SAINT FRANCIS MEDICAL CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: SAINT FRANCIS MEDICAL CENTER (EIN 23-7246265)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-02-14
IRS object ID: 201330459349302643
Schema version: 2011v1.5
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 D
Schedule G
Schedule H
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-02-14T19:19:50-06:00	Timestamp
Tax Period End Date	2012-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KERBER ECK & BRAECKEL LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	1116 W MAIN ST	AddressLine1
City	CARBONDALE	City
State	IL	State
ZIP Code	629012335	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	237246265	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SAINT FRANCIS MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	SAIN	NameControl
Phone	5733313000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	211 SAINT FRANCIS DRIVE	AddressLine1
City	CAPE GIRARDEAU	City
State	MO	State
ZIP Code	63703	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	WILLIAM A BALSANO	Name
Title	VICE PRESIDENT OF FINANCE	Title
Phone	5733313000	Phone
Date Signed	2013-02-14	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	DAVID SCHNAKE	Name
Phone	6185291040	Phone
Date Prepared	2013-02-14	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	STEVEN C BJELICH	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	211 SAINT FRANCIS DRIVE	AddressLine1
City	CAPE GIRARDEAU	City
State	MO	State
ZIP Code	63703	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	532365398	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.SFMC.NET	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1972	YearFormation
State Legal Domicile	MO	StateLegalDomicile
Activity Or Mission Description	THE MISSION OF SAINT FRANCIS MEDICAL CENTER IS TO PROVIDE A MINISTRY OF HEALING AND WELLNESS INSPIRED BY OUR CHRISTIAN PHILOSOPHY AND VALUES. FORM 990, PART III, LINE 1 - SAINT FRANCIS MEDICAL CENTER IS A 280-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.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	6	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	6	NbrIndependentVotingMembers
Total Nbr Employees	2574	TotalNbrEmployees
Total Nbr Volunteers	315	TotalNbrVolunteers
Total Gross UBI	6391523	TotalGrossUBI
Contributions Grants Prior Year	673035	ContributionsGrantsPriorYear
Contributions Grants Current Year	904526	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	404467910	ProgramServiceRevenuePriorYear
Program Service Revenue CY	441074584	ProgramServiceRevenueCY
Investment Income Prior Year	15946979	InvestmentIncomePriorYear
Investment Income Current Year	12232367	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2028703	OtherRevenuePriorYear
Other Revenue Current Year	2166516	OtherRevenueCurrentYear
Total Revenue Prior Year	423116627	TotalRevenuePriorYear
Total Revenue Current Year	456377993	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	157501366	SalariesEtcPriorYear
Salaries Etc Current Year	174719548	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	217462121	OtherExpensePriorYear
Other Expenses Current Year	249913656	OtherExpensesCurrentYear
Total Expenses Prior Year	374963487	TotalExpensesPriorYear
Total Expenses Current Year	424633204	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	48153140	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	31744789	RevenuesLessExpensesCY
Total Assets BOY	583824517	TotalAssetsBOY
Total Assets EOY	606782122	TotalAssetsEOY
Total Liabilities BOY	200882398	TotalLiabilitiesBOY
Total Liabilities EOY	207661930	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	382942119	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	399120192	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	THE MISSION OF SAINT FRANCIS MEDICAL CENTER IS TO PROVIDE A MINISTRY OF HEALING AND WELLNESS INSPIRED BY OUR CHRISTIAN PHILOSOPHY AND VALUES. FORM 990, PART III, LINE 1 - SAINT FRANCIS MEDICAL CENTER IS A 280-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.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	424633204	Expense
Revenue	446321172	Revenue
Description	SINCE 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 72.7 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 11,132 INPATIENTS, 29,741 EMERGENCY PATIENTS AND 115,270 OUTPATIENTS DURING THE FISCAL YEAR (FY) ENDING JUNE 30, 2012. DURING FY 2012, SFMC HAD A TOTAL OF 59,742 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 55.1 MILLION IN FY 2012. 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 8,600 DURING FY 2012. -SFMC SPONSORS THE REGIONAL ARTHRITIS CENTER, OFFERING INFORMATION AND ASSISTANCE TO PEOPLE THROUGHOUT SOUTHEAST MISSOURI. -FREE OR DISCOUNTED HEALTH SCREENINGS (CHOLESTEROL, BLOOD PRESSURE, GLAUCOMA, BLOOD SUGAR, ETC.) PROVIDED AT HEALTH FAIRS AND COMMUNITY HEALTH EDUCATION PROGRAMS, AS WELL AS OUR WEEKLY WEDNESDAY MORNING HEART HEALTH SCREENINGS. -COMMUNITY HEALTH FORUMS WERE OFFERED ON TOPICS SUCH AS ARTHRITIS, DIABETES, CARDIOVASCULAR FITNESS, CHILDREN'S HEALTH AND SAFETY, NUTRITION, BREAST CANCER AND OSTEOPOROSIS. OTHER WELLNESS PROGRAMS SUCH AS WEIGHT MANAGEMENT AND SMOKING CESSATION ARE SUBSIDIZED BY SFMC AND OFFERED FOR A NOMINAL FEE. -CHILDBIRTH, SIBLINGS, BREASTFEEDING AND INFANT CARE CLASSES ARE PROVIDED FREE OF CHARGE TO EXPECTANT MOTHERS AND YOUNG FAMILIES. -SFMC SPONSORS HEALTHCARE SPEAKERS FOR COMMUNITY EVENTS AND CIVIC MEETINGS. SFMC STAFF PRESENTS FREE PROGRAMS ON A VARIETY OF HEALTH AND WELLNESS TOPICS TO VARIOUS COMMUNITY, SCHOOL AND CHURCH GROUPS THROUGHOUT THE YEAR. -SEVERAL SFMC OUTPATIENT CLINICS ARE OFFERED AT REDUCED FEE OR NO COST TO PATIENTS AND THEIR FAMILIES. THE CLINICS ADDRESS DIABETIC 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, HEAD INJURIES, LARYNGECTOMY, HEART SURGERY, DIGESTIVE DISEASES, PARKINSON'S, ARTHRITIS, MULTIPLE SCLEROSIS AND STROKES, AS WELL AS GRIEF SUPPORT FOR PEOPLE WHO HAVE LOST A LOVED ONE TO ILLNESS, INJURY OR DISEASE. -SFMC PROVIDES FINANCIAL AND IN-KIND SUPPORT FOR ACTIVITIES OF LOCAL CHARITIES SUCH AS THE AMERICAN CANCER SOCIETY, THE AMERICAN DIABETES ASSOCIATION, THE AMERICAN ARTHRITIS ASSOCIATION, THE MARCH OF DIMES, THE AMERICAN HEART ASSOCIATION AND THE AMERICAN LUNG ASSOCIATION. -SCHOLARSHIPS AND TUITION REIMBURSEMENT ARE AWARDED ANNUALLY BY SFMC TO 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 135,000 IN FY 2012. -SFMC SPONSORS MEDICAL MINUTE. THIS WEEKLY EDUCATIONAL PROGRAM, PRODUCED IN COOPERATION WITH MEMBERS OF THE MEDICAL COMMUNITY, PROVIDES INFORMATION ON NEW TECHNOLOGY AND PROCEDURES, TREATMENT FOR DISEASES AND DISORDERS, AND GENERAL MEDICAL EDUCATION TO AREA PATIENTS. -SFMC PROVIDES FREE INTERNET LIBRARY SEARCHES ON HEALTHCARE TOPICS TO AREA RESIDENTS WHO DO NOT HAVE OTHER ACCESS. HOSPITAL EDUCATION STAFF CONDUCTS THE SEARCH AND FAX OR MAIL MATERIALS. -SFMC PROVIDES EMERGENCY CARE, CLOTHING AND PHARMACEUTICALS TO CHILDREN IN NEED THROUGH THE SAINT FRANCIS FOUNDATION CHILDREN HELPING CHILDREN FUND. -DURING FY 2012 SFMC VOLUNTEERS CONTRIBUTED APPROXIMATELY 49,000 HOURS OF SERVICE TO OUR PATIENTS, THEIR FAMILIES AND THE COMMUNITY. THE VALUE OF THIS CONTRIBUTION IS ESTIMATED AT OVER 368,000 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 2012 SFMC PROVIDED 421 FREE MAMMOGRAMS TO AREA WOMEN WHO COULD NOT AFFORD THIS POTENTIALLY LIFESAVING SCREENING. THE VALUE OF THIS CONTRIBUTION IS ESTIMATED AT MORE THAN 46,800.	Description
Total Program Service Expense	424633204	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	true	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	true	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	119	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	2574	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	true	QuidProQuoContributions
Quid Pro Quo Disclosure	true	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	6	NbrVotingGoverningBodyMembers
Number Independent Voting Members	6	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	true	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	WILLIAM A BALSANO	NamePerson
Telephone Number	5733313000	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	211 SAINT FRANCIS DR	AddressLine1
Address Line2	211 SAINT FRANCIS DRIVE	AddressLine2
City	CAPE GIRARDEAU	City
State	MO	State
ZIP Code	63703	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee
DENNIS MARCHI
CHAIR OF THE	2.00	X	4553	0	0
L R ROPER JR
BOARD OF DIR	2.00	X	1614	0	0
JUDITH R WILFERTH
BOARD OF DIR	2.00	X	1503	0	0
CLYDE NENNINGER
VICE CHAIR O	2.00	X	0	0	0
MAURICE R SANDFORT
BOARD OF DIR	2.00	X	0	0	0
JOHN A LAYTON
SECRETARY/TR	2.00	X	0	0	0
STEVEN C BJELICH PRESIDENT CEO
	40.00		889020	0	38685	X
JAMES SCHELLMDVP OF MEDICAL AFFAIR
	40.00		423985	0	28944	X
WILLIAM A BALSANO VP OF FINANCE
	40.00		407960	0	28689	X
MARILYN K CURTIS VP OF PROF SERVIC
	40.00		332707	0	31093	X
BARBARA THOMPSON VP OF MARKETING
	20.00		315311	0	0	X
JEANNETTE K FADLERVP OF PATIENT CAR
	40.00		292333	0	30810	X
MICHAEL FREEMANMD GASTRONENTEROLOG
	40.00		1185368	0	38475		X
EDWARD BENDERMDCARDIOTHORASIC SURG
	40.00		799519	0	32399		X
LOUIS CARAGINE JRMDPHD ENDOV SURG
	40.00		791677	0	37864		X
BRUCE JONES MD CARDIOTHORASIC SURG
	40.00		647820	0	27259		X
RAFID HUSSEINDOGASTRONENTEROLOGIST
	40.00		615424	0	24928		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	6708794	TotalReportableCompFromOrg
Total Other Compensation	319146	TotalOtherCompensation
Number Individuals GT100 K	196	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	true	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
MCKESSON DRUG COMPANY
PO BOX 848442	DALLAS	TX	752848442	PHARMACEUTICAL	19396517
THE ROBERTS GROUP
730 NORTH GRAND AVENUE	WAUKESKA	WI	53186	ADVERTISING	10801542
KIEFNER BROTHERS INC
1459 NORTH KINGSHIGHWAY STREET	CAPE GIRARDEAU	MO	63701	CONSTUCTION	7598250
CAPE ANESTHESIA GROUP INC
PO BOX 1777	CAPE GIRARDEAU	MO	637021777	ANESTHESIA SERV	6195489
MEDLINE INDUSTRIES INC
DEPT CH 14400	PALATINE	IL	600554400	SUPPLIES	5964193

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	199	NumberOfContractorsGT100K
Fundraising Events	132694	FundraisingEvents
Related Organizations	771832	RelatedOrganizations
Noncash Contributions	36805	NoncashContributions
Total Contributions	904526	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Business CodeBusinessCode	Unrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICE REVENUE	431425381	431425381
PHARMACY	5584100		446110	5584100
AUXILLIARY SERVICES	2508849	2508849
WELLNESS PROGRAMS	748831	748831
LAB FEES	582829		621500	582829

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	224594	TotalRevenueColumn
Unrelated Business Revenue	224594	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Program Service Revenue	441074584	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	3809484	TotalRevenueColumn
Related Or Exempt Function Income	3215228	RelatedOrExemptFunctionIncome
Exclusion	$594,256	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	595566	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	595566	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	595566	TotalRevenueColumn
Exclusion	$595,566	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	84358217	Securities
Other	3720	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	75515966	Securities
Other	423088	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	8842251	Securities
Other	-419368	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	8422883	TotalRevenueColumn
Related Or Exempt Function Income	8422883	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	27900	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	132694	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	48351	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-20451	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
CAFETERIA SALES	1368243	$1,368,243
MISCELLANEOUS	190254	$190,254
MEDICAL RECORDS	23352	$23,352

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	9552	TotalRevenueColumn
Exclusion	$9,552	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	1591401	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	456377993	TotalRevenueColumn
Related Or Exempt Function Income	446321172	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	6391523	UnrelatedBusinessRevenue
Exclusion	$2,781,223	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2668986	Total
Program Services	2668986	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	138365012	Total
Program Services	138365012	ProgramServices

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	4137086	Total
Program Services	4137086	ProgramServices

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	20564605	Total
Program Services	20564605	ProgramServices

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	8983859	Total
Program Services	8983859	ProgramServices

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	435704	Total
Program Services	435704	ProgramServices

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	79550	Total
Program Services	79550	ProgramServices

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	3732026	Total
Program Services	3732026	ProgramServices

Advertising Advertising

Field	Value	IRS element (for citing)
Total	12548101	Total
Program Services	12548101	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	49955118	Total
Program Services	49955118	ProgramServices

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	2414182	Total
Program Services	2414182	ProgramServices

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	2807946	Total
Program Services	2807946	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	473960	Total
Program Services	473960	ProgramServices

Interest Interest

Field	Value	IRS element (for citing)
Total	5931142	Total
Program Services	5931142	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	8700000	Total
Program Services	8700000	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	21884860	Total
Program Services	21884860	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	3090589	Total
Program Services	3090589	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
BAD DEBTS	55408193	55408193
MEDICAL SUPPLIES	41650380	41650380
DRUGS	25379980	25379980
EQUIP. RENTAL & MAIN	6311643	6311643

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	9110282	Total
Program Services	9110282	ProgramServices

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	424633204	Total
Program Services	424633204	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	18866495	BOY
EOY	22410869	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	22102332	BOY
EOY	23177347	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	47072755	BOY
EOY	55271578	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	9770858	BOY
EOY	10782962	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	6026277	BOY
EOY	10785554	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	386577820	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	169251131	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	213751347	BOY
EOY	217326689	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	260280502	BOY
EOY	261442889	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	3313549	BOY
EOY	3176288	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	2640402	BOY
EOY	2407946	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	583824517	BOY
EOY	606782122	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	60784061	BOY
EOY	70124023	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	140098337	BOY
EOY	137537907	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	200882398	BOY
EOY	207661930	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	382942119	BOY
EOY	399120192	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	382942119	BOY
EOY	399120192	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	583824517	BOY
EOY	606782122	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	31744789	ReconcilationRevenueExpenses
Reconcilation Other Changes	-15566716	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Both	X	FinancialStatementBoth
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Disclosed Orgs Legal Control	false	DisclosedOrgsLegalControl
Disclosed For Charitable Purposes	false	DisclosedForCharitablePurposes
Written Policy Monitoring	false	WrittenPolicyMonitoring
Sect170h Requirements Satisfied	false	Sect170hRequirementsSatisfied
Solicited Assets For Sale	false	SolicitedAssetsForSale
Agent Trustee Etc	false	AgentTrusteeEtc
Included On FS	false	IncludedOnFS
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	false	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3195168	OtherCostOrOtherBasis
Book Value	3195168	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	146429759	OtherCostOrOtherBasis
Depreciation	49549656	Depreciation
Book Value	96880103	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	220514141	OtherCostOrOtherBasis
Depreciation	114641616	Depreciation
Book Value	105872525	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	16438752	OtherCostOrOtherBasis
Depreciation	5059859	Depreciation
Book Value	11378893	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	217326689	TotalOfBookValueLandBuildings
Total Revenue	456377993	TotalRevenue
Total Expenses	424633204	TotalExpenses
Excess Or Deficit For Year	31744789	ExcessOrDeficitForYear
Net Unrealized GL On Investments	-15334260	NetUnrealizedGLOnInvestments
Other	-$253,333	OtherAmount
Total Adjustments	-15587593	TotalAdjustments
Excess Or Deficit Per FS	16157196	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	441022856	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	-15334260	NetUnrealizedGainsInvestments
Revenue Not Rptd F990	-15334260	RevenueNotRptdF990
Revenue Subtotal	456357116	RevenueSubtotal
Other Revenues Not Included	20877	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	20877	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	456377993	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	424865660	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	232456	OtherExpensesIncluded
Expenses Not Rptd F990	232456	ExpensesNotRptdF990
Expenses Subtotal	424633204	ExpensesSubtotal
Total Expenses Per Form990	424633204	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
LIABILITY UNDER FIN 48 FOOTNOTE	SCHEDULE D, PAGE 3, PART X	LIABILITY UNDER FIN 48 FOOTNOTE THERE WERE NO UNCERTAIN TAX BENEFITS IDENTIFIED AND RECORDED AS A LIABILITY UPON THE ADOPTION OF ASC TOPIC 740-10-25 OR AT JUNE 30, 2012
RECONCILIATION OF CHANGES - OTHER	SCHEDULE D, PAGE 4, PART XI, LINE 8	AUXILIARY INCOME -20,877 CHANGE IN INTEREST IN NET ASSETS OF 0 SAINT FRANCIS FOUNDATION -232,456
REVENUE AMOUNTS INCLUDED ON RETURN - OTHER	SCHEDULE D, PAGE 4, PART XII, LINE 4B	AUXILIARY INCOME 20,877
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER	SCHEDULE D, PAGE 4, PART XIII, LINE 2D	CHANGE IN INTEREST IN NET ASSETS OF 0 SAINT FRANCIS FOUNDATION 232,456

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	ANNUAL GOLF TOU	NameOfEvent1
Gross Receipts Event1	105490	GrossReceiptsEvent1
Charitable Contributions Event1	85690	CharitableContributionsEvent1
Gross Revenue Event1	19800	GrossRevenueEvent1
Non Cash Prizes Event1	3780	NonCashPrizesEvent1
Rent Facility Costs Event1	11880	RentFacilityCostsEvent1
Food And Beverage Event1	4052	FoodAndBeverageEvent1
Other Direct Expenses Event1	14842	OtherDirectExpensesEvent1
Name Of Event2	HAYDEN MEMORIAL	NameOfEvent2
Gross Receipts Event2	55104	GrossReceiptsEvent2
Charitable Contributions Event2	47004	CharitableContributionsEvent2
Gross Revenue Event2	8100	GrossRevenueEvent2
Non Cash Prizes Event2	3780	NonCashPrizesEvent2
Rent Facility Costs Event2	7200	RentFacilityCostsEvent2
Food And Beverage Event2	927	FoodAndBeverageEvent2
Other Direct Expenses Event2	1890	OtherDirectExpensesEvent2
Gross Receipts Total	160594	GrossReceiptsTotal
Charitable Contributions Total	132694	CharitableContributionsTotal
Gross Revenue Total Events	27900	GrossRevenueTotalEvents
Non Cash Prizes Total Events	7560	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	19080	RentFacilityCostsTotalEvents
Food And Beverage Total Events	4979	FoodAndBeverageTotalEvents
Other Direct Expenses Total Events	16732	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	48351	DirectExpenseSummaryEvents
Net Income Summary	-20451	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	4.00000	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	6.00000	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	12487517	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9324258	DirectOffsettingRevenue
Net Community Benefit Expense	3163259	NetCommunityBenefitExpense
Percent Of Total Expense	0.00740	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	67767335	TotalCommunityBenefitExpense
Direct Offsetting Revenue	46810890	DirectOffsettingRevenue
Net Community Benefit Expense	20956445	NetCommunityBenefitExpense
Percent Of Total Expense	0.04940	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	80254852	TotalCommunityBenefitExpense
Direct Offsetting Revenue	56135148	DirectOffsettingRevenue
Net Community Benefit Expense	24119704	NetCommunityBenefitExpense
Percent Of Total Expense	0.05680	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2424316	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8655	DirectOffsettingRevenue
Net Community Benefit Expense	2415661	NetCommunityBenefitExpense
Percent Of Total Expense	0.00570	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	46165	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2000	DirectOffsettingRevenue
Net Community Benefit Expense	44165	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7174269	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2269688	DirectOffsettingRevenue
Net Community Benefit Expense	4904581	NetCommunityBenefitExpense
Percent Of Total Expense	0.01160	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	197022	TotalCommunityBenefitExpense
Net Community Benefit Expense	197022	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9841772	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2280343	DirectOffsettingRevenue
Net Community Benefit Expense	7561429	NetCommunityBenefitExpense
Percent Of Total Expense	0.01780	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	90096624	TotalCommunityBenefitExpense
Direct Offsetting Revenue	58415491	DirectOffsettingRevenue
Net Community Benefit Expense	31681133	NetCommunityBenefitExpense
Percent Of Total Expense	0.07460	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	14332	TotalCommunityBuildingExpense
Net Community Building Expense	14332	NetCommunityBuildingExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	1184	TotalCommunityBuildingExpense
Net Community Building Expense	1184	NetCommunityBuildingExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	991	TotalCommunityBuildingExpense
Net Community Building Expense	991	NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	37895	TotalCommunityBuildingExpense
Net Community Building Expense	37895	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	712	TotalCommunityBuildingExpense
Net Community Building Expense	712	NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	551854	TotalCommunityBuildingExpense
Net Community Building Expense	551854	NetCommunityBuildingExpense
Percent Of Total Expense	0.00130	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	606968	TotalCommunityBuildingExpense
Net Community Building Expense	606968	NetCommunityBuildingExpense
Percent Of Total Expense	0.00140	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$14,045,673	BadDebtExpenseAmount
Amount Attributable To	9628969	AmountAttributableTo
Amount Reimbursed By Medicare	117724980	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	156380172	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-38655192	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SAINT FRANCIS MEDICAL CENTER	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	211 SAINT FRANCIS DRIVE	AddressLine1
City	CAPE GIRARDEAU	City
State	MO	State
ZIP Code	63703	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	SAINT FRANCIS MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	400.0	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	600.0	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Other Factors	X	OtherFactors
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	true	ActionsOnNonpayment
Permit Lawsuit	X	PermitLawsuit
Permit Lien On Residence	X	PermitLienOnResidence
Permit Other Actions	X	PermitOtherActions
Collection Activities	true	CollectionActivities
Lawsuit	X	Lawsuit
Lien On Residence	X	LienOnResidence
Other Actions	X	OtherActions
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Other Actions Taken	X	OtherActionsTaken
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	true	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	23	NumberOfOtherFacilities

Other Facilities OtherFacilities (23 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
CAPE PHYSICIAN ASSOCIATES
3250 GORDONVILLE ROAD	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
CAPE CARDIOLOGY GROUP
211 SAINT FRANCIS DRIVE SUITE 15	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
CAPE GASTROENTEROLGY SPECIALISTS
18 DOCTORS PARK	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
CAPE CARE FOR WOMEN
150 S MT AUBURN ROAD	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
CAPE THORACIC & CARDIOVASCULAR SURG
3250 GORDONVILLE ROAD	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
CAPE MEDICAL ONCOLOGY
211 SAINT FRANCIS DR	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
CAPE ENT GROUP
150 S MT AUBURN ROAD	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
JACKSON FAMILY CARE
545 BROADRIDGE DRIVE	JACKSON	MO	63755	PHYSICIAN PRACTICE
CAPE PULMONOLOGY AND SLEEP MEDICINE
24 S MT AUBURN ROAD	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
CAPE NEUROLOGY SPECIALISTS
3004 GORDONVILLE ROAD	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
CAPE DIABETES & ENDOCRINOLOGY
17 DOCTORS PARK	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
CAPE MEDICAL GROUP
150 S MT AUBURN ROAD	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
FITNESS PLUS
150 S MT AUBURN ROAD	CAPE GIRARDEAU	MO	63703	FITNESS CENTER
CAPE SPINE AND NEUROSURGERY
150 S MT AUBURN ROAD	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
CAPE GYNECOLOGIC ONCOLOGY
150 S MT AUBURN ROAD	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
CAPE CEREBROVASCULAR & ENDOVASCULAR
150 S MT AUBURN ROAD	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
CAPE PRIMARY CARE
1702 N KINGSHIGHWAY ST	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
SAINT FRANCIS OUTPATIENT REHAB
150 S MT AUBURN ROAD	CAPE GIRARDEAU	MO	63703	OUTPATIENT REHAB
SAINT FRANCIS HOME HEALTH
14 DOCTORS PARK	CAPE GIRARDEAU	MO	63703	HOME HEALTH
CAPE PERINATOLOGY SERVICES
150 S MT AUBURN ROAD	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
CHARLESTON FAMILY CARE
400 S MAIN STREET	CHARLESTON	MO	63834	PHYSICIAN PRACTICE
SIKESTON NEUROLOGY SPECIALISTS
807 N MAIN STREET	SIKESTON	MO	63801	PHYSICIAN PRACTICE
SIKESTON RADIATION ONCOLOGY
1124 N MAIN STREET	SIKESTON	MO	63801	PHYSICIAN PRACTICE

Form990 Schedule H Part VI Form990ScheduleHPartVI (20 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SUBSIDIZED HEALTH SERVICES EXPLANATION	PART I LINE 7G	COSTS 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 7174269 ARE INCLUDED
EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE	PART I LINE 7 COLUMN F	BAD DEBTS WERE NOT EXCLUDED FROM THE CALCULATION IN COLUMN F
COSTING METHODOLOGY EXPLANATION	PART I LINE 7	A COSTTOCHARGE RATIO WAS USED IN ACCORDANCE WITH THE CALCULATION IN WORKSHEET 2 RATIO OF PATIENT CARE COST TO CHARGES
COMMUNITY BUILDING ACTIVITIES	PART II	SAINT FRANCIS MEDICAL CENTERS COMMUNITY BUILDING ACTIVITIES ARE TARGETED TO KEEP GOOD HEALTH IN THE FOREFRONT THROUGH NONTRADITIONAL 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 LIFESAVING INFORMATION TO AN AUDIENCE NOT TYPICALLY REACHED BY COMMUNITY HEALTH AGENCIES OR SCREENINGS
BAD DEBT EXPENSE EXPLANATION	PART III LINE 4	A COSTTOCHARGE 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 PATIENTS ACCOUNT BEFORE BAD DEBT DETERMINATION IS MADE AN ESTIMATE OF BAD DEBT EXPENSE AT COST ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE MEDICAL CENTERS CHARITY CARE POLICY WAS CALCULATED BASED ON A STUDY OF POVERTY RATES IN THE MEDICAL CENTERS SERVICE AREA THE PERCENTAGE OF THE POPULATION WITH INCOME LEVELS AT OR BELOW 400 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 9628969 AT COST IS CHARITY CARE ELIGIBLE AND IS INCLUDED IN BAD DEBT EXPENSE THE FOLLOWING IS TEXT FROM FOOTNOTE B OF THE AUDITED FINANCIAL STATEMENTS FOR SAINT FRANCIS MEDICAL CENTER FOR THE YEAR ENDED JUNE 30 2012 THE MEDICAL CENTER 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 2012 THE MEDICAL CENTER REPORTED BAD DEBT EXPENSE AT COST OF 14046000
MEDICARE EXPLANATION	PART III LINE 8	THE COSTING METHODOLOGY USED FOR PART III LINE 6 IS A COST TO CHARGE RATIO DERIVED FROM THE PRIOR YEARS MEDICARE COST REPORT WHICH USES ONLY MEDICARE ALLOWABLE COSTS IRS REV RUL 69545 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 FORPROFIT SPECIALTY HOSPITALS HAVE BEEN CARVING OUT CERTAIN HIGHMARGIN SERVICES SUCH AS CARDIAC ORTHOPEDICS AND ONCOLOGY LEAVING GENERAL ACUTE CARE HOSPITALS WITH LOWERMARGIN MEDICARE SERVICES THIS INDICATES THAT MEDICARE LOSSES CAN BE A RESULT OF RENDERING THESE LOWERMARGIN 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 LOWINCOME CONSUMERS RECEIVING MEDICARE BENEFITS THE ELDERLY ARE OFTEN AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES WITHOUT TAXEXEMPT 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
COLLECTION PRACTICES EXPLANATION	PART III LINE 9B	IF 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
NEEDS ASSESSMENT	PART VI	SAINT 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 CENTERS SERVICE AREA
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	PART VI	HOSPITAL 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
COMMUNITY INFORMATION	PART VI	SAINT FRANCIS MEDICAL CENTER IS A LEADING TERTIARY CARE PROVIDER FOR A PORTION OF THE FIVESTATE REGION OF MISSOURI ARKANSAS ILLINOIS KENTUCKY AND TENNESSEE AND OFFERS SERVICES TO MORE THAN 650000 PEOPLE PRIMARY SERVICE AREA CONSISTS OF CAPE GIRARDEAU COUNTY WITH A POPULATION OF 76630 ACCORDING TO THE MISSOURI OFFICE OF ADMINISTRATION BUDGET AND PLANNING CAPE GIRARDEAU COUNTYS POPULATION IS EXPECTED TO INCREASE TO 84612 BY 2030 SECONDARY SERVICE AREA HAS A TOTAL POPULATION OF ALMOST 177900 AND INCLUDES THE COUNTIES OF ALEXANDER 8036 PULASKI 6046 JOHNSON 12654AND UNION 17708 IN ILLINOIS AND BOLLINGER 12356 MISSISSIPPI14306 NEW MADRID 18783 PERRY 19041 SCOTT 39136 AND STODDARD 29807 IN MISSOURI TERTIARY SERVICE AREA HAS A TOTAL POPULATION OF NEARLY 400000 AND INCLUDES THE COUNTIES OF BUTLER 43082 CARTER 5365 DUNKLIN 31974 IRON 10656 MADISON 12195 PEMISCOT 18174 REYNOLDS 6588 RIPLEY 14143 SAINT FRANCOIS 65577 SAINTE GENEVIEVE 18124 AND WAYNE 13475 IN MISSOURI AND JACKSON 60365 RANDOLPH 33361 AND WILLIAMSON 66622 IN ILLINOIS THE SOUTHEAST REGION OF MISSOURI IS GROWING SLOWLY AND HAS A HIGHER THAN AVERAGE PERCENTAGE OF RETIREEAGED 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 4554 THIS REGION IS 901 PERCENT CAUCASIAN 74 PERCENT BLACK AND 14 PERCENT HISPANIC TOTAL PERSONAL INCOME FOR CAPE GIRARDEAU COUNTY FOR 2010 WAS 2638976000 OR 34781 PER CAPITA TOTAL PERSONAL INCOME FOR THE SOUTHEAST REGION WAS 112 BILLION WITH AN AVERAGE PER CAPITA OF 30668 OF THE ENTIRE SOUTHEAST REGION POPULATION AGE 25 AND OLDER 224 PERCENT DID NOT OBTAIN A HIGH SCHOOL DIPLOMA 576 PERCENT GRADUATED FROM HIGH SCHOOL 148 PERCENT HAVE RECEIVED A COLLEGE DEGREE AND 52 PERCENT HAVE COMPLETED A GRADUATE DEGREE ACCORDING TO EMPLOYMENT STATISTICS IN NOVEMBER 2012 CAPE GIRARDEAU COUNTY HAD AN UNEMPLOYMENT RATE OF 54 PERCENT THE SOUTHEAST REGION UNEMPLOYMENT RATE WAS 68 PERCENT STATISTICS COURTESY OF THE MISSOURI ECONOMIC RESEARCH AND INFORMATION CENTER AND US CENSUS BUREAU
HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE	PART VI	SAINT 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
AFFILIATED HEALTH CARE INFORMATION	PART VI	SAINT FRANCIS HEALTHCARE SYSTEM INC IS A HOLDING COMPANY WHICH OWNS SAINT FRANCIS MEDICAL CENTER SAINT FRANCIS MEDICAL CENTER OPERATES A 280BED 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 HEALTHCARE SYSTEM ALSO OWNS IMMEDIATE CONVENIENT CARE LLC AND IMMEDIATE CONVENIENT CARE PERRYVILLE LLC BOTH OF WHICH OPERATES WALKIN HEALTH CLINICS WHICH HAVE BEEN DESIGNATED AS A RURAL HEALTH CLINICS SAINT FRANCIS HEALTH DEVELOPMENT SERVICES INC FORMED IN 2002 OWNS A 51 INTEREST IN PHYSICIANS ALLIANCE SURGERY CENTER LLC 30 INTEREST IN POPLAR BLUFF MEDICAL PARTNERS LLC 30 INTEREST IN LANDMARK HOSPITAL OF CAPE GIRARDEAU LLC AND A 30 INTEREST IN DRXFC MANAGEMENT 001 LLC WHICH OPERATES A DOCTORS EXPRESS URGENT CARE CENTER
LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILED	PART VI	MISSOURI
SAINT FRANCIS MEDICAL CENTER LINE NUMBER 1 PART V LINE 11H	PART V LINE 11H	ALL PATIENTS RECEIVE THE SAME CHARGES REGARDLESS OF FINANCIAL STATUS DISCOUNTS VARY DEPENDING ON INCOME LEVEL ASSETS LEVEL MEDICAL INDIGENCY AND INSURANCE STATUS
SAINT FRANCIS MEDICAL CENTER LINE NUMBER 1 PART V LINE 13G	PART V LINE 13G	ALL PATIENTS ARE PROVIDED PATIENT HANDBOOKS UPON ADMISSION THAT DETAIL THE FINANCIAL ASSISTANCE POLICY ALL SELF PAY PATIENTS ARE PERSONALLY CONTACTED AFTER ADMISSION AND INFORMED OF THE FINANCIAL ASSISTANCE AVAILABLE THROUGH THE MEDICAL CENTERS FINANCIAL ASSISTANCE POLICY
SAINT FRANCIS MEDICAL CENTER LINE NUMBER 1 PART V LINE 15E	PART V LINE 15E	REFERRAL TO A THIRD PARTY COLLECTION AGENCY IS ALSO PERMITTED UNDER THE COLLECTION POLICY
SAINT FRANCIS MEDICAL CENTER LINE NUMBER 1 PART V LINE 16E	PART V LINE 16E	THE MEDICAL CENTER AUTHORIZES A THIRD PARTY TO ACT AS ITS COLLECTION AGENT ON ACCOUNTS SENT FOR COLLECTIONS
SAINT FRANCIS MEDICAL CENTER LINE NUMBER 1 PART V LINE 17E	PART V LINE 17E	THIRD PARTY REPRESENTATIVES WORK WITH SELF PAY 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
SAINT FRANCIS MEDICAL CENTER LINE NUMBER 1 PART V LINE 19D	PART V LINE 19D	ALL PATIENTS RECEIVE THE SAME CHARGES REGARDLESS OF FINANCIAL STATUS DISCOUNTS VARY DEPENDING ON INCOME LEVEL ASSETS LEVEL MEDICAL INDIGENCY AND INSURANCE STATUS
SAINT FRANCIS MEDICAL CENTER LINE NUMBER 1 PART V LINE 21	PART V LINE 21	ALL PATIENTS RECEIVE THE SAME CHARGES REGARDLESS OF FINANCIAL STATUS DISCOUNTS VARY DEPENDING ON INCOME LEVEL ASSETS LEVEL MEDICAL INDIGENCY AND INSURANCE STATUS

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	X	FirstClassOrCharterTravel
Travel For Companions	X	TravelForCompanions
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	true	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg
STEVEN C BJELICH PRESIDENT CEO
669963	126845	92212	13683	25002	927705
JAMES SCHELLMDVP OF MEDICAL AFFAIR
352261	35752	35972	13020	15924	452929
WILLIAM A BALSANO VP OF FINANCE
325881	31926	50153	12971	15718	436649
MARILYN K CURTIS VP OF PROF SERVIC
264789	26209	41709	12855	18238	363800
BARBARA THOMPSON VP OF MARKETING
315311					315311
JEANNETTE K FADLERVP OF PATIENT CAR
232854	23827	35652	12779	18031	323143
MICHAEL FREEMANMD GASTRONENTEROLOG
1152188		33180	14399	24076	1223843
EDWARD BENDERMDCARDIOTHORASIC SURG
764811		34708	13788	18611	831918
LOUIS CARAGINE JRMDPHD ENDOV SURG
758407		33270	13788	24076	829541
BRUCE JONES MD CARDIOTHORASIC SURG
615819		32001	13500	13759	675079
RAFID HUSSEINDOGASTRONENTEROLOGIST
589464		25960	5375	19553	640352

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
FRINGE OR EXPENSE EXPLANATION	SCHEDULE J, PAGE 1, PART I, LINE 1A	EXECUTIVES AND BOARD MEMBERS RECEIVE TRAVEL FOR THEIR SPOUSES. SPOUSAL TRAVEL VALUE 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.
COMPENSATION CONTINGENT UPON NET EARNINGS OF ORGANIZATION	SCHEDULE J, PAGE 1, PART I, LINE 6A	ALL EXECUTIVE BONUSES ARE BASED ON FINANCIAL PERFORMANCE.
OTHER ADDITIONAL INFORMATION	SCHEDULE J, PART III	BARBARA 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

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
IND DEV AUTH OF CAPE GIRARDEAUM
431193901	139404EH6	2009-05-28	49238638	CAPITAL EXPENDITURES	false	false	false
IND DEV AUTH OF CAPE GIRARDEAUM
431193901	139404EP8	2009-05-28	25000000	CAPITAL EXPENDITURES	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Credit EnhancementCreditEnhancement
1255000	49238638	4820824	950781	43467033	2011	false	false	true	true
635000	25000000		415500	24559122	2010	false	false	true	true	25378

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Engage Bond Counsel ResearchEngageBondCounselResearch	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	false	false	false	false	true	true
false	false	false	false	false	true	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
false	false	false	false	false	false
false	true	false	false	false	false

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	B THOMPSON-OWNS THE ROBERTS GROUP	BusinessNameLine1

Field	Value	IRS element (for citing)
Relationship	VP OF MARKETING	Relationship
Amount Of Transaction	10801542	AmountOfTransaction
Description Of Transaction	ADVERTISING FEES	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Schedule M IRS990ScheduleM

Food Inventory FoodInventory

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	14	NumberOfContributions
Noncash Contribs Rptd F990	8963	NoncashContribsRptdF990
Method Of Determining Revenues	COST/SELLING PRICE/FMV	MethodOfDeterminingRevenues

Drugs And Medical Supplies DrugsAndMedicalSupplies

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	2	NumberOfContributions
Noncash Contribs Rptd F990	4949	NoncashContribsRptdF990
Method Of Determining Revenues	COST/SELLING PRICE/FMV	MethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Noncash Contribs Rptd F990NoncashContribsRptdF990	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	DOOR PRIZES	49	12409	COST/SELLING PRICE/FMV
X	PHOTOGRAPHY	1	10484	COST/SELLING PRICE/FMV

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	true	ReviewProcessUnusualNCGifts
Third Parties Used	false	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S MISSION	FORM 990 - ORGANIZATION'S MISSION	THE MISSION OF SAINT FRANCIS MEDICAL CENTER IS TO PROVIDE A MINISTRY OF HEALING AND WELLNESS INSPIRED BY OUR CHRISTIAN PHILOSOPHY AND VALUES. FORM 990, PART III, LINE 1 - SAINT FRANCIS MEDICAL CENTER IS A 280-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.
FIRST ACCOMPLISHMENT DESCRIPTION	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 11,132 INPATIENTS, 29,741 EMERGENCY PATIENTS AND 115,270 OUTPATIENTS DURING THE FISCAL YEAR (FY) ENDING JUNE 30, 2012. DURING FY 2012, SFMC HAD A TOTAL OF 59,742 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 55.1 MILLION IN FY 2012. 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 8,600 DURING FY 2012. -SFMC SPONSORS THE REGIONAL ARTHRITIS CENTER, OFFERING INFORMATION AND ASSISTANCE TO PEOPLE THROUGHOUT SOUTHEAST MISSOURI. -FREE OR DISCOUNTED HEALTH SCREENINGS (CHOLESTEROL, BLOOD PRESSURE, GLAUCOMA, BLOOD SUGAR, ETC.) PROVIDED AT HEALTH FAIRS AND COMMUNITY HEALTH EDUCATION PROGRAMS, AS WELL AS OUR WEEKLY WEDNESDAY MORNING HEART HEALTH SCREENINGS. -COMMUNITY HEALTH FORUMS WERE OFFERED ON TOPICS SUCH AS ARTHRITIS, DIABETES, CARDIOVASCULAR FITNESS, CHILDREN'S HEALTH AND SAFETY, NUTRITION, BREAST CANCER AND OSTEOPOROSIS. OTHER WELLNESS PROGRAMS SUCH AS WEIGHT MANAGEMENT AND SMOKING CESSATION ARE SUBSIDIZED BY SFMC AND OFFERED FOR A NOMINAL FEE. -CHILDBIRTH, SIBLINGS, BREASTFEEDING AND INFANT CARE CLASSES ARE PROVIDED FREE OF CHARGE TO EXPECTANT MOTHERS AND YOUNG FAMILIES. -SFMC SPONSORS HEALTHCARE SPEAKERS FOR COMMUNITY EVENTS AND CIVIC MEETINGS. SFMC STAFF PRESENTS FREE PROGRAMS ON A VARIETY OF HEALTH AND WELLNESS TOPICS TO VARIOUS COMMUNITY, SCHOOL AND CHURCH GROUPS THROUGHOUT THE YEAR. -SEVERAL SFMC OUTPATIENT CLINICS ARE OFFERED AT REDUCED FEE OR NO COST TO PATIENTS AND THEIR FAMILIES. THE CLINICS ADDRESS DIABETIC 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, HEAD INJURIES, LARYNGECTOMY, HEART SURGERY, DIGESTIVE DISEASES, PARKINSON'S, ARTHRITIS, MULTIPLE SCLEROSIS AND STROKES, AS WELL AS GRIEF SUPPORT FOR PEOPLE WHO HAVE LOST A LOVED ONE TO ILLNESS, INJURY OR DISEASE. -SFMC PROVIDES FINANCIAL AND IN-KIND SUPPORT FOR ACTIVITIES OF LOCAL CHARITIES SUCH AS THE AMERICAN CANCER SOCIETY, THE AMERICAN DIABETES ASSOCIATION, THE AMERICAN ARTHRITIS ASSOCIATION, THE MARCH OF DIMES, THE AMERICAN HEART ASSOCIATION AND THE AMERICAN LUNG ASSOCIATION. -SCHOLARSHIPS AND TUITION REIMBURSEMENT ARE AWARDED ANNUALLY BY SFMC TO 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 135,000 IN FY 2012. -SFMC SPONSORS MEDICAL MINUTE. THIS WEEKLY EDUCATIONAL PROGRAM, PRODUCED IN COOPERATION WITH MEMBERS OF THE MEDICAL COMMUNITY, PROVIDES INFORMATION ON NEW TECHNOLOGY AND PROCEDURES, TREATMENT FOR DISEASES AND DISORDERS, AND GENERAL MEDICAL EDUCATION TO AREA PATIENTS. -SFMC PROVIDES FREE INTERNET LIBRARY SEARCHES ON HEALTHCARE TOPICS TO AREA RESIDENTS WHO DO NOT HAVE OTHER ACCESS. HOSPITAL EDUCATION STAFF CONDUCTS THE SEARCH AND FAX OR MAIL MATERIALS. -SFMC PROVIDES EMERGENCY CARE, CLOTHING AND PHARMACEUTICALS TO CHILDREN IN NEED THROUGH THE SAINT FRANCIS FOUNDATION CHILDREN HELPING CHILDREN FUND. -DURING FY 2012 SFMC VOLUNTEERS CONTRIBUTED APPROXIMATELY 49,000 HOURS OF SERVICE TO OUR PATIENTS, THEIR FAMILIES AND THE COMMUNITY. THE VALUE OF THIS CONTRIBUTION IS ESTIMATED AT OVER 368,000 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 2012 SFMC PROVIDED 421 FREE MAMMOGRAMS TO AREA WOMEN WHO COULD NOT AFFORD THIS POTENTIALLY LIFESAVING SCREENING. THE VALUE OF THIS CONTRIBUTION IS ESTIMATED AT MORE THAN 46,800.
RELATED PARTY INFORMATION AMONG OFFICERS	FORM 990, PAGE 6, PART VI, LINE 2	SAINT FRANCIS MEDICAL CENTER=SFMC SAINTFRANCIS HEALTHCARE SYSTEM=SFHS J WILFERTH - DIRECTOR OF SFMC&SFHS L.R.ROPER, JR-DIRECTOR OF SFMC&SFHS FAMILY RELATIONSHIP
MANAGEMENT DELEGATED	FORM 990, PAGE 6, PART VI, LINE 3	THE 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.
CLASSES OF MEMBERS OR STOCKHOLDERS	FORM 990, PAGE 6, PART VI, LINE 6	SAINT FRANCIS HEALTHCARE SYSTEMS IS THE SOLE MEMBER OF THE SAINT FRANCIS MEDICAL CENTER.
ELECTION OF MEMBERS AND THEIR RIGHTS	FORM 990, PAGE 6, PART VI, LINE 7A	SAINT FRANCIS HEALTHCARE SYSTEM, INC. IS 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.
DECISIONS SUBJECT TO APPROVAL OF MEMBERS	FORM 990, PAGE 6, PART VI, LINE 7B	DECISIONS ARE SUBJECT TO THE BISHOP'S APPROVAL.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	A COPY OF THE FORM 990 IS PROVIDED TO THE ALL MEMBERS OF THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO BEING FILED WITH THE INTERNAL REVENUE SERVICE.
ENFORCEMENT OF CONFLICTS POLICY	FORM 990, PAGE 6, PART VI, LINE 12C	THE 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.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	AN 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.
COMPENSATION PROCESS FOR OFFICERS	FORM 990, PAGE 6, PART VI, LINE 15B	BASED ON DATA PROVIDED BY CONSULTANTS, THE BOARD OF DIRECTORS ESTABLISH PAY TARGETS FOR THE EXECUTIVE TEAM. THE PRESIDENT GRANTS THE VICE PRESIDENTS THEIR PAY INCREASES BASED ON PERFORMANCE IN THE PRECEEDING YEAR.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	COPIES OF THE MEDICAL CENTERS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND FEDERAL FORM 990 ARE AVAILABLE AT THE ADMINISTRATIVE OFFICE UPON REQUEST.
OTHER CHANGES IN NET ASSETS EXPLANATION	FORM 990, PART XI, LINE 5	CHANGE IN NET UNREALIZED GAINS AND LOSSES ON OTHER THAN TRADING SECURITIES ( 15,334,260) CHANGE IN INTEREST IN NET ASSETS OF SAINT FRANCIS FOUNDATION ( 232,456) TOTAL OTHER CHANGES IN NET ASSETS ( 15,566,716) THE 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 INCOME FROM THE AUXILIARY OF 20,877 AND CASH OF 298,910.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	MEDICAL PARTNERS OF CAPE GIRARDEAU	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	211 SAINT FRANCIS DRIVE	AddressLine1
City	CAPE GIRARDEAU	City
State	MO	State
ZIP Code	63703	ZIPCode

Field	Value	IRS element (for citing)
EIN	431869973	EIN
Primary Activities	PHYS. PRAC	PrimaryActivities
Legal Domicile State	MO	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SFMC	BusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
SAINT FRANCIS HEALTHCARE SYSTEM
211 SAINT FRANCIS DRIVE	CAPE GIRARDEAU	MO	63703	430662499	HOLDING CO	MO	501C3	11B	NA	false
SAINT FRANCIS FOUNDATION
211 SAINT FRANCIS DRIVE	CAPE GIRARDEAU	MO	63703	431111276	FUND DEV.	MO	501C3	11B	NA	false

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	SAINT FRANCIS HEALTH DEVELOP SRVC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	211 SAINT FRANCIS DRIVE	AddressLine1
City	CAPE GIRARDEAU	City
State	MO	State
ZIP Code	63703	ZIPCode

Field	Value	IRS element (for citing)
EIN	470849798	EIN
Primary Activity	HOLDING CO	PrimaryActivity
Legal Domicile State	MO	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SFHS	BusinessNameLine1

Field	Value	IRS element (for citing)
Type Of Entity	C CORP	TypeOfEntity

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg