Total Revenue$433,915,059PYTotalRevenueAmt
CY Total Revenue$462,302,506CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$193,485,799PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$198,852,791CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$202,717,766PYOtherExpensesAmt
CY Other Expenses$212,833,699CYOtherExpensesAmt
PY Total Expenses$396,203,565PYTotalExpensesAmt
CY Total Expenses$411,686,490CYTotalExpensesAmt
PY Revenues Less Expenses$37,711,494PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$50,616,016CYRevenuesLessExpensesAmt
Total Assets BOY$812,990,482TotalAssetsBOYAmt
Total Assets EOY$854,600,945TotalAssetsEOYAmt
Total Liabilities BOY$289,762,031TotalLiabilitiesBOYAmt
Total Liabilities EOY$290,254,724TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$523,228,451NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$564,346,221NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSAINT FRANCIS MEDICAL CENTER IS A 284-BED FACILITY SERVING MORE THAN 650,000 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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$411,686,490ExpenseAmt
Revenue$449,120,317RevenueAmt
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 63.0 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 UNDER-SERVED AND PARTICIPATES IN A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. SFMC SERVED 11,374 INPATIENTS, 34,770 EMERGENCY PATIENTS AND 156,042 OUTPATIENTS DURING THE FISCAL YEAR (FY) ENDING JUNE 30, 2015. DURING FY 2015, SFMC HAD A TOTAL OF 57,800 PATIENT DAYS IN ITS MEDICAL/SURGICAL, CRITICAL CARE, OBSTETRIC, AND REHABILITATION CARE UNITS. SFMC PROVIDES CARE 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 80.0 MILLION IN FY 2015. CHARITY CARE IS PROVIDED IN THE FORM OF MANY REDUCED-PRICE AND 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. TOTAL ATTENDANCE AT THESE ACTIVITIES EXCEEDED 8,300 DURING FY 2015. -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 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 FOOT CARE, 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, ALS, HEART SURGERY, DIGESTIVE DISEASES, ARTHRITIS, MULTIPLE SCLEROSIS AND STROKES. -SFMC PROVIDES FINANCIAL AND IN-KIND SUPPORT FOR ACTIVITIES OF LOCAL CHARITIES SUCH AS THE AMERICAN DIABETES ASSOCIATION, THE AMERICAN ARTHRITIS ASSOCIATION, THE MARCH OF DIMES, THE AMERICAN HEART ASSOCIATION, THE AMERICAN LUNG ASSOCIATION AND CATHOLIC CHARITIES. -SCHOLARSHIPS AND TUITION REIMBURSEMENT ARE AWARDED ANNUALLY BY SFMC TO UNDERGRADUATE AND 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 272,002 IN FY 2015. -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. -SFMC PROVIDES EMERGENCY CARE, CLOTHING AND PHARMACEUTICALS TO CHILDREN AND ADULTS IN NEED THROUGH THE SAINT FRANCIS FOUNDATION SISTER ESTHER FUND, PARENTS WITH HOPE FUND AND CANCER CARE FUND. -DURING FY 2015 SFMC VOLUNTEERS CONTRIBUTED APPROXIMATELY 42,363 HOURS OF SERVICE TO OUR PATIENTS, THEIR FAMILIES AND THE COMMUNITY. THE VALUE OF THIS CONTRIBUTION IS ESTIMATED AT OVER 324,000 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 2015 SFMC PROVIDED 364 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 42,108.Desc
Total Program Service Expenses$411,686,490TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountYes (true)EscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingYes (true)LoanOutstandingInd
Grant To Related PersonYes (true)GrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document118IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee2881EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members4GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonWILLIAM A BALSANOPersonNm
Phone5733313000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1211 SAINT FRANCIS DRAddressLine1Txt
Address Line2211 SAINT FRANCIS DRIVEAddressLine2Txt
CityCAPE GIRARDEAUCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63703ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
DENNIS MARCHI
BOARD OF DIR2.002.00Yes (X)$1,932$0$0
JOHN A LAYTON
VICE CHAIR O2.004.00Yes (X)$1,766$0$0
CLYDE NENNINGER
CHAIR OF BOA2.004.00Yes (X)$0$0$0
KEVIN GOVERO
SECRETARY/TR2.004.00Yes (X)$0$0$0
STEVEN C BJELICH
PRESIDENT &40.006.00$2,771,477$0$31,513Yes (X)
WILLIAM A BALSANO
VP OF FINANC40.004.00$540,723$0$22,025Yes (X)
JAMES A SCHELL MD
VP MEDICAL A40.00$529,101$0$31,648Yes (X)
MARILYN K CURTIS
VP OF PROF.40.00$505,170$0$31,821Yes (X)
BARBARA THOMPSON
VP OF MARKET20.00$438,171$0$0Yes (X)
JEANNETTE K FADLER
VP OF PATIEN40.00$421,492$0$31,899Yes (X)
THOMAS S DIEMER MD
VP OF QUALIT40.00$294,273$0$38,126Yes (X)
STEVEN A OGBURN
VP OF AMBULA40.00$257,011$0$37,698Yes (X)
MICHAEL FREEMANMD
GASTRONENTER40.00$1,241,035$0$36,952Yes (X)
BRANDON SCOTT DO
NEUROSURGEON40.00$868,157$0$21,954Yes (X)
EDWARD BENDERMD THORACIC AND
CARDIOVASCUL40.00$826,742$0$32,584Yes (X)
WILLIAM K LAFOE MD
INTERVEN. CA40.00$773,456$0$30,724Yes (X)
DUC T NGUYEN DO INTERVENTIONAL
CARDIOLOGIST40.00$773,306$0$37,462Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$10,243,812TotalReportableCompFromOrgAmt
Total Other Compensation$384,406TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K13IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (true)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
KIEFNER BROTHERS INC
1459 NORTH KINGSHIGHWAY STREETCAPE GIRARDEAUMO63701CONSTRUCTION$26,972,851
THE ROBERTS GROUP
730 NORTH GRAND AVENUEWAUKESKAWI53186ADVERTISING$8,078,294
EPIC SYSTEMS CORP
PO BOX 88314MILWAUKEEWI532880314EHR SYSTEM$7,381,896
CAPE ANESTHESIA GROUP INC
PO BOX 1777CAPE GIRARDEAUMO637021777ANESTHESIA SERV$7,362,238
INTERNAL MEDICINE ASSOC OF SE MO
225 PHYSICIANS PARK DRIVE SUITE 400POPLAR BLUFFMO63901PHYSICIAN SRVCS$5,098,548
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K233CntrctRcvdGreaterThan100KCnt
Fundraising$175,148FundraisingAmt
Related Organizations$1,371,589RelatedOrganizationsAmt
All Other Contributions$9,317AllOtherContributionsAmt
Noncash Contributions$50,043NoncashContributionsAmt
Total Contributions$1,556,054TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtBusinessBusinessCdUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE$423,847,357$423,847,357
PHARMACY$5,154,090446110$5,154,090
FITNESS CENTER$2,042,156$2,042,156
WELLNESS PROGRAMS$923,605$923,605
LAB FEES$360,291621500$360,291

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$546,159TotalRevenueColumnAmt
Related Or Exempt Func Income$367,078RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$179,081UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$432,873,658TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,063,755TotalRevenueColumnAmt
Related Or Exempt Func Income$2,075,230RelatedOrExemptFuncIncomeAmt
Exclusion$988,525ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$645,350RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$645,350RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$645,350TotalRevenueColumnAmt
Exclusion$645,350ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$102,061,730SecuritiesAmt
Other$24,126OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$81,909,936SecuritiesAmt
Other$311,029OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$20,151,794SecuritiesAmt
Other-$286,903OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$19,864,891TotalRevenueColumnAmt
Related Or Exempt Func Income$19,864,891RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$38,500FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$175,148ContriRptFundraisingEventAmt
Fundraising Direct Expenses$37,721FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$779TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
ELECTRONIC HEALTH RECORDS$2,768,702$2,768,702
CAFETERIA SALES$1,443,667$1,443,667
MISCELLANEOUS$76,049$76,049

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,601TotalRevenueColumnAmt
Exclusion$9,601ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$4,298,019OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$462,302,506TotalRevenueColumnAmt
Related Or Exempt Func Income$449,120,317RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$5,693,462UnrelatedBusinessRevenueAmt
Exclusion$5,931,894ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$5,547,675TotalAmt
Program Services$5,547,675ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$157,051,685TotalAmt
Program Services$157,051,685ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,273,977TotalAmt
Program Services$5,273,977ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$20,942,189TotalAmt
Program Services$20,942,189ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$10,037,265TotalAmt
Program Services$10,037,265ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$785,300TotalAmt
Program Services$785,300ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$88,853TotalAmt
Program Services$88,853ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$7,079,723TotalAmt
Program Services$7,079,723ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$10,067,574TotalAmt
Program Services$10,067,574ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$50,586,808TotalAmt
Program Services$50,586,808ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,833,854TotalAmt
Program Services$3,833,854ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,770,730TotalAmt
Program Services$3,770,730ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$549,973TotalAmt
Program Services$549,973ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,938,278TotalAmt
Program Services$3,938,278ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$28,310,392TotalAmt
Program Services$28,310,392ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,710,500TotalAmt
Program Services$3,710,500ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL SUPPLIES$41,643,716$41,643,716
DRUGS$25,577,105$25,577,105
FRA TAX$17,246,568$17,246,568
EQUIP. RENTAL & MAIN$8,596,858$8,596,858

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$7,047,467TotalAmt
Program Services$7,047,467ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$411,686,490TotalAmt
Program Services$411,686,490ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$70,663,829BOYAmt
EOY$90,185,958EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$18,345,988BOYAmt
EOY$5,590,311EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$62,074,548BOYAmt
EOY$61,048,824EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$479,789BOYAmt
EOY$491,623EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$10,611,836BOYAmt
EOY$11,015,861EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$9,403,091BOYAmt
EOY$10,091,826EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$526,770,156LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$220,897,091LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$264,155,368BOYAmt
EOY$305,873,065EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$371,893,765BOYAmt
EOY$364,673,334EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$3,149,168BOYAmt
EOY$3,774,854EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,213,100BOYAmt
EOY$1,855,289EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$812,990,482BOYAmt
EOY$854,600,945EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$86,796,553BOYAmt
EOY$92,018,217EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$202,965,478BOYAmt
EOY$198,236,507EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$289,762,031BOYAmt
EOY$290,254,724EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$523,228,451BOYAmt
EOY$564,346,221EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$523,228,451BOYAmt
EOY$564,346,221EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$812,990,482BOYAmt
EOY$854,600,945EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$50,616,016ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$19,140,435NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$9,642,189OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,768,160OtherCostOrOtherBasisAmt
Book Value$6,768,160BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$158,811,634OtherCostOrOtherBasisAmt
Depreciation$69,525,138DepreciationAmt
Book Value$89,286,496BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$238,767,457OtherCostOrOtherBasisAmt
Depreciation$145,242,433DepreciationAmt
Book Value$93,525,024BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$122,422,905OtherCostOrOtherBasisAmt
Depreciation$6,129,520DepreciationAmt
Book Value$116,293,385BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$305,873,065TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$452,804,260TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$19,140,435NetUnrealizedGainsInvstAmt
Other Revenue$9,642,189OtherRevenueAmt
Revenue Not Reported-$9,498,246RevenueNotReportedAmt
Revenue Subtotal$462,302,506RevenueSubtotalAmt
Total Revenue Per Form990$462,302,506TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$411,686,490TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$411,686,490ExpensesSubtotalAmt
Total Expenses Per Form990$411,686,490TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PAGE 3, PART XTHERE WERE NO UNCERTAIN TAX BENEFITS IDENTIFIED AND RECORDED AS A LIABILITY AT JUNE 30, 2015 OR 2014.
SCHEDULE D, PAGE 4, PART XI, LINE 2DCHANGE IN INTEREST IN NET ASSETS OF SFF -357,811 TRANSFER FROM AFFILIATE SFHS 10,000,000
SCHEDULE D, PAGE 4, PART XIIITHE DIFFERENCE BETWEEN THE REVENUES AND THE NET ASSETS ON THE AUDITED FINANCIAL STATEMENTS AND THE REVENUES AND NET ASSETS REPORTED ON THE 990 REPRESENT THE NET GAIN FROM THE AUXILIARY OF 86,173 AND CASH OF 297,231.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1ANNUAL GOLF TOUEvent1Nm
Gross Receipts Event1$151,687GrossReceiptsEvent1Amt
Charitable Contri Event1$124,387CharitableContriEvent1Amt
Gross Revenue Event1$27,300GrossRevenueEvent1Amt
Non Cash Prizes Event1$5,780NonCashPrizesEvent1Amt
Rent Facility Costs Event1$12,800RentFacilityCostsEvent1Amt
Food And Beverage Event1$2,967FoodAndBeverageEvent1Amt
Event2HAYDEN MEMORIALEvent2Nm
Gross Receipts Event2$61,961GrossReceiptsEvent2Amt
Charitable Contri Event2$50,761CharitableContriEvent2Amt
Gross Revenue Event2$11,200GrossRevenueEvent2Amt
Non Cash Prizes Event2$3,920NonCashPrizesEvent2Amt
Rent Facility Costs Event2$6,560RentFacilityCostsEvent2Amt
Food And Beverage Event2$2,199FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$3,495OtherDirectExpensesEvent2Amt
Gross Receipts Total$213,648GrossReceiptsTotalAmt
Charitable Contributions Tot$175,148CharitableContributionsTotAmt
Gross Revenue Total Events$38,500GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$9,700NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$19,360RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$5,166FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$3,495OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$37,721DirectExpenseSummaryEventsAmt
Net Income Summary$779NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other3.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CarefalseFPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,184,020TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,676,474DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,507,546NetCommunityBenefitExpnsAmt
Total Expense0.01820TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$89,926,793TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$56,976,612DirectOffsettingRevenueAmt
Net Community Benefit Expns$32,950,181NetCommunityBenefitExpnsAmt
Total Expense0.08000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$104,110,813TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$63,653,086DirectOffsettingRevenueAmt
Net Community Benefit Expns$40,457,727NetCommunityBenefitExpnsAmt
Total Expense0.09830TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,076,056TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,076,056NetCommunityBenefitExpnsAmt
Total Expense0.00500TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,725,329TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,725,329NetCommunityBenefitExpnsAmt
Total Expense0.00420TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,627,815TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,261,615DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,366,200NetCommunityBenefitExpnsAmt
Total Expense0.01550TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,045,230TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,045,230NetCommunityBenefitExpnsAmt
Total Expense0.00250TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,474,430TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,261,615DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,212,815NetCommunityBenefitExpnsAmt
Total Expense0.02720TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$119,585,243TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$67,914,701DirectOffsettingRevenueAmt
Net Community Benefit Expns$51,670,542NetCommunityBenefitExpnsAmt
Total Expense0.12550TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,301TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$13,301NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,439TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,439NetCommunityBenefitExpnsAmt

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$43,069TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$43,069NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$34,266TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$34,266NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$387,734TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$387,734NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$482,809TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$482,809NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$5,567,517BadDebtExpenseAmt
Bad Debt Expense Attributable$2,946,330BadDebtExpenseAttributableAmt
Reimbursed By Medicare$136,742,768ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$183,834,583CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$47,091,815MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)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 PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)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
CHNA Conducted12CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.SFMC.NETOwnWebsiteURLTxt
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted WebsitefalseStrategyPostedWebsiteInd
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care300.000000000000FPGFamilyIncmLmtFreeCarePct
Explained BasisfalseExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWWSFMCNETFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWWSFMCNETFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWWSFMCNETFAPSummaryOnWebsiteURLTxt
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
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit Legal Judicial ProcessYes (X)PermitLegalJudicialProcessInd
Permit Other ActionsYes (X)PermitOtherActionsInd
Collection ActivitiesYes (true)CollectionActivitiesInd
Engaged Legal Judicial ProcessYes (X)EngagedLegalJudicialProcessInd
Other ActionsYes (X)OtherActionsInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Lowest Negotiated RatesYes (X)LowestNegotiatedRatesInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FACILITY 1, SAINT FRANCIS MEDICAL CENTER - PART V, LINE 5-SECTION B. FACILITY POLICIES AND PRACTICES INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF BOLLINGER, CAPE GIRARDEAU, SCOTT, AND STODDARD COUNTIES INCLUDED PEOPLE INVOLVED IN SOME OF THE FOLLOWING ORGANIZATIONS: PUBLIC HEALTH DEPARTMENTS RURAL HEALTH CLINICS LOCAL SCHOOL DISTRICTS LAW ENFORCEMENT EMERGENCY SERVICES PERSONNEL EIGHT FOCUS GROUPS WERE HELD IN THE FOUR DESIGNATED COUNTIES AND THE QUESTIONS ASKED CAN BE FOUND BELOW. 1. WHAT DO PEOPLE IN THIS COMMUNITY DO TO STAY HEALTHY? HOW DO PEOPLE GET INFORMATION ABOUT HEALTH? 2. IN THIS GROUP'S OPINION, WHAT ARE SERIOUS HEALTH PROBLEMS IN YOUR COMMUNITY? WHAT ARE SOME OF THE CAUSES OF THESE PROBLEMS? 3. WHAT KEEPS PEOPLE IN YOUR COMMUNITY FROM BEING HEALTHY? 4. WHAT COULD BE DONE TO SOLVE THESE PROBLEMS? 5. IS THERE ANY GROUP NOT RECEIVING ENOUGH HEALTH CARE? IF SO, WHY? 6. OF ALL THE ISSUES WE HAVE TALKED ABOUT TODAY, WHAT ISSUES DO YOU THINK ARE THE MOST IMPORTANT FOR YOUR COMMUNITY TO ADDRESS? 617 SURVEYS WERE COMPLETED BY RESIDENTS IN THE FOUR DESIGNATED COUNTIES. THE SURVEY WAS VERY EXTENSIVE AND CONSISTED OF FIVE DIFFERENT SECTIONS. THE SURVEY DEMOGRAPHICS WERE REPRESENTATIVE OF THE AREA'S POPULATION. 1. MULTIPLE CHOICE: QUESTIONS TO COLLECT INFORMATION ON DEMOGRAPHICS, HEALTH CARE ACCESS, HEALTH STATUS, AND INSURANCE. 2. HEALTH BEHAVIORS: QUESTIONS TO COLLECT HEALTH BEHAVIOR INFORMATION. 3. CHILDREN'S HEALTH BEHAVIORS: QUESTIONS TO COLLECT HEALTH BEHAVIOR INFORMATION ABOUT THE PARTICIPANTS' CHILDREN IF APPLICABLE. 4. HEALTH ISSUES: QUESTIONS THE PARTICIPANTS ABOUT HAVING PARTICULAR HEALTH ISSUES. 5. COMMUNITY HEALTH CONCERNS: QUESTIONS THE PARTICIPANTS TO CHOOSE HOW MUCH OF A PROBLEM THEY THINK PARTICULAR ISSUES ARE IN THEIR COMMUNITY.
FACILITY 1, SAINT FRANCIS MEDICAL CENTER - PART V, LINE 6A-SECTION B. FACILITY POLICIES AND PRACTICES THE TWO NOT-FOR-PROFIT HOSPITALS IN THE CITY OF CAPE GIRARDEAU, MISSOURI, SAINT FRANCIS HEALTHCARE SYSTEM AND SOUTHEASTHEALTH WERE PARTNERS IN CONDUCTING THIS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA).
FACILITY 1, SAINT FRANCIS MEDICAL CENTER - PART V, LINE 7D-SECTION B. FACILITY POLICIES AND PRACTICES THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS PLACED ON THE SAINT FRANCIS MEDICAL CENTER'S WEBSITE. THERE WERE NUMEROUS NEWS STORIES ON THE ASSESSMENT AND WHERE TO LOCATE THE INFORMATION. LOCAL HEALTH AND HUMAN SERVICES AGENCIES WERE INFORMED WHEN THE ASSESSMENT WAS COMPLETED AT LOCAL MEETINGS. HTTP://WWW.SFMC.NET/SAINT-FRANCIS-MEDICAL-CENTERS-COMMUNITY-HEALTH- NEEDS-ASSESSMENT/
FACILITY 1, SAINT FRANCIS MEDICAL CENTER - PART V, LINE 11-SECTION B. FACILITY POLICIES AND PRACTICES 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 BE ADDRESSING THIS NEED AS PART OF ITS 2013-2016 CHNA IMPLEMENTATION PLAN FOR THE FOLLOWING REASONS: 1. CONSIDERABLE RESOURCES ARE ALREADY ALLOCATED TO ADDRESS THE OTHER TOP-PRIORITY HEALTH NEEDS IDENTIFIED BY THE 2012 CHNA; 2. SOUTHEASTHEALTH, THE OTHER COMMUNITY HOSPITAL IN CAPE GIRARDEAU, ALREADY OFFERS INPATIENT PSYCHIATRIC TREATMENT, AND DUPLICATION OF SUCH SERVICES IN THE SAME COMMUNITY IS NOT THE BEST USE OF SFMC RESOURCES; AND 3. THE SIGNIFICANT RESOURCE REQUIREMENTS THAT WOULD BE NECESSARY FOR SAINT FRANCIS HEALTHCARE SYSTEM TO DEVELOP ITS OWN OUTPATIENT SUBSTANCE ABUSE AND/OR MENTAL HEALTH TREATMENT PROGRAMS FROM THE GROUND UP IS NOT FEASIBLE AT THIS TIME. SAINT FRANCIS WILL INSTEAD CONTINUE TO WORK WITH OTHER COMMUNITY PARTNERS THAT OFFER SUCH SERVICE IN THE COMMUNITY BY MAKING APPROPRIATE PATIENT REFERRALS.
FACILITY 1, SAINT FRANCIS MEDICAL CENTER - PART V, LINE 13HALL UNINSURED PATIENTS RECEIVING SERVICES AT SAINT FRANCIS MEDICAL CENTER WILL RECEIVE A REDUCTION ON ALL CHARGES AT THE TIME OF BILLING (WITHOUT APPLICATION). THE DISCOUNT OF 50% IS COMPARABLE TO CONTRACTED PAYER DISCOUNTS. 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.
FACILITY 1, SAINT FRANCIS MEDICAL CENTER - PART V, LINE 16IALL PATIENTS ARE PROVIDED PATIENT HANDBOOKS UPON ADMISSION THAT DETAIL THE FINANCIAL ASSISTANCE POLICY. ALL UNINSURED PATIENTS ARE PERSONALLY CONTACTED AFTER ADMISSION AND INFORMED OF THE FINANCIAL ASSISTANCE AVAILABLE THROUGH THE MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY.
FACILITY 1, SAINT FRANCIS MEDICAL CENTER - PART V, LINE 18DREFERRAL TO A THIRD PARTY COLLECTION AGENCY IS ALSO PERMITTED UNDER THE COLLECTION POLICY.
FACILITY 1, SAINT FRANCIS MEDICAL CENTER - PART V, LINE 20ETHIRD PARTY REPRESENTATIVES WORK WITH UNINSURED PATIENTS TO HELP THEM QUALIFY FOR MEDICAID BENEFITS THROUGH THEIR STATE OF RESIDENCE. CHARITY CARE APPLICATIONS ARE OFFERED FOR THOSE THAT DO NOT QUALIFY FOR MEDICAID AND EXPRESS THE NEED AND THE INABILITY TO PAY FOR MEDICAL SERVICES.
FieldValueIRS element (for citing)
Facility30FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (30 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
CAPE CARDIOLOGY GROUP
211 SAINT FRANCIS DRIVE SUITE 15CAPE GIRARDEAUMO63703PHYSICIAN PRACTICE
PHYSICIANS PARK PRIMARY CARE
225 PHYSICIANS PARK DRIVE SUITE 40POPLAR BLUFFMO63901PHYSICIAN PRACTICE
CAPE GASTROENTEROLGY SPECIALISTS
28 S MOUNT AUBURN RDCAPE GIRARDEAUMO63703PHYSICIAN PRACTICE
CAPE CARE FOR WOMEN
150 S MT AUBURN ROADCAPE GIRARDEAUMO63703PHYSICIAN PRACTICE
CAPE PHYSICIAN ASSOCIATES
3250 GORDONVILLE ROADCAPE GIRARDEAUMO63703PHYSICIAN PRACTICE
CAPE ENT GROUP
150 S MT AUBURN ROADCAPE GIRARDEAUMO63703PHYSICIAN PRACTICE
CAPE THORACIC & CARDIOVASCULAR SURG
3250 GORDONVILLE ROADCAPE GIRARDEAUMO63703PHYSICIAN PRACTICE
CAPE MEDICAL ONCOLOGY
211 SAINT FRANCIS DRCAPE GIRARDEAUMO63703PHYSICIAN PRACTICE
SIKESTON RADIATION ONCOLOGY
1124 N MAIN STREETSIKESTONMO63801PHYSICIAN PRACTICE
FARMINGTON PHYSICIAN ASSOICATES
515 MAPLE VALLEY DRIVEFARMINGTONMO63640PHYSICIAN PRACTICE
CAPE SPINE AND NEUROSURGERY
150 S MT AUBURN ROADCAPE GIRARDEAUMO63703PHYSICIAN PRACTICE
CAPE PRIMARY CARE
1702 N KINGSHIGHWAYCAPE GIRARDEAUMO63701PHYSICIAN PRACTICE
IMMEDIATE CONVENIENT CARE - CAPE
1702 N KINGSHIGHWAYCAPE GIRARDEAUMO63701PHYSICIAN PRACTICE
CAPE NEUROLOGY SPECIALISTS
3004 GORDONVILLE ROADCAPE GIRARDEAUMO63703PHYSICIAN PRACTICE
CAPE DIABETES & ENDOCRINOLOGY
211 SAINT FRANCIS DRIVECAPE GIRARDEAUMO63703PHYSICIAN PRACTICE
JACKSON PHYSCIAN ASSOCIATES
2130 E JACKSON BLVDJACKSONMO63755PHYSICIAN PRACTICE
CAPE PULMONOLOGY AND SLEEP MEDICINE
24 S MT AUBURN ROADCAPE GIRARDEAUMO63703PHYSICIAN PRACTICE
JACKSON FAMILY CARE
545 BROADRIDGE DRIVEJACKSONMO63755PHYSICIAN PRACTICE
CHARLESTON FAMILY CARE
400 S MAIN STREETCHARLESTONMO63834PHYSICIAN PRACTICE
PIEDMONT PHYSICIAN ASSOCIATES
RT 4 BOX 4515PIEDMONTMO63957PHYSICIAN PRACTICE
SAINT FRANCIS HOME HEALTH
14 DOCTORS PARKCAPE GIRARDEAUMO63703HOME HEALTH
FITNESS PLUS
150 S MT AUBURN ROADCAPE GIRARDEAUMO63703FITNESS CENTER
CAPE PEDIATRIC GROUP
35 DOCTORS PARKCAPE GIRARDEAUMO63703PHYSICIAN PRACTICE
POPLAR BLUFF NEUROLOGY SPECIALISTS
2210 BARRON ROAD SUITE 112POPLAR BLUFFMO63901PHYSICIAN PRACTICE
CAPE PERINATOLOGY SERVICES
150 S MT AUBURN ROADCAPE GIRARDEAUMO63703PHYSICIAN PRACTICE
CAPE GYNECOLOGIC ONCOLOGY
211 SAINT FRANCIS DRIVECAPE GIRARDEAUMO63703PHYSICIAN PRACTICE
CAPE MEDICAL GROUP
150 S MT AUBURN ROADCAPE GIRARDEAUMO63703PHYSICIAN PRACTICE
SIKESTON NEUROLOGY SPECIALISTS
807 N MAIN STREETSIKESTONMO63801PHYSICIAN PRACTICE
SAINT FRANCIS OUTPATIENT REHAB
150 S MT AUBURN ROADCAPE GIRARDEAUMO63703OUTPATIENT REHAB
CAPE CEREBROVASCULAR & ENDOVASCULAR
150 S MT AUBURN ROADCAPE GIRARDEAUMO63703PHYSICIAN PRACTICE

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CAREALL UNINSURED PATIENTS RECEIVING SERVICES AT SAINT FRANCIS MEDICAL CENTER WILL RECEIVE A REDUCTION ON ALL CHARGES AT THE TIME OF BILLING (WITHOUT APPLICATION). THE DISCOUNT OF 50% IS COMPARABLE TO CONTRACTED PAYER DISCOUNTS. 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 7G - SUBSIDIZED HEALTH SERVICES EXPLANATIONCOSTS FOR SUBSIDIZED HEALTH SERVICES INCLUDE COSTS ASSOCIATED WITH PROVIDING NEONATOLOGY, TRAUMA, HOSPITALIST AND PERINATOLOGY PHYSICIAN CLINICAL SERVICES WHERE OPERATIONS RESULT IN LOSSES. TOTAL EXPENSES IN THE AMOUNT OF 10,627,815 ARE INCLUDED.
PART I, LINE 7, COLUMN (F) - EXCLUSIONS FROM PERCENT OF TOTAL EXPENSEBAD DEBTS WERE NOT EXCLUDED FROM THE CALCULATION IN COLUMN F.
PART I, LINE 7 - COSTING METHODOLOGY EXPLANATIONA COST-TO-CHARGE RATIO WAS USED IN ACCORDANCE WITH THE CALCULATION IN WORKSHEET 2, "RATIO OF PATIENT CARE COST TO CHARGES."
PART II - COMMUNITY BUILDING ACTIVITIESSAINT FRANCIS MEDICAL CENTER'S COMMUNITY BUILDING ACTIVITIES ARE TARGETED TO KEEP GOOD HEALTH IN THE FOREFRONT THROUGH NON-TRADITIONAL CHANNELS. THESE ACTIVITIES ARE USED TO DELIVER HEALTHCARE INFORMATION AND EDUCATION DIRECTLY TO CITIZENS OF THE COMMUNITY. COMMUNITY FORUMS OR MEETINGS ALLOW REPRESENTATIVES OF THE MEDICAL CENTER TO PRESENT POTENTIALLY LIFE-SAVING INFORMATION TO AN AUDIENCE NOT TYPICALLY REACHED BY COMMUNITY HEALTH AGENCIES OR SCREENINGS.
PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGYA COST-TO-CHARGE RATIO WAS USED IN ACCORDANCE WITH THE CALCULATION IN WORKSHEET 2, "RATIO OF PATIENT CARE COST TO CHARGES" TO DEVELOP COSTS ASSOCIATED WITH BAD DEBT EXPENSE. PATIENT PAYMENTS AND DISCOUNTS ARE APPLIED TO PATIENT'S ACCOUNT BEFORE BAD DEBT DETERMINATION IS MADE.
PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCEAN ESTIMATE OF BAD DEBT EXPENSE AT COST ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE MEDICAL CENTER'S CHARITY CARE POLICY WAS CALCULATED BASED ON A STUDY OF POVERTY RATES IN THE MEDICAL CENTER'S SERVICE AREA. THE PERCENTAGE OF THE POPULATION WITH INCOME LEVELS AT OR BELOW 300% OF THE FEDERAL POVERTY GUIDELINES WAS OBTAINED FOR THE STATES REPRESENTED IN BAD DEBT EXPENSE. THAT PERCENTAGE WAS THEN APPLIED TO THE ESTIMATED BAD DEBT EXPENSE ATTRIBUTABLE TO EACH STATE TO OBTAIN THE ESTIMATED AMOUNT IN BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE CHARITY CARE POLICY. THE COST TO CHARGE RATIO WAS THEN APPLIED TO CONVERT TO COST. THE MEDICAL CENTER ESTIMATES THAT 2,946,330 AT COST IS CHARITY CARE ELIGIBLE AND IS INCLUDED IN BAD DEBT EXPENSE.
BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTSTHE MEDICAL CENTER ALSO PROVIDES A SIGNIFICANT AMOUNT OF UNCOMPENSATED CARE FOR PATIENTS WHICH IS NOT INCLUDED IN COMMUNITY BENEFIT EXPENSE, BUT IS REPORTED ON THE STATEMENT OF OPERATIONS AS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANY OF THOSE PATIENTS ARE UNINSURED OR UNDERINSURED, BUT DID NOT APPLY FOR OR QUALIFY FOR CHARITY CARE. DURING THE YEAR ENDED JUNE 30, 2015, THE MEDICAL CENTER REPORTED BAD DEBT EXPENSE; AT COST, OF 5,567,000.
PART III, LINE 8 - MEDICARE EXPLANATIONTHE COSTING METHODOLOGY USED FOR PART III, LINE 6 IS A COST TO CHARGE RATIO DERIVED FROM THE PRIOR YEAR'S MEDICARE COST REPORT WHICH USES ONLY MEDICARE ALLOWABLE COSTS. IRS REV. RUL. 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THIS IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. FOR-PROFIT SPECIALTY HOSPITALS HAVE BEEN CARVING OUT CERTAIN HIGH- MARGIN SERVICES (SUCH AS CARDIAC, ORTHOPEDICS, AND ONCOLOGY), LEAVING GENERAL ACUTE CARE HOSPITALS WITH LOWER-MARGIN MEDICARE SERVICES. THIS INDICATES THAT MEDICARE LOSSES CAN BE A RESULT OF RENDERING THESE LOWER- MARGIN SERVICES (WHICH BENEFIT THE COMMUNITY) RATHER THAN INEFFICIENT OPERATIONS. IN SOME COMMUNITIES, MEDICARE IS THE LARGEST PAYER, AND HOSPITALS MUST ACCEPT THESE PATIENTS REGARDLESS OF WHETHER THEY MAKE A SURPLUS OR DEFICIT FROM PROVIDING SUCH SERVICES. IF THE MEDICARE PARTICIPATION IS PREMISED ON THIS FACT, THEN PROVIDING MEDICARE SERVICES PROMOTES ACCESS TO HEALTHCARE SERVICES 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 ISSUES WITH ACCESS TO HEALTHCARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDING MEDICARE SERVICES, CMS WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING SERVICES TO THE ELDERLY. MEDICARE PAYMENT ANOMALIES MAY BE PRESENT IN SOME STATES SO EVEN VERY EFFICIENT HOSPITALS ARE UNABLE TO AVOID LOSSES. THUS, LOSSES MAY NOT BE INDICATIVE OF INEFFICIENCY BUT RATHER PROVISION OF A COMMUNITY BENEFIT.
PART III, LINE 9B - COLLECTION PRACTICES EXPLANATIONIF PATIENT EXPRESSES FINANCIAL INABILITY TO PAY, THE REPRESENTATIVE OF THE MEDICAL CENTER WILL OFFER AN ASSISTANCE APPLICATION TO THE PATIENT. THE PATIENT THEN RETURNS THE APPLICATION TO THE BUSINESS OFFICE FOR REVIEW. AFTER REVIEW THE BUSINESS OFFICE WILL NOTIFY THE PATIENT IN WRITING OF THE DECISION. IF APPROVED THE BUSINESS OFFICE WILL WRITE OFF REMAINING BALANCES. IF DENIED THE BUSINESS OFFICE WILL CONTACT THE PATIENT TO MAKE PAYMENT ARRANGEMENTS.
PART VI, LINE 2 - NEEDS ASSESSMENTSAINT FRANCIS IS PROACTIVE IN ASSESSING THE HEALTHCARE NEEDS OF ITS SERVICE AREA THROUGH GATHERING INFORMATION OR STUDIES FROM COMMUNITY HEALTHCARE AGENCIES, DEVELOPING AND SUPPORTING COMMUNITY HEALTH EDUCATORS AND FOLLOWING UP ON INFORMATION FROM PATIENTS AND FAMILIES. SAINT FRANCIS IS REACTIVE IN ASSESSING THE HEALTHCARE NEEDS OF ITS SERVICE AREA BY PROVIDING SUPPORT AND ASSISTANCE THROUGH LOCAL AND NATIONAL AGENCIES, WHICH PROVIDE DIRECT HEALTHCARE SERVICES TO THE MEDICAL CENTER'S SERVICE AREA.
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEHOSPITAL PERSONNEL, INCLUDING NURSES, PHYSICIANS, SOCIAL WORKERS AND OTHERS, MAY IDENTIFY AND REQUEST AN APPLICATION FOR A PATIENT WHEN DEEMED APPROPRIATE. PATIENTS AND PERSONS WHO MAY BE BILLED RECEIVE AN APPLICATION FOR ASSISTANCE WHEN A NEED IS EXPRESSED. REQUEST FOR ASSISTANCE IS USUALLY MADE WHEN THE PATIENT RECEIVES THE BILL, OR WHEN THE CUSTOMER SERVICE REPRESENTATIVE CONTACTS THE PATIENT FOR PAYMENT OF ACCOUNT. AT THE TIME NEED IS EXPRESSED, THE APPLICATION IS GIVEN PERSONALLY OR MAILED TO THE PATIENT. CUSTOMER SERVICE REPRESENTATIVES THEN WORK WITH THE PATIENT TO COMPLETE ASSISTANCE REQUEST AND FORWARD APPLICATION FOR APPROVAL. ANY PATIENTS WHO RETURN TO THE MEDICAL CENTER TO PAY A BILL HAVE ACCESS TO ASSISTANCE EDUCATION DOCUMENTATION AT THE BILLING OFFICE.
PART VI, LINE 4 - COMMUNITY INFORMATIONSAINT FRANCIS MEDICAL CENTER IS A LEADING TERTIARY CARE PROVIDER FOR A PORTION OF THE FIVE-STATE REGION OF MISSOURI, ARKANSAS, ILLINOIS, KENTUCKY AND TENNESSEE AND OFFERS SERVICES TO MORE THAN 650,000 PEOPLE. PRIMARY SERVICE AREA CONSISTS OF CAPE GIRARDEAU COUNTY WITH A POPULATION OF 78,043. ACCORDING TO THE MISSOURI OFFICE OF ADMINISTRATION, BUDGET AND PLANNING, CAPE GIRARDEAU COUNTY'S POPULATION IS EXPECTED TO INCREASE TO 84,612 BY 2030. SECONDARY SERVICE AREA HAS A TOTAL POPULATION OF ALMOST 176,206 AND INCLUDES THE COUNTIES OF ALEXANDER (7,499), PULASKI (5,815), JOHNSON (12,582) AND UNION (17,447) IN ILLINOIS; AND BOLLINGER (12,394), MISSISSIPPI (14,232), NEW MADRID (18,272), PERRY (19,202), SCOTT (38,903) AND STODDARD (29,867) IN MISSOURI. TERTIARY SERVICE AREA HAS A TOTAL POPULATION OF NEARLY 400,000 AND INCLUDES THE COUNTIES OF BUTLER (42,972), CARTER (6,258), DUNKLIN (31,344), IRON (10,267), MADISON (12,368), PEMISCOT (17,650), REYNOLDS (6,585), RIPLEY (13,969), ST. FRANCOIS (65,960), STE. GENEVIEVE (17,914) AND WAYNE (13,452) IN MISSOURI; AND JACKSON (59,677), RANDOLPH (32,869) AND WILLIAMSON (67,008) IN ILLINOIS. THE SOUTHEAST REGION OF MISSOURI IS GROWING SLOWLY AND HAS A HIGHER THAN AVERAGE PERCENTAGE OF RETIREE-AGED PEOPLE. OVER THE NEXT FIVE YEARS, THE POPULATION BETWEEN AGES 55 TO 75 IS PROJECTED TO HAVE THE LARGEST PERCENT GROWTH. CURRENTLY, THE LARGEST POPULATION AGE GROUP IS AGES 45-54. THIS REGION IS 87.5 PERCENT CAUCASIAN, 8.7 PERCENT BLACK AND 1.9 PERCENT HISPANIC. TOTAL PERSONAL INCOME FOR CAPE GIRARDEAU COUNTY FOR 2014 WAS 3,058,763,000 OR 39,560 PER CAPITA. TOTAL PERSONAL INCOME FOR THE SOUTHEAST REGION WAS 12.8 BILLION WITH AN AVERAGE PER CAPITA OF 34,980. OF THE ENTIRE SOUTHEAST REGION POPULATION AGE 25 AND OLDER, 13.5 PERCENT DID NOT OBTAIN A HIGH SCHOOL DIPLOMA. 79.5 PERCENT GRADUATED FROM HIGH SCHOOL, 17.3 PERCENT HAVE RECEIVED A COLLEGE DEGREE AND 6.5 PERCENT HAVE COMPLETED A GRADUATE DEGREE. ACCORDING TO EMPLOYMENT STATISTICS IN OCTOBER 2015, CAPE GIRARDEAU COUNTY HAD AN UNEMPLOYMENT RATE OF 3.9 PERCENT. THE SOUTHEAST REGION UNEMPLOYMENT RATE WAS 4.9 PERCENT. STATISTICS COURTESY OF THE MISSOURI ECONOMIC RESEARCH AND INFORMATION CENTER AND U.S. CENSUS BUREAU.
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTHSAINT FRANCIS MEDICAL CENTER FURTHERS ITS EXEMPT PURPOSE BY PROVIDING FOR AN OPEN MEDICAL STAFF COMPRISED OF PHYSICIANS IN ITS PRIMARY SERVICE AREA. THE BOARD OF DIRECTORS IS COMPRISED OF LOCAL COMMUNITY MEMBERS WITH A VESTED INTEREST IN PROMOTING AND IMPROVING THE HEALTH OF THE POPULATION SERVED BY SAINT FRANCIS MEDICAL CENTER. IN ADDITION, SURPLUS FUNDS GENERATED BY THE OPERATIONS OF THE MEDICAL CENTER ARE REINVESTED IN EQUIPMENT AND FACILITIES SO THAT SAINT FRANCIS MEDICAL CENTER CAN PROVIDE CUTTING EDGE HEALTHCARE TO THE RESIDENTS OF ITS COMMUNITY.
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEMSAINT FRANCIS HEALTHCARE SYSTEM, INC. IS A HOLDING COMPANY WHICH OWNS SAINT FRANCIS MEDICAL CENTER. SAINT FRANCIS MEDICAL CENTER OPERATES A 284-BED ACUTE CARE HOSPITAL LOCATED IN CAPE GIRARDEAU, MISSOURI. ADMITTING PHYSICIANS ARE PRIMARILY PRACTITIONERS IN THE LOCAL AREA. SAINT FRANCIS MEDICAL CENTER WAS ORGANIZED BY SAINT FRANCIS HEALTHCARE SYSTEM. SAINT FRANCIS HEALTH DEVELOPMENT SERVICES, INC. FORMED IN 2002, OWNS A 51% INTEREST IN PHYSICIANS ALLIANCE SURGERY CENTER, LLC, A 30% INTEREST IN POPLAR BLUFF MEDICAL PARTNERS, LLC, A 30% INTEREST IN LANDMARK HOSPITAL OF CAPE GIRARDEAU, LLC AND A 30% INTEREST IN DRX - FC MANAGEMENT 001, LLC WHICH OPERATES A DOCTORS EXPRESS URGENT CARE CENTER.
PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORTMISSOURI

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Travel For CompanionsYes (X)TravelForCompanionsInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)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 PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
STEVEN C BJELICH
PRESIDENT & CEO$880,816$1,859,856$30,805$11,375$20,138$2,802,990
WILLIAM A BALSANO
VP OF FINANCE$466,722$45,195$28,806$12,125$9,900$562,748
JAMES A SCHELL MD
VP MEDICAL AFFAIRS$439,469$45,195$44,437$12,125$19,523$560,749
MARILYN K CURTIS
VP OF PROF. SERVICE$365,280$109,255$30,635$12,298$19,523$536,991
BARBARA THOMPSON
VP OF MARKETING$438,171$438,171
JEANNETTE K FADLER
VP OF PATIENT CARE$293,327$83,125$45,040$12,375$19,524$453,391
THOMAS S DIEMER MD
VP OF QUALITY$251,550$42,723$12,043$26,083$332,399
STEVEN A OGBURN
VP OF AMBULATORY SVC$217,190$22,349$17,472$11,654$26,044$294,709
MICHAEL FREEMANMD
GASTRONENTEROLOGIST$1,196,884$44,151$10,851$26,101$1,277,987
BRANDON SCOTT DO
NEUROSURGEON$716,435$116,221$35,501$11,606$10,348$890,111
EDWARD BENDERMD THORACIC AND
CARDIOVASCULAR SURGE$780,074$46,668$11,462$21,122$859,326
WILLIAM K LAFOE MD
INTERVEN. CARDIO.$771,045$2,411$4,623$26,101$804,180
DUC T NGUYEN DO INTERVENTIONAL
CARDIOLOGIST$737,747$35,559$13,615$23,847$810,768

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 1AEXECUTIVE AND BOARD MEMBERS RECEIVE TRAVEL FOR THEIR SPOUSES. SPOUSAL TRAVEL IS ADDED TO W-2'S FOR EXECUTIVES AND 1099'S ARE ISSUED TO BOARD MEMBERS. THE CEO RECEIVES COUNTRY CLUB DUES, WHICH IS INCLUDED ON THE W-2. SFMC WILL OCCASIONALLY CHARTER A FLIGHT FOR BUSINESS PURPOSES ONLY.
SCHEDULE J, PAGE 1, PART I, LINE 4STEVEN A. OGBURN 0 15,555 0
SCHEDULE J, PAGE 1, PART I, LINE 6AALL EXECUTIVE BONUSES ARE BASED ON FINANCIAL PERFORMANCE.
SCHEDULE J, PART IIIBARBARA THOMPSON, VP OF MARKETING IS NOT AN EMPLOYEE OF SAINT FRANCIS MEDICAL CENTER. SHE IS THE OWNER OF THE ROBERTS GROUP WHO PROVIDES ADVERTISING AND MARKETING SERVICES TO THE MEDICAL CENTER. HER COMPENSATION IS PAID BY THE ROBERTS GROUP.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
IND DEV AUTH OF CAPE GIRARDEAUM
A431193901139404EH62009-05-28$49,238,638CAPITAL EXPENDITURESYes (true)falsefalse
IND DEV AUTH OF CAPE GIRARDEAU
B431193901139404FJ12013-05-01$40,290,000EXTINGUISH/DEFEASE OUTSTANDING BONDSfalsefalsefalse
IND DEV AUTH OF CAPE GIRARDEAU
C431193901139404FH52013-05-01$131,833,295CAPITAL EXPENDITURESfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapitalized InterestCapitalizedInterestAmt
A$2,160,000$11,745,000$49,238,638$4,821,834$950,781$43,467,0332011falsefalseYes (true)Yes (true)
B$2,145,000$40,290,0002013Yes (true)falseYes (true)Yes (true)
C$2,465,000$131,833,295$58,695,000$1,380,910$75,003,5102015Yes (true)Yes (true)falseYes (true)$3,393,406

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
Afalsefalsefalsefalsefalsefalsefalse
Bfalsefalsefalsefalsefalsefalsefalse
Cfalsefalsefalsefalsefalsefalsefalse

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
AfalseYes (true)falsefalsefalsefalsefalsefalsefalse
BfalseYes (true)falsefalseYes (true)falsefalsefalsefalse
CfalseYes (true)falsefalsefalsefalsefalsefalsefalse

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
Afalse
Bfalse
Cfalse

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonSTEVEN C BJELICHPersonNm
Relationship With OrgPRESIDENT & CEORelationshipWithOrgTxt
Loan From OrganizationYes (X)LoanFromOrganizationInd
Original Principal$479,162OriginalPrincipalAmt
Balance Due$491,623BalanceDueAmt
DefaultfalseDefaultInd
Board Or Committee ApprovalYes (true)BoardOrCommitteeApprovalInd
Written AgreementYes (true)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$491,623TotalBalanceDueAmt

Grnt Asst Bnft Interested Prsn GrntAsstBnftInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonDENNIS MARCHIPersonNm
Relationship With OrgBOARD OF DIRECTORSRelationshipWithOrgTxt
Cash Grant$18,655CashGrantAmt
Type Of AssistanceDISCOUNTED HEALTHCARETypeOfAssistanceTxt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1B THOMPSON-OWNS THE ROBERTS GROUPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionVP OF MARKETINGRelationshipDescriptionTxt
Transaction$8,078,294TransactionAmt
TransactionADVERTISING FEESTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule M IRS990ScheduleM

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution17ContributionCnt
Noncash Contributions Rpt F990$9,331NoncashContributionsRptF990Amt
Method Of Determining RevenuesCOST/SELLING PRICE/FMVMethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$1,025NoncashContributionsRptF990Amt
Method Of Determining RevenuesCOST/SELLING PRICE/FMVMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)PRIZES72$28,507COST/SELLING PRICE/FMV
Yes (X)PHOTOGRAPHY2$11,180COST/SELLING PRICE/FMV
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSIONSAINT FRANCIS MEDICAL CENTER IS A 284-BED FACILITY SERVING MORE THAN 650,000 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.
FORM 990, PAGE 2, PART III, LINE 4A-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 UNDER-SERVED AND PARTICIPATES IN A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. SFMC SERVED 11,374 INPATIENTS, 34,770 EMERGENCY PATIENTS AND 156,042 OUTPATIENTS DURING THE FISCAL YEAR (FY) ENDING JUNE 30, 2015. DURING FY 2015, SFMC HAD A TOTAL OF 57,800 PATIENT DAYS IN ITS MEDICAL/SURGICAL, CRITICAL CARE, OBSTETRIC, AND REHABILITATION CARE UNITS. SFMC PROVIDES CARE 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 80.0 MILLION IN FY 2015. CHARITY CARE IS PROVIDED IN THE FORM OF MANY REDUCED-PRICE AND 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. TOTAL ATTENDANCE AT THESE ACTIVITIES EXCEEDED 8,300 DURING FY 2015. -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 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 FOOT CARE, 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, ALS, HEART SURGERY, DIGESTIVE DISEASES, ARTHRITIS, MULTIPLE SCLEROSIS AND STROKES. -SFMC PROVIDES FINANCIAL AND IN-KIND SUPPORT FOR ACTIVITIES OF LOCAL CHARITIES SUCH AS THE AMERICAN DIABETES ASSOCIATION, THE AMERICAN ARTHRITIS ASSOCIATION, THE MARCH OF DIMES, THE AMERICAN HEART ASSOCIATION, THE AMERICAN LUNG ASSOCIATION AND CATHOLIC CHARITIES. -SCHOLARSHIPS AND TUITION REIMBURSEMENT ARE AWARDED ANNUALLY BY SFMC TO UNDERGRADUATE AND 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 272,002 IN FY 2015. -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. -SFMC PROVIDES EMERGENCY CARE, CLOTHING AND PHARMACEUTICALS TO CHILDREN AND ADULTS IN NEED THROUGH THE SAINT FRANCIS FOUNDATION SISTER ESTHER FUND, PARENTS WITH HOPE FUND AND CANCER CARE FUND. -DURING FY 2015 SFMC VOLUNTEERS CONTRIBUTED APPROXIMATELY 42,363 HOURS OF SERVICE TO OUR PATIENTS, THEIR FAMILIES AND THE COMMUNITY. THE VALUE OF THIS CONTRIBUTION IS ESTIMATED AT OVER 324,000 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 2015 SFMC PROVIDED 364 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 42,108.
FORM 990, PAGE 6, PART VI, LINE 2SAINT FRANCIS MEDICAL CENTER = SFMC SAINTFRANCISHEALTHDEVELOPMENT=SFHD S. BJELICH-OFFICER SFMC / DIR SFHD C.NENNINGER-DIRECTOR OF SFMC & SFHD BUSINESS RELATIONSHIP S. BJELICH-OFFICER SFMC / DIR SFHD K. GOVERO-DIRECTOR OF SFMC & SFHD BUSINESS RELATIONSHIP S. BJELICH-OFFICER SFMC / DIR SFHD J. LAYTON-DIRECTOR OF SFMC & SFHD BUSINESS RELATIONSHIP C.NENNINGER-DIRECTOR OF SFMC & SFHD K. GOVERO-DIRECTOR OF SFMC & SFHD BUSINESS RELATIONSHIP C.NENNINGER-DIRECTOR OF SFMC & SFHD J. LAYTON-DIRECTOR OF SFMC & SFHD BUSINESS RELATIONSHIP K. GOVERO-DIRECTOR OF SFMC & SFHD J. LAYTON-DIRECTOR OF SFMC & SFHD BUSINESS RELATIONSHIP
FORM 990, PAGE 6, PART VI, LINE 3THE ROBERTS GROUP PROVIDES MARKETING AND ADVERTISING SERVICES FOR SAINT FRANCIS MEDICAL CENTER. BARBARA THOMPSON IS THE OWNER OF THE ROBERTS GROUP AND ALSO THE VICE PRESIDENT OF MARKETING AT SAINT FRANCIS MEDICAL CENTER. BARBARA THOMPSON IS NOT AN EMPLOYEE OF THE MEDICAL CENTER AND IS THEREFORE NOT PAID A DIRECT SALARY FROM THE MEDICAL CENTER.
FORM 990, PAGE 6, PART VI, LINE 6SAINT FRANCIS HEALTHCARE SYSTEM IS THE SOLE MEMBER OF THE SAINT FRANCIS MEDICAL CENTER.
FORM 990, PAGE 6, PART VI, LINE 7ASAINT FRANCIS HEALTHCARE SYSTEM, INC. 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, PAGE 6, PART VI, LINE 7BDECISIONS ARE SUBJECT TO THE BISHOP'S APPROVAL.
FORM 990, PAGE 6, PART VI, 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, PAGE 6, PART VI, 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, PAGE 6, PART VI, LINE 15AAN 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 VP OF FINANCE TO IMPLEMENT.
FORM 990, PAGE 6, PART VI, LINE 15BBASED 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, PAGE 6, PART VI, 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 9CHANGE IN INTEREST IN NET ASSETS OF SFF -357,811 TRANSFER FROM AFFILIATE SFHS 10,000,000

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1MEDICAL PARTNERS OF CAPE GIRARDEAUBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1211 SAINT FRANCIS DRIVEAddressLine1Txt
CityCAPE GIRARDEAUCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63703ZIPCd
FieldValueIRS element (for citing)
EIN431869973EIN
Primary ActivitiesPHYS. PRACPrimaryActivitiesTxt
Legal Domicile StateMOLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SFMCBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
SAINT FRANCIS HEALTHCARE SYSTEM
211 SAINT FRANCIS DRIVECAPE GIRARDEAUMO63703430662499HOLDING COMO501C311BNAfalse
SAINT FRANCIS FOUNDATION
211 SAINT FRANCIS DRIVECAPE GIRARDEAUMO63703431111276FUND DEV.MO501C311BNAfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SAINT FRANCIS HEALTH DEVELOP SRVCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1211 SAINT FRANCIS DRIVEAddressLine1Txt
CityCAPE GIRARDEAUCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63703ZIPCd
FieldValueIRS element (for citing)
EIN470849798EIN
Primary ActivitiesHOLDING COPrimaryActivitiesTxt
Legal Domicile StateMOLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SFHSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CORPEntityTypeTxt
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgYes (true)AssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd