2012-11-13T11:21:23-06:00 2011-12-31 KERBER ECK & BRAECKEL LLP 1116 W MAIN ST CARBONDALE IL 629012335 990 2011-01-01 430654874 SOUTHEAST MISSOURI HOSPITAL ASSOCIATION SOUT 5733344822 1701 LACEY STREET CAPE GIRARDEAU MO 63701 HUGH W KING 5733344822 2012-11-12 true MARK DALLAS 6185291040 2012-11-09 2011 2016-02-24 21:20:13Z HUGH W KING 1701 LACEY ST CAPE GIRARDEAU MO 637015230 387823683 false X WWW.SEHEALTH.ORG X 1926 MO PROVIDER OF HEALTHCARE SERVICE 32 29 2630 310 7927125 11190 63117 327041523 342266085 2974195 2841119 518098 903559 330545006 346073880 0 0 133010032 142645575 0 0 187293639 196495704 320303671 339141279 10241335 6932601 353843799 361999708 147170406 153880430 206673393 208119278 X PROVIDER OF HEALTHCARE SERVICE false false 339141279 342266085 SOUTHEAST 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 SEMINARS 339141279 true true false false false false false false false false true false false true true true false true false false false false false false false false true true false false true true false true false false false true false true false false false false false false true true false false false false true 113 0 2630 true true true false false false false false false false false false X 32 29 true false false false true false false true true false false true true true true true true true true false X SOUTHEAST MISSOURI HOSPITAL 5733344822 1701 LACEY ST CAPE GIRARDEAU MO 63701 ILENA ASLIN 1.00 X 0 0 0 MICHAEL BENNETT DDS 1.00 X 0 0 0 JAMES DUFEK 1.00 X 0 0 0 ROBERT W ERLBACHER II 4.00 X 0 0 0 ROBERT W ERLBACHER III 1.00 X 0 0 0 STEVEN M GREEN 1.00 X 0 0 0 CLIFF W FORD 1.00 X 0 0 0 KEVIN E FORD 1.00 X 0 0 0 JOHN W GRIMM 4.00 X 0 0 0 DAVID L HAHS 1.00 X 0 0 0 T RONALD HAHS 1.00 X 0 0 0 MATTHEW D SHOEMAKER 1.00 X 0 0 0 CHRISTOPHER L HUTSON 4.00 X 0 0 0 FRANK KINDER 4.00 X 0 0 0 JAY B KNUDTSON 1.00 X 0 0 0 MICHAEL D KOHLFELD 4.00 X 0 0 0 DAVID A LAW MD 1.00 X 0 0 0 BENJAMIN F LEWIS 1.00 X 0 0 0 DAVID S LIMBAUGH 1.00 X 0 0 0 FRANK H MCGINTY MD 1.00 X 0 0 0 ROBERT G NEFF 4.00 X 0 0 0 ALLEN B TOOLE 1.00 X 0 0 0 SCOT G PRINGLE MD 1.00 X 0 0 0 NARVOL A RANDOL JR 4.00 X 0 0 0 JAMES A RUST 4.00 X 0 0 0 PAUL W SANDER 1.00 X 0 0 0 PAUL J SHORT 1.00 X 0 0 0 RAY W SILLIMAN MD 1.00 X 0 0 0 AM SPRADLING III 4.00 X 0 0 0 JOHN M THOMPSON 4.00 X 0 0 0 KEVIN A VAUGHT MD 1.00 X 0 0 0 JERRY R ZIMMER 4.00 X 0 0 0 DEBRA W LINNES 50.00 X 657896 0 43647 HUBERT U KING 50.00 X 331478 0 20328 KAREN S HENDRICKSON 50.00 X 346786 0 40249 A WAYNE SMITH 50.00 X 342292 0 9397 E LEE TAYLOR MD 50.00 X 332974 0 24097 JAMES P LIMBAUGH 50.00 X 332024 0 24097 SYLVIA C MOORE 50.00 X 322146 0 40259 DANIEL BERRY 50.00 X 188977 0 20693 GREGORY L HUDSON 50.00 X 167483 0 3010 JUDY ASLIN 50.00 X 156207 0 18777 LINCOLN SCOTT 50.00 X 154991 0 31728 MATTHEW D GAETA 40.00 X 892809 0 38147 EMAD M ABUHAMDA 40.00 X 808904 0 38147 WILLIAM R M OGLE 40.00 X 777907 0 40597 RANDY G BROWN 40.00 X 761770 0 40597 JAMES C MOSLEY III MD 40.00 X 738026 0 19324 7312670 453094 121 false true false ANESTHESIA ASSOCIATES PO BOX 751 CAPE GIRARDEAU MO 63702 CRNA 5467480 PANSING NOLAN MATLOCK 564 GRAY AVE WEBSTER GROVES MO 63119 ARCHITECTS 1074349 CAPE RADIOLOGY GROUP 70 DOCTORS PARK CAPE GIRARDEAU MO 63703 MEDICAL SERVICE 850701 BRYAN CAVE LLP 211 NORTH BROADWAY SUITE 3600 ST LOUIS MO 63102 LEGAL SERVICES 602202 FINCH LAW FIRM 701 BELLEVUE CAPE GIRARDEAU MO 63701 LEGAL & COLLECT 344103 16 10871 52246 63117 PATIENT SERVICE REVENUE 323413857 323413857 REFERENCE LAB 621500 4030219 4030219 HEALTHPOINT FITNESS 3423492 3423492 PLAZA PHARMACY 446110 2245978 2245978 NURSING SCHOOL TUITION 1919558 1919558 7232981 2955803 1650928 2626250 342266085 1779927 1779927 1321464 417905 903559 903559 903559 42017799 375291 40392502 939396 1625297 -564105 1061192 1061192 346073880 332773902 7927125 5309736 3609536 3609536 104696213 104696213 4904106 4904106 22209458 22209458 7226262 7226262 605139 605139 147019 147019 186183 186183 20461543 20461543 3495980 3495980 15760665 15760665 1927537 1927537 3304396 3304396 407482 407482 830561 830561 5424037 5424037 16890706 16890706 3827447 3827447 PROVISION FOR BAD DEBTS 37243092 37243092 MEDICAL SUPPLIES 28857592 28857592 DRUGS & PHARMACEUTICALS 20578196 20578196 MEDICAID FRA ASSESSMENT 17036267 17036267 19511862 19511862 339141279 339141279 0 0 9211272 1913378 47069775 43682938 47373603 48736673 97055 69504 1238491 1268724 10787984 10280833 8451321 10252249 316315061 138724238 170164472 177590823 50944584 45283009 2696824 664227 5808418 22257350 353843799 361999708 27527451 37917883 112342753 110108377 994889 609158 6305313 5245012 147170406 153880430 X 206673393 208119278 206673393 208119278 353843799 361999708 X 6932601 -5486716 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false 14513231 14513231 109649037 39227588 70421449 169751558 93626758 76124800 22401235 5869892 16531343 177590823 THIRD PARTY REIMBURSEMENT PROGRAM 10518322 DUE FROM SEH OF RIPLEY COUNTY 5928069 OTHER ACCOUNTS RECEIVABLE 5152442 DUE FROM RIPLEY COUNTY MEMORIAL 658517 22257350 ACCUM POST RETIRE BENEFITS 5142076 BUILDING CONTRACTS PAYABLE 102936 DUE TO THIRD PARTY PAYORS 5245012 LIABILITY UNDER FIN 48 FOOTNOTE SCHEDULE D, PAGE 3, PART X THERE WERE NO PENALTIES, INTEREST, OR UNCERTAIN TAX BENEFITS IDENTIFIED AND RECORDED AS A LIABILITY AT DECEMBER 31, 2011. true true true X true X false false true true 4475251 4475251 0.01320 50260415 39755786 10504629 0.03100 54735666 39755786 14979880 0.04420 510079 72522 437557 0.00130 4065235 2759624 1305611 0.00380 6225 6225 4581539 2832146 1749393 0.00520 59317205 42587932 16729273 0.04930 true 11581216 4053426 74633673 99903092 -25269419 X true true 1 1 SOUTHEAST MISSOURI HOSPITAL ASSOCIATION

1701 LACEY STREET CAPE GIRARDEAU MO 63701

X X X SOUTHEAST MISSOURI HOSPITAL 1 true true 100.0 true 200.0 true X X X true true X X true X X false X X X true X false false 32 PLAZA PHARMACY

1723 BROADWAY SUITE 110 CAPE GIRARDEAU MO 63701

RETAIL PHARMACY MAIN STREET PHARMACY

2685 EAST MAIN STREET JACKSON MO 63755

RETAIL PHARMACY HOME HEALTH AND HOSPICE SERVICES

10 DOCTORS PARK CAPE GIRARDEAU MO 63703

HOME CARE SERVICES BREAST CARE & DIAGNOSTIC CENTER

60 DOCTORS PARK CAPE GIRARDEAU MO 63703

OUTPATIENT MEDICAL SERVICES ENDOCRONOLOGY SERVICES OF SOUTHEAST

MISSOURI HOSPITAL 15 DOCTORS PARK CAPE GIRARDEAU MO 63703

OUTPATIENT PHYSICIAN CLINIC DIABETES CENTER OF SOUTHEAST

SOUTHEAST MISSOURI HOSPITAL 15 DOCTORS PARK CAPE GIRARDEAU MO 63703

OUTPATIENT MEDICAL SERVICES DOCTORS PARK LAB

37 DOCTORS PARK CAPE GIRARDEAU MO 63703

OUTPATIENT LABORATORY SERVICES HEALTHPOINT FITNESS - CAPE

2126 INDEPENDENCE CAPE GIRARDEAU MO 63701

FITNESS FACILITY HEALTHPOINT REHAB - CAPE

2126 INDEPENDENCE CAPE GIRARDEAU MO 63701

OUTPATIENT REHAB SERVICES HEATLHPOINT FITNESS - JACKSON

410 WEST MAIN STREET JACKSON MO 63755

FITNESS FACILITY HEALTHPOINT REHAB - JACKSON

410 WEST MAIN STREET JACKSON MO 63755

OUTPATIENT REHAB SERVICES PLAZA PRIMARY CARE

1723 BROADWAY SUITE 205 CAPE GIRARDEAU MO 63701

OUTPATIENT PHYSICIAN CLINIC NEUROSCIENCES CENTER OF SOUTHEAST

MISSOURI HOSPITAL 1723 BROADWAY SUITE 210 CAPE GIRARDEAU MO 63701

OUTPATIENT PHYSICIAN CLINIC GASTROENTEROLOGY SERVICES OF

SOUTEASTH MISSOURI HOSPITAL 1723 BROADWAY SUITE 220 CAPE GIRARDEAU MO 63701

OUTPATIENT PHYSICIAN CLINIC PULMONOLOGY SERVICES OF

SOUTHEAST MISSOURI HOSPITAL 1723 BROADWAY SUITE 305 CAPE GIRARDEAU MO 63701

OUTPATIENT PHYSICIAN CLINIC CARDIAC AND VASCULAR SURGEONS OF

SOUTHEAST MISSOURI HOSPITAL 1723 BROADWAY SUITE 310 CAPE GIRARDEAU MO 63701

OUTPATIENT PHYSICIAN CLINIC OBSTETRICS & GYNECOLOGY SERVICES OF

SOUTHEAST MISSOURI HOSPITAL 1723 BROADWAY SUITE 315 CAPE GIRARDEAU MO 63701

OUTPATIENT PHYSICIAN CLINIC PHYSICAL MEDICINE AND REHAB SERVICE

OF SOUTHEAST MISSOURI HOSPITAL 2126 INDEPENDENCE CAPE GIRARDEAU MO 63701

OUTPATIENT PHYSICIAN CLINIC OCCUPATIONAL MEDICINE SERVICES OF

SOUTHEAST MISSOURI HOSPITAL 2126 INDEPENDENCE CAPE GIRARDEAU MO 63701

OUTPATIENT PHYSICIAN CLINIC SEMO CAMPUS CLINIC

SOUTHEAST MO STATE UNIVERSITY CAPE GIRARDEAU MO 63701

OUTPATIENT CLINIC HEMATOLOGY-ONCOLOGY SERVICES OF

SOUTHEAST MISSOURI HOSPITAL 1723 BROADWAY SUITE 315 CAPE GIRARDEAU MO 63701

OUTPATIENT PHYSICIAN CLINIC PLAZA PRIMARY CARE WEST

817 SOUTH MT AUBURN ROAD CAPE GIRARDEAU MO 63703

OUTPATIENT PHYSICIAN CLINIC PLAZA PHARMACY WEST

817 S MT AUBURN RD CAPE GIRARDEAU MO 63703

RETAIL PHARMACY SOUTHEAST INTERNAL MEDICINE

817 S MT AUBURN RD CAPE GIRARDEAU MO 63703

OUTPATIENT PHYSICIAN CLINIC SOUTHEAST PEDIATRICS

817 S MT AUBURN RD CAPE GIRARDEAU MO 63703

OUTPATIENT PHYSICIAN CLINIC SOUTHEAST CANCER CENTER

817 S MT AUBURN RD CAPE GIRARDEAU MO 63703

OUTPATIENT MEDICAL SERVICES WEST CAMPUS LAB

817 S MT AUBURN RD CAPE GIRARDEAU MO 63703

OUTPATIENT LABORATORY SERVICES WEST CAMPUS IMAGINING

817 S MT AUBURN RD CAPE GIRARDEAU MO 63703

OUTPATIENT MEDICAL SERVICES SHOW MOBILE

MOBILE CLINIC CAPE GIRARDEAU MO 63701

OUTPATIENT CLINIC WOUND CARE & HYPERBARIC MEDICINE

310 S SILVER SPRINGS DR CAPE GIRARDEAU MO 63701

OUTPATIENT MEDCIAL SERVICES SOUTHEAST COLLEGE OF NURSING &

HEALTH SCIENCES 2001 WILLIAM ST CAPE GIRARDEAU MO 63703

EDUCATION AL FACILITY LAUNDRY SERVICES

122 S SPANISH CAPE GIRARDEAU MO 63703

LAUNDRY FACILITY COSTING METHODOLOGY EXPLANATION PART I LINE 7 THE 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 EXPLANATION PART III LINE 4 THE 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 EXPLANATION PART III LINE 8 THE 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 EXPLANATION PART III LINE 9B THE 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 ASSESSMENT PART VI GENERALLY 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 ASSISTANCE PART VI ALL 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 INFORMATION PART VI SOUTHEAST 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 FILED PART VI MISSOURI ADDITIONAL INFORMATION PART VI SOUTHEAST 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 11H PART V LINE 11H ADDITIONAL 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 17E PART V LINE 17E IF 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 19D PART V LINE 19D SOUTHEAST MISSOURI HOSPITAL BILLS ALL PATIENTS WITH EMERGENCY OR MEDICALLY NECESSARY CARE AT THE SAME RATES REGARDLESS OF THE PATIENTS INSURED STATUS X true true X X X true false false false false false false false false DEBRA W LINNES 657896 34250 9397 701543 HUBERT U KING 331478 10931 9397 351806 KAREN S HENDRICKSON 339472 7314 36628 3621 387035 A WAYNE SMITH 342292 9397 351689 E LEE TAYLOR MD 332974 14700 9397 357071 JAMES P LIMBAUGH 324674 7350 14700 9397 356121 SYLVIA C MOORE 322146 30862 9397 362405 DANIEL BERRY 188977 11296 9397 209670 GREGORY L HUDSON 167483 3010 170493 JUDY ASLIN 156207 9380 9397 174984 LINCOLN SCOTT 154991 22000 9728 186719 MATTHEW D GAETA 801681 91128 28750 9397 930956 EMAD M ABUHAMDA 808904 28750 9397 847051 WILLIAM R M OGLE 706097 71810 31200 9397 818504 RANDY G BROWN 714791 46979 31200 9397 802367 JAMES C MOSLEY III MD 469942 268084 12250 7074 757350 FRINGE OR EXPENSE EXPLANATION SCHEDULE J, PAGE 1, PART I, LINE 1A THE 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 PAYMENTS SCHEDULE J, PAGE 1, PART I, LINE 4 DEBRA W LINNES 293,323 0 0 KAREN S HENDRICKSON 171,820 0 0 GREGORY L HUDSON 73,848 0 0 INDUSTRIAL DEVELOPMENT AUTHORITY 431193901 139404DD6 2007-04-12 101802089 REFUND EXISTING DEBT & CAPITAL PROJECT true false false 100036261 9712183 798559 35252309 30469119 2010 true true true true false false false false false false true false false false true BANK OF NEWYORK MELLON TRUST COMPANY 3.0 true false false MATTHEW GAETA MD RECRUITMENT INCENTIVE X 128009 40915 false true true JAMES C MOSLEY III MD RECRUITMENT INCENTIVE X 83572 15907 false true true WILLIAM RAY SILLIMAN MD RECRUITMENT INCENTIVE X 98283 12682 false true true 69504 FKINDER (CEO OF RED LETTER COMM) BOARD TRUSTEE 1878072 ADVERTISING SERVICES false R NEFF (OWNER OF FORD GROVES) BOARD TRUSTEE 243387 VEHICLE PURCHASES false W SILLIMAN(CAPE MEDICAL BILLING) BOARD TRUSTEE 160055 BILLING SERVICES false FIRST ACCOMPLISHMENT DESCRIPTION FORM 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 OFFICERS FORM 990, PAGE 6, PART VI, LINE 2 SOUTHEAST 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 STOCKHOLDERS FORM 990, PAGE 6, PART VI, LINE 6 SOUTHEAST 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 990 FORM 990, PAGE 6, PART VI, LINE 11B A 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 POLICY FORM 990, PAGE 6, PART VI, LINE 12C ALL 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 OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A DATA FROM TWO ORGANIZATIONS (MO HOSPITAL ASSOCIATION AND ANOTHER INDEPENDENT AGENCY) ARE USED FOR COMPARISON. RECOMMENDATIONS ARE MADE FROM THAT INFORMATION TO THE BOARD OF TRUSTEES, WHO THEN DETERMINE THE COMPENSATION FOR THE CEO AND KEY EMPLOYEES. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B DATA FROM TWO ORGANIZATIONS (MO HOSPITAL ASSOCIATION AND ANOTHER INDEPENDENT AGENCY) ARE USED FOR COMPARISON. RECOMMENDATIONS ARE MADE FROM THAT INFORMATION TO THE BOARD OF TRUSTEES, WHO THEN DETERMINE THE COMPENSATION FOR THE CEO AND KEY EMPLOYEES. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 COPIES 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 EXPLANATION FORM 990, PART XI, LINE 5 THE ORGANIZATION HAD NET UNREALIZED LOSSES ON OTHER THAN TRADING SECURITIES OF 5,486,716 SEH PHYSICIANS LLC 1701 LACEY STREET CAPE GIRARDEAU MO 63701 431912860 PHYSICIANS MO N/A SOUTHEAST MO HOSPITAL FOUNDATION 1701 LACEY STREET CAPE GIRARDEAU MO 63701 431122759 SUPPORT MO 501C3 11A N/A false SOUTHEAST HEALTH OF RIPLEY COUNTY 109 PLUM STREET DONIPHAN MO 63935 273868479 MANAGEMENT MO 501C3 N/A false SEH BREAST CARE & DIAGNOSTIC CENTER 1701 LACEY STREET CAPE GIRARDEAU MO 63701 202745540 BREAST CAR MO N/A S CORP 83325 -1360462 1.00000 false false true false false false false false false false false true true true false true false false