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SOUTHEAST HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SOUTHEAST HOSPITAL (EIN 43-0654874)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-13
IRS object ID
201233189349302223
Schema version
2011v1.2
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)
Timestamp2012-11-13T11:21:23-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KERBER ECK & BRAECKEL LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11116 W MAIN STAddressLine1
CityCARBONDALECity
StateILState
ZIP Code629012335ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN430654874EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SOUTHEAST MISSOURI HOSPITALBusinessNameLine1
Business Name Line2ASSOCIATIONBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlSOUTNameControl
Phone5733344822Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11701 LACEY STREETAddressLine1
CityCAPE GIRARDEAUCity
StateMOState
ZIP Code63701ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameHUGH W KINGName
TitleVICE PRESIDENT/CFOTitle
Phone5733344822Phone
Date Signed2012-11-12DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMARK DALLASName
Phone6185291040Phone
Date Prepared2012-11-09DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonHUGH W KINGNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11701 LACEY STAddressLine1
CityCAPE GIRARDEAUCity
StateMOState
ZIP Code637015230ZIPCode
FieldValueIRS element (for citing)
Gross Receipts387823683GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SEHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1926YearFormation
State Legal DomicileMOStateLegalDomicile
Activity Or Mission DescriptionPROVIDER OF HEALTHCARE SERVICEActivityOrMissionDescription
Nbr Voting Members Governing Body32NbrVotingMembersGoverningBody
Nbr Independent Voting Members29NbrIndependentVotingMembers
Total Nbr Employees2630TotalNbrEmployees
Total Nbr Volunteers310TotalNbrVolunteers
Total Gross UBI7927125TotalGrossUBI
Contributions Grants Prior Year11190ContributionsGrantsPriorYear
Contributions Grants Current Year63117ContributionsGrantsCurrentYear
Program Service Revenue Prior Year327041523ProgramServiceRevenuePriorYear
Program Service Revenue CY342266085ProgramServiceRevenueCY
Investment Income Prior Year2974195InvestmentIncomePriorYear
Investment Income Current Year2841119InvestmentIncomeCurrentYear
Other Revenue Prior Year518098OtherRevenuePriorYear
Other Revenue Current Year903559OtherRevenueCurrentYear
Total Revenue Prior Year330545006TotalRevenuePriorYear
Total Revenue Current Year346073880TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year133010032SalariesEtcPriorYear
Salaries Etc Current Year142645575SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year187293639OtherExpensePriorYear
Other Expenses Current Year196495704OtherExpensesCurrentYear
Total Expenses Prior Year320303671TotalExpensesPriorYear
Total Expenses Current Year339141279TotalExpensesCurrentYear
Revenues Less Expenses Prior Year10241335RevenuesLessExpensesPriorYear
Revenues Less Expenses CY6932601RevenuesLessExpensesCY
Total Assets BOY353843799TotalAssetsBOY
Total Assets EOY361999708TotalAssetsEOY
Total Liabilities BOY147170406TotalLiabilitiesBOY
Total Liabilities EOY153880430TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY206673393NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY208119278NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionPROVIDER OF HEALTHCARE SERVICEMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense339141279Expense
Revenue342266085Revenue
DescriptionSOUTHEAST MISSOURI HOSPITAL ASSOCIATION PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. SOUTHEAST MISSOURI HOSPTIAL ASSOCIATION RECORDED 45,485 ADULT AND CHILDREN PATIENT DAYS AND 1,551 NEWBORN PATIENT DAYS DURING 2011. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF SOUTHEAST MISSOURI HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES AND FURTHER THAT THE MISSION IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. THEREFORE, THE HOSPITAL SERVES ALL MEMBERS OF THE COMMUNITY WITH: - FREE CARE AND/OR SUBSIDIZED CARE, - CARE PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST, AND - HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, PROFESSIONAL EDUCATION PROGRAMS, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. SOUTHEAST MISSOURI HOSPITAL ASSOCIATION PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS (MEDICARE AND MEDICAID) AT BELOW ACTUAL COST. THE ASSOCIATION USES AN OVERALL HOSPITAL COST TO CHARGE RATIO TO CALCULATE THE UNPAID COST OF CHARITY CARE AND USES THE MEDICARE/MEDICAID COST REPORTS TO DETERMINE THE UNPAID COST OF THESE GOVERNMENT PROGRAMS. THE AMOUNTS BELOW REFLECT THE QUANTIFIABLE COSTS OF THE ASSOCIATION'S COMMUNITY BENEFIT FOR THE YEAR ENDED DECEMBER 31, 2011. BENEFITS FOR THE POOR AND THE BROADER COMMUNITY CHARITY CARE AT COST 4,475,251 UNPAID COST OF MEDICARE 25,269,419 UNPAID COST OF MEDICAID 10,504,629 COMMUNITY HEALTH SERVICES 437,557 COLLEGE AND HEALTH SCIENCES SUBSIDY 1,305,611 CASH CONTRIBUTIONS TO COMMUNITY GROUPS 6,225 TOTAL COMMUNITY BENEFIT 41,998,692 BENEFITS FOR THE POOR REPRESENT THE COST OF SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTH CARE BECAUSE OF INADEQUATE RESOURCES AND WHO ARE UNINSURED OR UNDERINSURED. BENEFITS FOR THE BROADER COMMMUNITY REPRESENT THE COST OF SERVICES PROVIDED TO OTHER NEEDY POPULATIONS THAT MAY NOT QUALIFY AS POOR, BUT THAT NEED SPECIAL SERVICES AND SUPPORT. THESE PROGRAMS ARE NOT FINANCIALLY SELF-SUPPORTING. COMMUNITY HEALTH SERVICES ARE ACTIVITIES AND SERVICES FOR WHICH NO PATIENT BILL EXISTS, ALTHOUGH THERE MAY BE NOMINAL PATIENT FEES. THESE SERVICES ARE NOT EXPECTED TO BE FINANCIALLY SELF-SUPPORTING, ALTHOUGH SOME MAY BE PARTIALLY SUPPORTED BY OUTSIDE GRANTS OR FUNDING. THE COLLEGE OF NURSING AND HEALTH SCIENCES IS AN INSTITUTION OF HIGHER LEARNING THAT SPECIALIZES IN THE PREPARATION OF INDIVIDUALS FOR HEALTH CARE CAREERS. THE PRIMARY MISSION OF THE COLLEGE IS TO RESPOND TO THE NEEDS OF THE COMMUNITY AND REGION THROUGH THE DEVELOPMENT OF PROGRAMS DESIGNED TO PREPARE QUALIFIED HEALTH CARE PROFESSIONALS IN CONTINUING IN HIGH DEMAND FIELDS. THE ASSOCIATION ALSO PROVIDES A SIGNIFICANT AMOUNT OF UNCOMPENSATED CARE FOR PATIENTS WHICH IS NOT INCLUDED ABOVE, 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 THE ASSOCIATION REPORTED A PROVISION FOR UNCOLLECTIBLE ACCOUNTS OF 11,581,216 AT COST. CHARITY CARE IS ALSO PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES WHICH SOUTHEAST MISSOURI HOSPITAL ASSOCIATION BELIEVES WILL SERVE AS A BONA FIDE COMMUNITY HEALTH NEED. THESE INCLUDE: - PARTCIPATION IN HEALTH FAIRS AND CONFERENCES FOR COMMUNITY EDUCATION - "BUDDY CHECK 12" COSPONSORED BY SOUTHEAST MISSOURI HOSPITAL AND KFVS-TV - BREAST CANCER AWARENESS PROGRAM - OVER 4,000 REGISTERED - CHILDREN'S EXERCISE PROGRAMS HELD AT HEALTH FACILITIES AND DAY CARE CENTERS ALONG WITH "KIDS BEE FIT" PROGRAM HELD AT LOCAL MALL - OVER 350 KIDS IN ALL PROGRAMS - SPEAKERS FOR COMMUNITY ORGANIZATIONS ON OVER 100 TOPICS - CAREER SHADOWING AND "CHECK IT OUT" EDUCATIONAL PROGRAMS FOR STUDENTS CONSIDERING MEDICAL CAREERS - CLASSES ON WEIGHT CONTROL, SMOKING CESSATION, HEART HEALTHY COOKING CLASSES - PARENTHOOD PREPARATION CLASSES, SIBLING CLASSES AND GRANDPARENT CLASSES FOR FAMILIES EXPECTING BABIES - INITIATED MOTHER-BABY HOME VISITS WHERE RNS FROM OB OR NURSERY VISIT MOM AND BABY DURING THEIR FIRST DAYS HOME FROM THE HOSPITAL - "SUPER SITTER" BABYSITTER TRAINING PROGRAM - PATIENT AND FAMILY SUPPORT SERVICES INCLUDING BEREAVEMENT SUPPORT, BRAIN INJURY PATIENTS, STROKE SURVIVORS AND CAREGIVERS, CANCER PATIENTS, AND HEART PATIENTS - SEMINARS FOR JOINT PAIN AND REPLACEMENT HELD IN VARIOUS COMMUNITIES THROUGHOUT THE AREA - GENERATIONS CENTER PROVIDES MEDICAL INFORMATION THROUGH LITERATURE AND SEMINARSDescription
Total Program Service Expense339141279TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccounttrueEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPtrueLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096113NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees2630NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members32NbrVotingGoverningBodyMembers
Number Independent Voting Members29NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSOUTHEAST MISSOURI HOSPITALNamePerson
Telephone Number5733344822TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11701 LACEY STAddressLine1
CityCAPE GIRARDEAUCity
StateMOState
ZIP Code63701ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (48 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
ILENA ASLIN
TRUSTEE1.00X000
MICHAEL BENNETT DDS
TRUSTEE1.00X000
JAMES DUFEK
TRUSTEE1.00X000
ROBERT W ERLBACHER II
TRUSTEE4.00X000
ROBERT W ERLBACHER III
TRUSTEE1.00X000
STEVEN M GREEN
TRUSTEE1.00X000
CLIFF W FORD
TRUSTEE1.00X000
KEVIN E FORD
TRUSTEE1.00X000
JOHN W GRIMM
TRUSTEE4.00X000
DAVID L HAHS
TRUSTEE1.00X000
T RONALD HAHS
TRUSTEE1.00X000
MATTHEW D SHOEMAKER
TRUSTEE1.00X000
CHRISTOPHER L HUTSON
TRUSTEE4.00X000
FRANK KINDER
TRUSTEE4.00X000
JAY B KNUDTSON
TRUSTEE1.00X000
MICHAEL D KOHLFELD
TRUSTEE4.00X000
DAVID A LAW MD
TRUSTEE1.00X000
BENJAMIN F LEWIS
TRUSTEE1.00X000
DAVID S LIMBAUGH
TRUSTEE1.00X000
FRANK H MCGINTY MD
TRUSTEE1.00X000
ROBERT G NEFF
SECRETARY/TR4.00X000
ALLEN B TOOLE
TRUSTEE1.00X000
SCOT G PRINGLE MD
TRUSTEE1.00X000
NARVOL A RANDOL JR
TRUSTEE4.00X000
JAMES A RUST
TRUSTEE4.00X000
PAUL W SANDER
TRUSTEE1.00X000
PAUL J SHORT
TRUSTEE1.00X000
RAY W SILLIMAN MD
TRUSTEE1.00X000
AM SPRADLING III
CHAIRMAN4.00X000
JOHN M THOMPSON
1ST VICE CHA4.00X000
KEVIN A VAUGHT MD
TRUSTEE1.00X000
JERRY R ZIMMER
TRUSTEE4.00X000
DEBRA W LINNES
PRESIDENT/CE50.00657896043647X
HUBERT U KING
ASST TREAS/V50.00331478020328X
KAREN S HENDRICKSON
VICE PRESIDE50.00346786040249X
A WAYNE SMITH
PRESIDENT/CE50.0034229209397X
E LEE TAYLOR MD
VP MEDICAL A50.00332974024097X
JAMES P LIMBAUGH
EXEC VICE PR50.00332024024097X
SYLVIA C MOORE
CHIEF OPERAT50.00322146040259X
DANIEL BERRY
VP LEGAL AFF50.00188977020693X
GREGORY L HUDSON
VICE PRESIDE50.0016748303010X
JUDY ASLIN
CHIEF NURSIN50.00156207018777X
LINCOLN SCOTT
VP OF HUMAN50.00154991031728X
MATTHEW D GAETA
GASTROENTERO40.00892809038147X
EMAD M ABUHAMDA
GASTROENTERO40.00808904038147X
WILLIAM R M OGLE
CARDIO-THORA40.00777907040597X
RANDY G BROWN
CARDIO-THORA40.00761770040597X
JAMES C MOSLEY III MD
ONCOLOGIST40.00738026019324X
FieldValueIRS element (for citing)
Total Reportable Comp From Org7312670TotalReportableCompFromOrg
Total Other Compensation453094TotalOtherCompensation
Number Individuals GT100 K121NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ANESTHESIA ASSOCIATES
PO BOX 751CAPE GIRARDEAUMO63702CRNA5467480
PANSING NOLAN MATLOCK
564 GRAY AVEWEBSTER GROVESMO63119ARCHITECTS1074349
CAPE RADIOLOGY GROUP
70 DOCTORS PARKCAPE GIRARDEAUMO63703MEDICAL SERVICE850701
BRYAN CAVE LLP
211 NORTH BROADWAY SUITE 3600ST LOUISMO63102LEGAL SERVICES602202
FINCH LAW FIRM
701 BELLEVUECAPE GIRARDEAUMO63701LEGAL & COLLECT344103
FieldValueIRS element (for citing)
Number Of Contractors GT100 K16NumberOfContractorsGT100K
Membership Dues10871MembershipDues
Related Organizations52246RelatedOrganizations
Total Contributions63117TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeBusiness CodeBusinessCodeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICE REVENUE323413857323413857
REFERENCE LAB40302196215004030219
HEALTHPOINT FITNESS34234923423492
PLAZA PHARMACY22459784461102245978
NURSING SCHOOL TUITION19195581919558

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column7232981TotalRevenueColumn
Related Or Exempt Function Income2955803RelatedOrExemptFunctionIncome
Unrelated Business Revenue1650928UnrelatedBusinessRevenue
Exclusion$2,626,250ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue342266085TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1779927TotalRevenueColumn
Exclusion$1,779,927ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1321464Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real417905Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real903559Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column903559TotalRevenueColumn
Exclusion$903,559ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities42017799Securities
Other375291Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities40392502Securities
Other939396Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1625297Securities
Other-564105Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1061192TotalRevenueColumn
Related Or Exempt Function Income1061192RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column346073880TotalRevenueColumn
Related Or Exempt Function Income332773902RelatedOrExemptFunctionIncome
Unrelated Business Revenue7927125UnrelatedBusinessRevenue
Exclusion$5,309,736ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3609536Total
Program Services3609536ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total104696213Total
Program Services104696213ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total4904106Total
Program Services4904106ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total22209458Total
Program Services22209458ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7226262Total
Program Services7226262ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total605139Total
Program Services605139ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total147019Total
Program Services147019ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total186183Total
Program Services186183ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total20461543Total
Program Services20461543ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total3495980Total
Program Services3495980ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total15760665Total
Program Services15760665ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1927537Total
Program Services1927537ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3304396Total
Program Services3304396ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total407482Total
Program Services407482ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total830561Total
Program Services830561ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total5424037Total
Program Services5424037ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total16890706Total
Program Services16890706ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total3827447Total
Program Services3827447ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
PROVISION FOR BAD DEBTS3724309237243092
MEDICAL SUPPLIES2885759228857592
DRUGS & PHARMACEUTICALS2057819620578196
MEDICAID FRA ASSESSMENT1703626717036267

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total19511862Total
Program Services19511862ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total339141279Total
Program Services339141279ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY9211272BOY
EOY1913378EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY47069775BOY
EOY43682938EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY47373603BOY
EOY48736673EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY97055BOY
EOY69504EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1238491BOY
EOY1268724EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY10787984BOY
EOY10280833EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY8451321BOY
EOY10252249EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis316315061LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec138724238LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY170164472BOY
EOY177590823EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY50944584BOY
EOY45283009EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY2696824BOY
EOY664227EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5808418BOY
EOY22257350EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY353843799BOY
EOY361999708EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY27527451BOY
EOY37917883EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY112342753BOY
EOY110108377EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY994889BOY
EOY609158EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6305313BOY
EOY5245012EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY147170406BOY
EOY153880430EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY206673393BOY
EOY208119278EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY206673393BOY
EOY208119278EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY353843799BOY
EOY361999708EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses6932601ReconcilationRevenueExpenses
Reconcilation Other Changes-5486716ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis14513231OtherCostOrOtherBasis
Book Value14513231BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis109649037OtherCostOrOtherBasis
Depreciation39227588Depreciation
Book Value70421449BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis169751558OtherCostOrOtherBasis
Depreciation93626758Depreciation
Book Value76124800BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis22401235OtherCostOrOtherBasis
Depreciation5869892Depreciation
Book Value16531343BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings177590823TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
THIRD PARTY REIMBURSEMENT PROGRAM10518322
DUE FROM SEH OF RIPLEY COUNTY5928069
OTHER ACCOUNTS RECEIVABLE5152442
DUE FROM RIPLEY COUNTY MEMORIAL658517
FieldValueIRS element (for citing)
Total Book Value Other Assets22257350TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
ACCUM POST RETIRE BENEFITS$5,142,076
BUILDING CONTRACTS PAYABLE$102,936
DUE TO THIRD PARTY PAYORS
FieldValueIRS element (for citing)
Total Of Amounts5245012TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierLIABILITY UNDER FIN 48 FOOTNOTEIdentifier
Return ReferenceSCHEDULE D, PAGE 3, PART XReturnReference
ExplanationTHERE WERE NO PENALTIES, INTEREST, OR UNCERTAIN TAX BENEFITS IDENTIFIED AND RECORDED AS A LIABILITY AT DECEMBER 31, 2011.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically IndigentfalseFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CarefalseAmountsBudgetedForCharityCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense4475251TotalCommunityBenefitExpense
Net Community Benefit Expense4475251NetCommunityBenefitExpense
Percent Of Total Expense0.01320PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense50260415TotalCommunityBenefitExpense
Direct Offsetting Revenue39755786DirectOffsettingRevenue
Net Community Benefit Expense10504629NetCommunityBenefitExpense
Percent Of Total Expense0.03100PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense54735666TotalCommunityBenefitExpense
Direct Offsetting Revenue39755786DirectOffsettingRevenue
Net Community Benefit Expense14979880NetCommunityBenefitExpense
Percent Of Total Expense0.04420PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense510079TotalCommunityBenefitExpense
Direct Offsetting Revenue72522DirectOffsettingRevenue
Net Community Benefit Expense437557NetCommunityBenefitExpense
Percent Of Total Expense0.00130PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense4065235TotalCommunityBenefitExpense
Direct Offsetting Revenue2759624DirectOffsettingRevenue
Net Community Benefit Expense1305611NetCommunityBenefitExpense
Percent Of Total Expense0.00380PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense6225TotalCommunityBenefitExpense
Net Community Benefit Expense6225NetCommunityBenefitExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense4581539TotalCommunityBenefitExpense
Direct Offsetting Revenue2832146DirectOffsettingRevenue
Net Community Benefit Expense1749393NetCommunityBenefitExpense
Percent Of Total Expense0.00520PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense59317205TotalCommunityBenefitExpense
Direct Offsetting Revenue42587932DirectOffsettingRevenue
Net Community Benefit Expense16729273NetCommunityBenefitExpense
Percent Of Total Expense0.04930PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$11,581,216BadDebtExpenseAmount
Amount Attributable To4053426AmountAttributableTo
Amount Reimbursed By Medicare74633673AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare99903092CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-25269419MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1SOUTHEAST MISSOURI HOSPITALBusinessNameLine1
Business Name Line2ASSOCIATIONBusinessNameLine2

Address Address

FieldValueIRS element (for citing)
Address Line11701 LACEY STREETAddressLine1
CityCAPE GIRARDEAUCity
StateMOState
ZIP Code63701ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SOUTHEAST MISSOURI HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent100.0FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent200.0FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Other FactorsXOtherFactors
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Provided On AdmissionXProvidedOnAdmission
Actions On NonpaymenttrueActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Permit LawsuitXPermitLawsuit
Collection ActivitiesfalseCollectionActivities
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Other Actions TakenXOtherActionsTaken
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities32NumberOfOtherFacilities

Other Facilities OtherFacilities (32 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityTypeAddress Line2Address/AddressLine2
PLAZA PHARMACY
1723 BROADWAY SUITE 110CAPE GIRARDEAUMO63701RETAIL PHARMACY
MAIN STREET PHARMACY
2685 EAST MAIN STREETJACKSONMO63755RETAIL PHARMACY
HOME HEALTH AND HOSPICE SERVICES
10 DOCTORS PARKCAPE GIRARDEAUMO63703HOME CARE SERVICES
BREAST CARE & DIAGNOSTIC CENTER
60 DOCTORS PARKCAPE GIRARDEAUMO63703OUTPATIENT MEDICAL SERVICES
ENDOCRONOLOGY SERVICES OF SOUTHEAST
MISSOURI HOSPITALCAPE GIRARDEAUMO63703OUTPATIENT PHYSICIAN CLINIC15 DOCTORS PARK
DIABETES CENTER OF SOUTHEAST
SOUTHEAST MISSOURI HOSPITALCAPE GIRARDEAUMO63703OUTPATIENT MEDICAL SERVICES15 DOCTORS PARK
DOCTORS PARK LAB
37 DOCTORS PARKCAPE GIRARDEAUMO63703OUTPATIENT LABORATORY SERVICES
HEALTHPOINT FITNESS - CAPE
2126 INDEPENDENCECAPE GIRARDEAUMO63701FITNESS FACILITY
HEALTHPOINT REHAB - CAPE
2126 INDEPENDENCECAPE GIRARDEAUMO63701OUTPATIENT REHAB SERVICES
HEATLHPOINT FITNESS - JACKSON
410 WEST MAIN STREETJACKSONMO63755FITNESS FACILITY
HEALTHPOINT REHAB - JACKSON
410 WEST MAIN STREETJACKSONMO63755OUTPATIENT REHAB SERVICES
PLAZA PRIMARY CARE
1723 BROADWAY SUITE 205CAPE GIRARDEAUMO63701OUTPATIENT PHYSICIAN CLINIC
NEUROSCIENCES CENTER OF SOUTHEAST
MISSOURI HOSPITALCAPE GIRARDEAUMO63701OUTPATIENT PHYSICIAN CLINIC1723 BROADWAY SUITE 210
GASTROENTEROLOGY SERVICES OF
SOUTEASTH MISSOURI HOSPITALCAPE GIRARDEAUMO63701OUTPATIENT PHYSICIAN CLINIC1723 BROADWAY SUITE 220
PULMONOLOGY SERVICES OF
SOUTHEAST MISSOURI HOSPITALCAPE GIRARDEAUMO63701OUTPATIENT PHYSICIAN CLINIC1723 BROADWAY SUITE 305
CARDIAC AND VASCULAR SURGEONS OF
SOUTHEAST MISSOURI HOSPITALCAPE GIRARDEAUMO63701OUTPATIENT PHYSICIAN CLINIC1723 BROADWAY SUITE 310
OBSTETRICS & GYNECOLOGY SERVICES OF
SOUTHEAST MISSOURI HOSPITALCAPE GIRARDEAUMO63701OUTPATIENT PHYSICIAN CLINIC1723 BROADWAY SUITE 315
PHYSICAL MEDICINE AND REHAB SERVICE
OF SOUTHEAST MISSOURI HOSPITALCAPE GIRARDEAUMO63701OUTPATIENT PHYSICIAN CLINIC2126 INDEPENDENCE
OCCUPATIONAL MEDICINE SERVICES OF
SOUTHEAST MISSOURI HOSPITALCAPE GIRARDEAUMO63701OUTPATIENT PHYSICIAN CLINIC2126 INDEPENDENCE
SEMO CAMPUS CLINIC
SOUTHEAST MO STATE UNIVERSITYCAPE GIRARDEAUMO63701OUTPATIENT CLINIC
HEMATOLOGY-ONCOLOGY SERVICES OF
SOUTHEAST MISSOURI HOSPITALCAPE GIRARDEAUMO63701OUTPATIENT PHYSICIAN CLINIC1723 BROADWAY SUITE 315
PLAZA PRIMARY CARE WEST
817 SOUTH MT AUBURN ROADCAPE GIRARDEAUMO63703OUTPATIENT PHYSICIAN CLINIC
PLAZA PHARMACY WEST
817 S MT AUBURN RDCAPE GIRARDEAUMO63703RETAIL PHARMACY
SOUTHEAST INTERNAL MEDICINE
817 S MT AUBURN RDCAPE GIRARDEAUMO63703OUTPATIENT PHYSICIAN CLINIC
SOUTHEAST PEDIATRICS
817 S MT AUBURN RDCAPE GIRARDEAUMO63703OUTPATIENT PHYSICIAN CLINIC
SOUTHEAST CANCER CENTER
817 S MT AUBURN RDCAPE GIRARDEAUMO63703OUTPATIENT MEDICAL SERVICES
WEST CAMPUS LAB
817 S MT AUBURN RDCAPE GIRARDEAUMO63703OUTPATIENT LABORATORY SERVICES
WEST CAMPUS IMAGINING
817 S MT AUBURN RDCAPE GIRARDEAUMO63703OUTPATIENT MEDICAL SERVICES
SHOW MOBILE
MOBILE CLINICCAPE GIRARDEAUMO63701OUTPATIENT CLINIC
WOUND CARE & HYPERBARIC MEDICINE
310 S SILVER SPRINGS DRCAPE GIRARDEAUMO63701OUTPATIENT MEDCIAL SERVICES
SOUTHEAST COLLEGE OF NURSING &
HEALTH SCIENCESCAPE GIRARDEAUMO63703EDUCATION AL FACILITY2001 WILLIAM ST
LAUNDRY SERVICES
122 S SPANISHCAPE GIRARDEAUMO63703LAUNDRY FACILITY

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COSTING METHODOLOGY EXPLANATIONPART I LINE 7THE SOUTHEAST HOSPITAL ASSOCIATION THE ASSOCIATION USED A COST TO CHARGE RATIO AS CALCULATED FROM WORKSHEET 2 RATIO OF PATIENT CARE COSTTOCHARGES INCLUDED IN THE SCHEDULE H INSTRUCTIONS TO DETERMINE THE AMOUNTS ON LINES 7A AND 7B OF PART I OF SCHEDULE H THE ASSOCIATION USED ACTUAL COSTS AS REPORTED IN THE GENERAL LEDGER SYSTEM TO DETERMINE THE AMOUNTS ON LINES 7E AND 7J OF PART I OF SCHEDULE H SCHEDULE H PART I LINE 7F WAS DETERMINED USING BOTH ACTUAL AMOUNTS FROM THE ASSOCIATIONS GENERAL LEDGER PLUS AN ALLOCATION OF OVERHEAD COSTS THE OVERHEAD COSTS WERE DETERMINED BY USING OVERHEAD ALLOCATED ON THE MEDICARE COST REPORT TO CALCULATE AN OVERHEAD PERCENTAGE
BAD DEBT EXPENSE EXPLANATIONPART III LINE 4THE ASSOCIATION CALCULATED BAD DEBT EXPENSE AT COST USING THE COST TO CHARGE RATIO AS CALCULATED USING WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS PATIENT ACCOUNTS ARE WRITTEN OFF TO BAD DEBT ONLY AFTER ALL COLLECTION PROCEDURES HAVE BEEN EXHAUSTED AS OUTLINED IN SCHEDULE H PART III LINE 9B PATIENT ACCOUNTS ARE WRITTEN OFF TO BAD DEBT AFTER ALL DISCOUNTS AND PAYMENTS HAVE BEEN APPLIED BASED ON THE ASSOCIATIONS EXPERIENCE WITH ALL ITS PATIENTS THEY ESTIMATE THAT IT IS LIKELY THAT UP TO 35 OF THE PATIENT ACCOUNTS WRITTEN OFF TO BAD DEBTS MAY QUALIFY FOR CHARITY CARE OR OTHER ASSISTANCE BUT CHOSE NOT TO APPLY THEREFORE 35 OF THE BAD DEBT EXPENSE WAS INCLUDED ON PART III LINE 3 AT COST FOLLOWING IS THE TEXT OF THE BAD DEBT EXPENSE FOOTNOTE EXACTLY AS IT APPEARS IN THE FISCAL YEAR 2011 FINANCIAL STATEMENTS SOUTHEASTHEALTH ALSO PROVIDES A SIGNIFICANT AMOUNT OF UNCOMPENSATED CARE FOR PATIENTS WHICH IS NOT INCLUDED ABOVE 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 DECEMBER 31 2010 SOUTHEASTHEALTH REPORTED BAD DEBT EXPENSE AT COST OF 11581216
MEDICARE EXPLANATIONPART III LINE 8THE FISCAL YEAR 2011 MEDICARE COST REPORT WAS USED TO DETERMING THE UNPAID COST OF MEDICARE UNPAID COST OF MEDICARE REPRESENTS THE COST OF PROVIDING SERVICES TO PRIMARILY ELDERLY BENEFICIARIES OF THE MEDICARE PROGRAM IN EXCESS OF PAYMENTS FOR THOSE SERVICES IRS REVENUE RULING 69545 WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFTIS 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
COLLECTION PRACTICES EXPLANATIONPART III LINE 9BTHE SOUTHEAST MISSOURI HOSPITAL ASSOCIATION APPLIES ITS COLLECTION PRACTICES EQUALLY TO ALL PATIENTS BOTH CHARITY CARE ELIGIBLE AND NONCHARITY CARE PATIENTS THE PROCEDURES FOR COLLECTION ON PATIENT ACCOUNTS ARE AS FOLLOWS A SELFPAY PATIENTS RECIEVE A STATEMENT IN THE MAIL FOURTEEN DAYS LATER A COURTESY CALL IS PLACED TO ASSIST THE PATIENT WITH ANY QUESTIONS OR ADDITIONAL INFORMATION THEY MIGHT REQUIRE B BALANCES AFTER INSURANCE ARE FORWARDED TO THE ASSOCIATIONS BILLING SERVICE AND A STATEMENT IS GENERATED AND MAILED TO THE PATIENT WITHIN 24 HOURS FOURTEEN DAYSLATER A COURTESY CALL IS PLACED TO ASSIST THE PATIENT WITH ANY QUESTIONS OR ADDITIONAL INFORMATION THEY MIGHT REQUIRE C THE ASSOCIATION OFFERS THE PATIENTS SEVERAL PAYMENT ALTERNATIVES 1 CASHCHECK FOR THE FULL PAYMENT 2 MASTERCARDVISADISCOVER 3 SHORTTERM MONTHLY INSTALLMENTS BASED ON OUTSTANDING BALANCE 4 NEW BANK LOANS ARE AVAILABLE ON ACCOUNT BALANCES OVER 1000 D SPECIAL PAYMENT ARRANGEMENTS CAN BE MADE UPON REQUEST AND COMPLETION OF A CREDIT APPLICATION WHICH WILL BE VERIFIED AND APPROVED BY THE DIRECTOR OF PATIENT FINANCIAL SERVICES E IF PAYMENT OR SATISFACTORY PAYMENT ARRANGEMENTS AS OUTLINED ABOVE ARE NOT MADE THE ACCOUNT WILL PROCEED THROUGH A COLLECTION PROCESS AS FOLLOWS DAY 1 SEND 1ST NOTICE WAIT 10 DAYS DAY 28 BEGIN DILIGENT COURTESY CALL CAMPAIGN DAY 30 SEND 2ND NOTICE CALL ATTEMPT EVERY 3 DAYS DAY 60 SEND FINAL DEMAND LETTER CONTINUE CALL ATTEMPT EVERY 3 DAYS DAY 90 ACCOUNT BALANCES LESS THAN 25 ROLLED TO BAD DEBT AND ACCOUNT BALANCES OVER 25 RECOMMENDEDEVALUATED FOR BAD DEBT F ANY ACCOUNT THAT BECOMES DELINQUENT MAY BE TURNED OVER TO AN ATTORNEY OR COLLECTION AGENCY AND ANY ADDITIONAL COSTS ASSOCIATED WITH COLLECTIONS INCURRED WILL BE ADDED TO THE ACCOUNT BALANCE
NEEDS ASSESSMENTPART VIGENERALLY SPEAKING THE DETERMINATION OF CURRENT AND FUTURE HEALTH CARE NEEDS OF THE COMMUNITY OR COMMUNITIES SERVED BY SOUTHEAST MISSOURI HOSPITAL IS BASED ON ALL OR A COMBINATION OF THE FOLLOWING FACTORS EXISTENCE OR NONEXISTENCE OF SERVICES OPPORTUNITY SUPPLY DEMONSTRATED NEED VOICE OF THE CUSTOMER ANDOR COLLABORATIVE EFFORTS WITH OUTSIDE ENTITIES GOVERNMENT AGENCIES AND OTHER HEALTH CARE PROVIDERS THAT WOULD ENABLE THE FILLING OF A NEED OR ENHANCE AND COMPLIMENT AN ALREADY EXISTING SERVICE DATA IS GATHERED CONSTANTLY THROUGH HIDI BENCHMARKING MARKET RESEARCH CUSTOMER SURVEYS PHYSICIAN INPUT REGARDING TECHNOLOGIES REQUIRED TO KEEP SERVICES ON THE CUTTING EDGE THE SOUTHEAST MISSOURI HOSPITAL COLLEGE OF NURSING HEALTH SCIENCES REGARDING MEDICAL AND NURSING SCIENCES AND THROUGH CONSTANT MONITORING OF STATE AND FEDERAL GUIDELINES THIS INFORMATION IS REVIEWED AND ANALYZED BY THE HOSPITALS SENIOR LEADERSHIP AND INCORPORATED INTO STRATEGIC PLANNING PROCESSES
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEPART VIALL PATIENT BILLING STATEMENTS FOR THE ASSOCIAITON INCLUDE A STATEMENT THAT THE PATIENT MAY CONTACT THE ASSOCIATION WITH ANY QUESTIONS OR PAYMENT ISSUES REGARDING THEIR BILL IF A PATIENT CONTACTS THE ASSOCIATION WITH AN INABILITY TO MAKE PAYMENT ISSUE THEY INFORM THE PATIENT OF THE AVAILABLE OPTIONS INCLUDING CHARITY CARE AND OTHER ASSISTANCE THEY ALSO EXPLAIN HOW THE PATIENT CAN APPLY FOR ASSISTANCE
COMMUNITY INFORMATIONPART VISOUTHEAST MISSOURI HOSPITAL SERVES THE POPULATIONS OF 22 COUNTIES IN SOUTHEAST MISSOURI AND SOUTHERN ILLINOIS WITHOUT REGARD TO AGE GENDER INCOME ETHNIC ORIGIN INSURANCE COVERAGE OR ABILITY TO PAY THE HOSPITALS SERVICE AREA IS DETERMINED BY A PATIENT ORIGIN ANALYSIS AND DETERMINATION OF WHAT PERCENTAGE OF THE HOSPITALS ENTIRE POPULATION LIVES IN EACH COUNTY A MARKET SHARE ANALYSIS OF ALL COUNTIES IN THE REGION IS PERFORMED TO DETERMINE WHAT PERCENTAGE OF ALL DISCHARGESVISITS OF RESIDENCE FROM EACH COUNTY IS SERVED BY SOUTHEAST MISSOURI HOSPITAL MARKET PENETRATION BY COUNTY GEOGRAPHY IE DISTANCE TRANSPORTATION AND ACCESS TO OTHER PROVIDERS IN THE REGION IS ALSO TAKEN INTO ACCOUNT THESE FACTORS ARE USED TO DETERMINE SOUTHEAST MISSOURI HOSPITALS PRIMARY AND SECONDARY SERVICE AREAS
LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILEDPART VIMISSOURI
ADDITIONAL INFORMATIONPART VISOUTHEAST MISSOURI HOSPITAL REGULARLY PROVIDES FREE OR LOWCOST HEALTH SCREENINGS AND HEALTH EDUCATION PROGRAMS TO THE GENERAL PUBLIC ON A VARIETY OF TOPICS RANGING FROM HEART HEALTH AND DIABETES TO NUTRITION AND STROKE SYMPTOM AWARENESS SOUTHEAST OFFERS A TOLLFREE HEALTHLINE WHICH PROVIDES FREE INFORMATION ABOUT HOSPITAL AND COMMUNITY HEALTH SERVICES AS WELL AS FREE PHYSICIAN REFERRAL INFORMATION IN ADDITION SOUTHEAST MISSOURI HOSPITAL COLLABORATES WITH SOUTHEAST MISSOURI STATE UNIVERSITY TO PROVIDE THE SHOW SOUTHEAST HEALTH ON WHEELS MOBILE TO COMMUNITIES THROUGHOUT THE 8TH CONGRESSIONAL DISTRICT OF SOUTHEAST MISSOURI THE SHOW MOBILE PROVIDES PRIMARY CARE AND HEALTH SCREENING SERVICES TO NUMEROUS COMMUNITIES IN SOUTHEAST MISSOURI MANY OF WHICH ARE UNDERSERVED IN TERMS OF ACCESS TO PRIMARY HEALTH CARE
SOUTHEAST MISSOURI HOSPITAL LINE NUMBER 1 PART V LINE 11HPART V LINE 11HADDITIONAL CRITERIAL USED IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE OTHER THAN INCOME AND ASSETS ALREADY SPECIFIED INCLUDE THE AMOUNT OWED TO THE HOSPITAL AND OTHER HEALTHCARE PROVIDERS COST OF ROUTINE MONTHLY NECESSITIES REQUIRED FOR HEALTH OR SAFETY INCLUDING PRESCRIPTIONS PATIENTS EFFORT OT PAY ANY PORTION OF DOLLARS OWED FINANCIAL AND PERSONAL CONSIDERATION OF OTHERS IN THE HOUSEHOLD
SOUTHEAST MISSOURI HOSPITAL LINE NUMBER 1 PART V LINE 17EPART V LINE 17EIF PAYMENT OR SATISFACTORY PAYMENT ARRANGEMENTS AS OUTLINED IN THE COLLECTIONS POLICY ARE NOT MADE THE ACCOUNT WILL PROCEED THROUGH A COLLECTION PROCESS AS FOLLOWS DAY 1 SEND 1ST NOTICE WAIT 10 DAYS DAY 28 BEGIN DILIGENT COURTESY CALL CAMPAIGN DAY 30 SEND 2ND NOTICE CALL ATTEMPT EVERY 3 DAYS DAY 60 SEND FINAL DEMAND LETTER CONTINUE CALL ATTEMPT EVERY 3 DAYS DAY 90 ACCOUNT BALANCES LESS THAN 25 ROLLED TO BAD DEBT AND ACCOUNT BALANCES OVER 25 RECOMMENDEDEVALUATED FOR BAD DEBT ANY ACCOUNT THAT BECOMES DELINQUENT MAY BE TURNED OVER TO AN ATTORNEY OR COLLECTION AGENCY AND ANY ADDITIONAL COSTS ASSOCIATED WITH COLLECTIONS INCURRED WILL BE ADDED TO THE ACCOUNT BALANCE
SOUTHEAST MISSOURI HOSPITAL LINE NUMBER 1 PART V LINE 19DPART V LINE 19DSOUTHEAST MISSOURI HOSPITAL BILLS ALL PATIENTS WITH EMERGENCY OR MEDICALLY NECESSARY CARE AT THE SAME RATES REGARDLESS OF THE PATIENTS INSURED STATUS

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgBonus Filing OrgBonusFilingOrg
DEBRA W LINNES
657896342509397701543
HUBERT U KING
331478109319397351806
KAREN S HENDRICKSON
3394723662836213870357314
A WAYNE SMITH
3422929397351689
E LEE TAYLOR MD
332974147009397357071
JAMES P LIMBAUGH
3246741470093973561217350
SYLVIA C MOORE
322146308629397362405
DANIEL BERRY
188977112969397209670
GREGORY L HUDSON
1674833010170493
JUDY ASLIN
15620793809397174984
LINCOLN SCOTT
154991220009728186719
MATTHEW D GAETA
80168128750939793095691128
EMAD M ABUHAMDA
808904287509397847051
WILLIAM R M OGLE
70609731200939781850471810
RANDY G BROWN
71479131200939780236746979
JAMES C MOSLEY III MD
469942122507074757350268084

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FRINGE OR EXPENSE EXPLANATIONSCHEDULE J, PAGE 1, PART I, LINE 1ATHE PRESIDENT/CEO AND VICE PRESIDENT OF THE ORGANIZATION AS WELL AS THREE MEMBERS OF THE BOARD OF TRUSTEES (CHAIRMAN, VICE CHARIMAN AND SECRETARY/TREASURER) ALL RECEIVED TRAVEL REIMBURSEMENTS FOR COMPANIONS THAT WERE NOT TREATED AS TAXABLE INCOME.
SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTSSCHEDULE J, PAGE 1, PART I, LINE 4DEBRA W LINNES 293,323 0 0 KAREN S HENDRICKSON 171,820 0 0 GREGORY L HUDSON 73,848 0 0

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1INDUSTRIAL DEVELOPMENT AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN431193901IssuerEIN
CUSIP Number139404DD6CUSIPNumber
Date Issued2007-04-12DateIssued
Issue Price101802089IssuePrice
Description Of PurposeREFUND EXISTING DEBT & CAPITAL PROJECTDescriptionOfPurpose
DefeasedtrueDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds100036261TotalProceeds
Amount In Reserve Fund9712183AmountInReserveFund
Capitalized Interest798559CapitalizedInterest
Refunding Escrow35252309RefundingEscrow
Capital Expenditures30469119CapitalExpenditures
Year Of Subst Completion2010YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingtrueAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Engage Bond Counsel ContractsfalseEngageBondCounselContracts
Any Research AgreementsfalseAnyResearchAgreements
Engage Bond Counsel ResearchfalseEngageBondCounselResearch
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICtrueGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line1BANK OF NEWYORKBusinessNameLine1
Business Name Line2MELLON TRUST COMPANYBusinessNameLine2
FieldValueIRS element (for citing)
Term Of GIC3.0TermOfGIC
Regulatory Safe Harbor SatisfiedtrueRegulatorySafeHarborSatisfied
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Schedule L IRS990ScheduleL

Loan Table LoanTable (3 entries)

Purpose Of LoanPurposeOfLoanLoan From OrganizationLoanFromOrganizationOriginal PrincipalOriginalPrincipalAmountBalance DueBalanceDueDefaultDefaultApproved By BoardApprovedByBoardWritten AgreementWrittenAgreement
MATTHEW GAETA MD
RECRUITMENT INCENTIVEX$128,00940915falsetruetrue
JAMES C MOSLEY III MD
RECRUITMENT INCENTIVEX$83,57215907falsetruetrue
WILLIAM RAY SILLIMAN MD
RECRUITMENT INCENTIVEX$98,28312682falsetruetrue
FieldValueIRS element (for citing)
Total Balance Due69504TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
FKINDER (CEO OF RED LETTER COMM)
BOARD TRUSTEE1878072ADVERTISING SERVICESfalse
R NEFF (OWNER OF FORD GROVES)
BOARD TRUSTEE243387VEHICLE PURCHASESfalse
W SILLIMAN(CAPE MEDICAL BILLING)
BOARD TRUSTEE160055BILLING SERVICESfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FIRST ACCOMPLISHMENT DESCRIPTIONFORM 990, PAGE 2, PART III, LINE 4A- CARE PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST, AND - HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, PROFESSIONAL EDUCATION PROGRAMS, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. SOUTHEAST MISSOURI HOSPITAL ASSOCIATION PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS (MEDICARE AND MEDICAID) AT BELOW ACTUAL COST. THE ASSOCIATION USES AN OVERALL HOSPITAL COST TO CHARGE RATIO TO CALCULATE THE UNPAID COST OF CHARITY CARE AND USES THE MEDICARE/MEDICAID COST REPORTS TO DETERMINE THE UNPAID COST OF THESE GOVERNMENT PROGRAMS. THE AMOUNTS BELOW REFLECT THE QUANTIFIABLE COSTS OF THE ASSOCIATION'S COMMUNITY BENEFIT FOR THE YEAR ENDED DECEMBER 31, 2011. BENEFITS FOR THE POOR AND THE BROADER COMMUNITY CHARITY CARE AT COST 4,475,251 UNPAID COST OF MEDICARE 25,269,419 UNPAID COST OF MEDICAID 10,504,629 COMMUNITY HEALTH SERVICES 437,557 COLLEGE AND HEALTH SCIENCES SUBSIDY 1,305,611 CASH CONTRIBUTIONS TO COMMUNITY GROUPS 6,225 TOTAL COMMUNITY BENEFIT 41,998,692 BENEFITS FOR THE POOR REPRESENT THE COST OF SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTH CARE BECAUSE OF INADEQUATE RESOURCES AND WHO ARE UNINSURED OR UNDERINSURED. BENEFITS FOR THE BROADER COMMMUNITY REPRESENT THE COST OF SERVICES PROVIDED TO OTHER NEEDY POPULATIONS THAT MAY NOT QUALIFY AS POOR, BUT THAT NEED SPECIAL SERVICES AND SUPPORT. THESE PROGRAMS ARE NOT FINANCIALLY SELF-SUPPORTING. COMMUNITY HEALTH SERVICES ARE ACTIVITIES AND SERVICES FOR WHICH NO PATIENT BILL EXISTS, ALTHOUGH THERE MAY BE NOMINAL PATIENT FEES. THESE SERVICES ARE NOT EXPECTED TO BE FINANCIALLY SELF-SUPPORTING, ALTHOUGH SOME MAY BE PARTIALLY SUPPORTED BY OUTSIDE GRANTS OR FUNDING. THE COLLEGE OF NURSING AND HEALTH SCIENCES IS AN INSTITUTION OF HIGHER LEARNING THAT SPECIALIZES IN THE PREPARATION OF INDIVIDUALS FOR HEALTH CARE CAREERS. THE PRIMARY MISSION OF THE COLLEGE IS TO RESPOND TO THE NEEDS OF THE COMMUNITY AND REGION THROUGH THE DEVELOPMENT OF PROGRAMS DESIGNED TO PREPARE QUALIFIED HEALTH CARE PROFESSIONALS IN CONTINUING IN HIGH DEMAND FIELDS. THE ASSOCIATION ALSO PROVIDES A SIGNIFICANT AMOUNT OF UNCOMPENSATED CARE FOR PATIENTS WHICH IS NOT INCLUDED ABOVE, 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 THE ASSOCIATION REPORTED A PROVISION FOR UNCOLLECTIBLE ACCOUNTS OF 11,581,216 AT COST. CHARITY CARE IS ALSO PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES WHICH SOUTHEAST MISSOURI HOSPITAL ASSOCIATION BELIEVES WILL SERVE AS A BONA FIDE COMMUNITY HEALTH NEED. THESE INCLUDE: - PARTCIPATION IN HEALTH FAIRS AND CONFERENCES FOR COMMUNITY EDUCATION - "BUDDY CHECK 12" COSPONSORED BY SOUTHEAST MISSOURI HOSPITAL AND KFVS-TV - BREAST CANCER AWARENESS PROGRAM - OVER 4,000 REGISTERED - CHILDREN'S EXERCISE PROGRAMS HELD AT HEALTH FACILITIES AND DAY CARE CENTERS ALONG WITH "KIDS BEE FIT" PROGRAM HELD AT LOCAL MALL - OVER 350 KIDS IN ALL PROGRAMS - SPEAKERS FOR COMMUNITY ORGANIZATIONS ON OVER 100 TOPICS - CAREER SHADOWING AND "CHECK IT OUT" EDUCATIONAL PROGRAMS FOR STUDENTS CONSIDERING MEDICAL CAREERS - CLASSES ON WEIGHT CONTROL, SMOKING CESSATION, HEART HEALTHY COOKING CLASSES - PARENTHOOD PREPARATION CLASSES, SIBLING CLASSES AND GRANDPARENT CLASSES FOR FAMILIES EXPECTING BABIES - INITIATED MOTHER-BABY HOME VISITS WHERE RNS FROM OB OR NURSERY VISIT MOM AND BABY DURING THEIR FIRST DAYS HOME FROM THE HOSPITAL - "SUPER SITTER" BABYSITTER TRAINING PROGRAM - PATIENT AND FAMILY SUPPORT SERVICES INCLUDING BEREAVEMENT SUPPORT, BRAIN INJURY PATIENTS, STROKE SURVIVORS AND CAREGIVERS, CANCER PATIENTS, AND HEART PATIENTS - SEMINARS FOR JOINT PAIN AND REPLACEMENT HELD IN VARIOUS COMMUNITIES THROUGHOUT THE AREA - GENERATIONS CENTER PROVIDES MEDICAL INFORMATION THROUGH LITERATURE AND SEMINARS
RELATED PARTY INFORMATION AMONG OFFICERSFORM 990, PAGE 6, PART VI, LINE 2SOUTHEAST MISSOURI HOSPITAL ASSOC. = SEHOSP ROBERT W ERLBACHER II - SEHOSP ROBERT W ERLBACHER III - SEHOSP TRUSTEE TRUSTEE FAMILY RELATIONSHIP KEVIN FORD - SEHOSP CLIFF FORD - SEHOSP TRUSTEE TRUSTEE FAMILY & BUSINESS RELATIONSHIP DAVID L HAHS - SEHOSP T RONALD HAHS - SEHOSP TRUSTEE TRUSTEE FAMILY & BUSINESS RELATIONSHIP
CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PAGE 6, PART VI, LINE 6SOUTHEAST MISSOURI HOSPITAL ASSOCATION HAS MEMBERS WHOSE RIGHTS ARE LIMITED TO ATTENDING REGULAR MEETINGS OF THE MEMBERS AND VOTING ON ANY MOTIONS BROUGHT BEFORE THEM. BUSINESS MATTERS ARE CONDUCTED BY THE BOARD OF TRUSTEES, NOT THE ASSOCIATION MEMBERS.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BA COPY OF THE FEDERAL FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD OF TRUSTEES FOR REVIEW PRIOR TO BEING FILED WITH THE INTERNAL REVENUE SERVICE.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CALL TRUSTEES AND KEY EMPLOYEES (ADMINISTRATIVE STAFF) ARE REQUIRED TO READ THE ORGANIZATIONAL ETHICS STATEMENT ANNUALLY AND COMPLETE A CERTIFICATION STATEMENT TO THAT EFFECT.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ADATA FROM TWO ORGANIZATIONS (MO HOSPITAL ASSOCIATION AND ANOTHER INDEPENDENT AGENCY) ARE USED FOR COMPARISON. RECOMMENDATIONS ARE MADE FROM THAT INFORMATION TO THE BOARD OF TRUSTEES, WHO THEN DETERMINE THE COMPENSATION FOR THE CEO AND KEY EMPLOYEES.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BDATA FROM TWO ORGANIZATIONS (MO HOSPITAL ASSOCIATION AND ANOTHER INDEPENDENT AGENCY) ARE USED FOR COMPARISON. RECOMMENDATIONS ARE MADE FROM THAT INFORMATION TO THE BOARD OF TRUSTEES, WHO THEN DETERMINE THE COMPENSATION FOR THE CEO AND KEY EMPLOYEES.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19COPIES OF THE SOUTHEAST HOSPITAL ASSOCIATION'S 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 EXPLANATIONFORM 990, PART XI, LINE 5THE ORGANIZATION HAD NET UNREALIZED LOSSES ON OTHER THAN TRADING SECURITIES OF 5,486,716

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1SEH PHYSICIANS LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11701 LACEY STREETAddressLine1
CityCAPE GIRARDEAUCity
StateMOState
ZIP Code63701ZIPCode
FieldValueIRS element (for citing)
EIN431912860EIN
Primary ActivitiesPHYSICIANSPrimaryActivities
Legal Domicile StateMOLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
SOUTHEAST MO HOSPITAL FOUNDATION
1701 LACEY STREETCAPE GIRARDEAUMO63701431122759SUPPORTMO501C311AN/Afalse
SOUTHEAST HEALTH OF RIPLEY COUNTY
109 PLUM STREETDONIPHANMO63935273868479MANAGEMENTMO501C3N/Afalse

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1SEH BREAST CARE & DIAGNOSTIC CENTERBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11701 LACEY STREETAddressLine1
CityCAPE GIRARDEAUCity
StateMOState
ZIP Code63701ZIPCode
FieldValueIRS element (for citing)
EIN202745540EIN
Primary ActivityBREAST CARPrimaryActivity
Legal Domicile StateMOLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityS CORPTypeOfEntity
Share Of Total Income83325ShareOfTotalIncome
Share Of EOY Assets-1360462ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg