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SOUTHEAST HOSPITAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
SOUTHEAST HOSPITAL (EIN 43-0654874)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-09
IRS object ID
201103139349302865
Schema version
2010v3.4
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)
Timestamp2011-11-09T15:59:04-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

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 Date2010-01-01TaxPeriodBeginDate

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 STAddressLine1
CityCAPE GIRARDEAUCity
StateMOState
ZIP Code637015230ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameHUGH W KINGName
TitleVICE PRESIDENT/CFOTitle
Phone5733344822Phone
Date Signed2011-11-09DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMARK DALLASName
Phone6185291040Phone
Date Prepared2011-11-09DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1SOUTHEASTHEALTHBusinessNameLine1
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 Receipts363529656GrossReceipts
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 Body36NbrVotingMembersGoverningBody
Nbr Independent Voting Members33NbrIndependentVotingMembers
Total Nbr Employees2697TotalNbrEmployees
Total Nbr Volunteers233TotalNbrVolunteers
Total Gross UBI6408360TotalGrossUBI
Net Unrelated Business Txbl Income-2148224NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year579673ContributionsGrantsPriorYear
Contributions Grants Current Year11190ContributionsGrantsCurrentYear
Program Service Revenue Prior Year311399234ProgramServiceRevenuePriorYear
Program Service Revenue CY327041523ProgramServiceRevenueCY
Investment Income Prior Year-789261InvestmentIncomePriorYear
Investment Income Current Year2974195InvestmentIncomeCurrentYear
Other Revenue Prior Year472532OtherRevenuePriorYear
Other Revenue Current Year518098OtherRevenueCurrentYear
Total Revenue Prior Year311662178TotalRevenuePriorYear
Total Revenue Current Year330545006TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year124643226SalariesEtcPriorYear
Salaries Etc Current Year133010032SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year168010932OtherExpensePriorYear
Other Expenses Current Year187293639OtherExpensesCurrentYear
Total Expenses Prior Year292654158TotalExpensesPriorYear
Total Expenses Current Year320303671TotalExpensesCurrentYear
Revenues Less Expenses Prior Year19008020RevenuesLessExpensesPriorYear
Revenues Less Expenses CY10241335RevenuesLessExpensesCY
Total Assets BOY339230071TotalAssetsBOY
Total Assets EOY353843799TotalAssetsEOY
Total Liabilities BOY147472203TotalLiabilitiesBOY
Total Liabilities EOY147170406TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY191757868NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY206673393NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionPROVIDER OF HEALTHCARE SERVICEMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense320303671Expense
Revenue319371077Revenue
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 45,054 ADULT AND CHILDREN PATIENT DAYS AND 1,840 NEWBORN PATIENT DAYS DURING 2010. 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, 2010. BENEFITS FOR THE POOR AND THE BROADER COMMUNITY CHARITY CARE AT COST 2,548,450 UNPAID COST OF MEDICARE 23,392,924 UNPAID COST OF MEDICAID 8,825,192 COMMUNITY HEALTH SERVICES 545,094 COLLEGE AND HEALTH SCIENCES SUBSIDY 1,615,162 CASH CONTRIBUTIONS TO COMMUNITY GROUPS 19,263 TOTAL COMMUNITY BENEFIT 36,945,885 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 10,104,866 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 Expense320303671TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
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 SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
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 With1096115NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees2697NumberOfEmployees
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 Members36NbrVotingGoverningBodyMembers
Number Independent Voting Members33NumberIndependentVotingMembers
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 (51 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
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
RONALD J FISCHER
TRUSTEE4.00X000
CLIFF W FORD
TRUSTEE1.00X000
KEVIN E FORD
TRUSTEE1.00X000
WALTER J FORD
TRUSTEE1.00X000
JOHN W GRIMM
TRUSTEE1.00X000
DAVID L HAHS
TRUSTEE4.00X000
T RONALD HAHS
TRUSTEE1.00X000
MATTHEW D SHOEMAKER
TRUSTEE1.00X000
ROBERT S HUNT MD
TRUSTEE1.00X000
CHRISTOPHER L HUTSON
TRUSTEE1.00X000
ED K KIEFNER
TRUSTEE1.00X000
FRANK KINDER
TRUSTEE1.00X000
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
MICHAEL A PRICE
TRUSTEE1.00X000
SCOT G PRINGLE MD
TRUSTEE1.00X000
NARVOL A RANDOL JR
TRUSTEE4.00X000
JAMES A RUST
TRUSTEE4.00X000
PAUL W SANDER
TRUSTEE1.00X000
JANICE L SEABAUGH MD
TRUSTEE1.00X000
RAY W SILLIMAN MD
TRUSTEE1.00X000
AM SPRADLING III
CHAIRMAN4.00X000
C R TALBERT JR MD
TRUSTEE1.00X000
JOHN M THOMPSON
1ST VICE CHA4.00X000
KEVIN A VAUGHT MD
TRUSTEE1.00X000
JERRY R ZIMMER
TRUSTEE4.00X000
DEBRA W LINNES
PRESIDENT/CE50.00614726033151X
DAVID STRONG
ASST TREAS/V50.0085310014715X
HUBERT U KING
ASST TREAS/V50.0071140019286X
JAMES P LIMBAUGH
EXEC VICE PR50.00382388011151X
E LEE TAYLOR MD
VP MEDICAL A50.00283500025851X
KAREN S HENDRICKSON
VICE PRESIDE50.00236035040837X
PATRICK BIRA
VICE PRESIDE50.0018330409390X
DANIEL BERRY
VP LEGAL AFF50.00170966022144X
SYLVIA C MOORE
VICE PRESIDE50.0015761905425X
WILLIAM R M OGLE
CARDIO-THORA50.00787067044536X
MATTHEW D GAETA
GASTROENTERO40.00778001053401X
RANDY G BROWN
CARDIO-THORA40.00757688044421X
EMAD M ABUHAMDA
GASTROENTERO40.00728310027651X
JAMES C MOSLEY III MD
ONCOLOGIST40.0052361304184X
JAMES W WENTE
FORMER PRESI315900045907X
FieldValueIRS element (for citing)
Total Reportable Comp From Org6075567TotalReportableCompFromOrg
Total Other Compensation402050TotalOtherCompensation
Number Individuals GT100 K100NumberIndividualsGT100K
Formers ListedtrueFormersListed
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 GIRARDEAUMO63702CRNA5298687
SODEXHO INC AFFILIATES
PO BOX 70060CHICAGOIL60673DIETARY SERVICE2013512
PANSING NOLAN MATLOCK
564 GRAY AVEWEBSTER GROVESMO63119ARCHITECTS1029116
FINCH LAW FIRM
701 BELLEVUECAPE GIRARDEAUMO63701LEGAL & COLLECT602962
CAPE RADIOLOGY GROUP
70 DOCTORS PARKCAPE GIRARDEAUMO63703MEDICAL SERVICE568755
FieldValueIRS element (for citing)
Number Of Contractors GT100 K18NumberOfContractorsGT100K
Membership Dues11190MembershipDues
Total Contributions11190TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeBusiness CodeBusinessCodeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICE REVENUE310457138310457138
REFERENCE LAB34764666215003476466
HEALTHPOINT FITNESS26855352685535
PLAZA PHARMACY19036834461101903683
NURSING SCHOOL TUITION15506741550674

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column6968027TotalRevenueColumn
Related Or Exempt Function Income3335519RelatedOrExemptFunctionIncome
Unrelated Business Revenue1028211UnrelatedBusinessRevenue
Exclusion$2,604,297ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue327041523TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1631984TotalRevenueColumn
Exclusion$1,631,984ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1221364Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real703266Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real518098Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column518098TotalRevenueColumn
Exclusion$518,098ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities33117278Securities
Other506317Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities31478213Securities
Other803171Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1639065Securities
Other-296854Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1342211TotalRevenueColumn
Related Or Exempt Function Income1342211RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column330545006TotalRevenueColumn
Related Or Exempt Function Income319371077RelatedOrExemptFunctionIncome
Unrelated Business Revenue6408360UnrelatedBusinessRevenue
Exclusion$4,754,379ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2594356Total
Program Services2594356ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total361807Total
Program Services361807ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total97454274Total
Program Services97454274ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total4549991Total
Program Services4549991ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total21413478Total
Program Services21413478ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6636126Total
Program Services6636126ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total410349Total
Program Services410349ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total432879Total
Program Services432879ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total118709Total
Program Services118709ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total23732532Total
Program Services23732532ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total2812805Total
Program Services2812805ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total44704188Total
Program Services44704188ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1719696Total
Program Services1719696ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2998425Total
Program Services2998425ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total365451Total
Program Services365451ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total995649Total
Program Services995649ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total4108734Total
Program Services4108734ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total14676071Total
Program Services14676071ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total4239772Total
Program Services4239772ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
PROVISION FOR BAD DEBTS3469558134695581
DRUGS & PHARMACEUTICALS1792352517923525
MEDICAID FRA ASSESSMENT1474271114742711
REPAIRS & MAINTENANCE64313246431324
LABORATORY28219882821988

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total9363250Total
Program Services9363250ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total320303671Total
Program Services320303671ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY18217872BOY
EOY9211272EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY46046107BOY
EOY47373603EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY129626BOY
EOY97055EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1332220BOY
EOY1238491EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY11739735BOY
EOY10787984EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY7587966BOY
EOY8451321EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis304772850LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec134608378LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY153178911BOY
EOY170164472EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY35231381BOY
EOY50944586EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY61115247BOY
EOY49766597EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4651006BOY
EOY5808418EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY339230071BOY
EOY353843799EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY24865322BOY
EOY27527451EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY114477735BOY
EOY112342753EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1368146BOY
EOY994889EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6761000BOY
EOY6305313EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY147472203BOY
EOY147170406EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY191757868BOY
EOY206673393EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY191757868BOY
EOY206673393EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY339230071BOY
EOY353843799EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses10241335ReconcilationRevenueExpenses
Reconcilation Other Changes4674190ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

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 Basis84104386OtherCostOrOtherBasis
Depreciation35420030Depreciation
Book Value48684356BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis164292330OtherCostOrOtherBasis
Depreciation93873470Depreciation
Book Value70418860BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis41862903OtherCostOrOtherBasis
Depreciation5314878Depreciation
Book Value36548025BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings170164472TotalOfBookValueLandBuildings

Other Securities OtherSecurities (5 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
BOARD DESIGNATED FUNDS - CASH28952686F
TRUSTEED BOND FUNDS - CASH15878262F
BOARD DESIGNATED FUNDS - GOVT/STATE4460354F
WORKERS' COMP FUNDS - GOVT/STATE474882F
WORKERS'COMP FUNDS - CASH413F
FieldValueIRS element (for citing)
Total Of Book Value Securities49766597TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
ACCUM POST RETIRE BENEFITS$4,574,888
BUILDING CONTRACTS PAYABLE$1,730,425
DUE TO THIRD PARTY PAYORS
FieldValueIRS element (for citing)
Total Of Amounts6305313TotalOfAmounts
Total Revenue330545006TotalRevenue
Total Expenses320303671TotalExpenses
Excess Or Deficit For Year10241335ExcessOrDeficitForYear
Net Unrealized GL On Investments4674190NetUnrealizedGLOnInvestments
Other-$50,596OtherAmount
Total Adjustments4623594TotalAdjustments
Excess Or Deficit Per FS14864929ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt329255137TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments4674190NetUnrealizedGainsInvestments
Revenue Not Rptd F9904674190RevenueNotRptdF990
Revenue Subtotal324580947RevenueSubtotal
Other Revenues Not Included5964059OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt5964059RevenueNotRptdOnFinStmt
Total Revenue Per Form990330545006TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt314390208TotExpensesEtcAuditedFinclStmt
Expenses Subtotal314390208ExpensesSubtotal
Other Expenses Not Included5913463OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt5913463ExpensesNotRptdOnFinStmt
Total Expenses Per Form990320303671TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
LIABILITY UNDER FIN 48 FOOTNOTESCHEDULE D, PAGE 3, PART XSOUTHEASTHEALTH IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM INCOME TAXES. SOUTHEASTHEALTH REALIZED CERTAIN INCOME WHICH THE INTERNAL REVENUE SERVICE CONSIDERS TO BE UNRELATED BUSINESS INCOME SUBJECT TO INCOME TAX FOR THE YEARS ENDED DECEMBER 31, 2010 AND 2009. NO TAX WAS DUE RELATED TO THESE OPERATIONS.
RECONCILIATION OF CHANGES - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 8AUXILARY CASH RECEIPTS -475,729 MAIN STREET PHARMACY -720,538 PLAZA PHARMACY -1,568,680 LACEY'S -26,109 REFERENCE LABORATORY -2,821,988 LONG-TERM CARE PHARMACY -279,148 SOUTHEAST PHARMACY -71,867 AUXILIARY CASH DISBURSEMENTS 425,133 MAIN STREET PHARMACY 720,538 PLAZA PHARMACY 1,568,680 LACEY'S 26,109 REFERENCE LABORATORY 2,821,988 LONG-TERM CARE PHARMACY 279,148 SOUTHEAST PHARMACY 71,867
REVENUE AMOUNTS INCLUDED ON RETURN - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 4BAUXILARY CASH RECEIPTS 475,729 MAIN STREET PHARMACY 720,538 PLAZA PHARMACY 1,568,680 LACEY'S 26,109 REFERENCE LABORATORY 2,821,988 LONG-TERM CARE PHARMACY 279,148 SOUTHEAST PHARMACY 71,867
EXPENSE AMOUNTS INCLUDED ON RETURN - OTHERSCHEDULE D, PAGE 4, PART XIII, LINE 4BAUXILIARY CASH DISBURSEMENTS 425,133 MAIN STREET PHARMACY 720,538 PLAZA PHARMACY 1,568,680 LACEY'S 26,109 REFERENCE LABORATORY 2,821,988 LONG-TERM CARE PHARMACY 279,148 SOUTHEAST PHARMACY 71,867
SUPPLEMENTAL FINANCIAL INFORMATIONSCHEDULE D, PAGE 4, PART XIVTHE RECONCILIATION ITEMS REPORTED IN SCHEDULE D PART XI, XII, AND XIII ARE EXPENSES ASSOCIATED WITH THE UNREALTED BUSINESS INCOME OF THE SOUTHEAST MISSOURI HOSPITAL ASSOCIATION. THESE EXPENSES ARE REFLECTED IN THE AUDITED FINANCIAL STATEMENTS AS AN OFFSET TO OTHER OPERATING REVENUE.

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 Expense2548250TotalCommunityBenefitExpense
Net Community Benefit Expense2548250NetCommunityBenefitExpense
Percent Of Total Expense0.00800PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense42667697TotalCommunityBenefitExpense
Direct Offsetting Revenue33842505DirectOffsettingRevenue
Net Community Benefit Expense8825192NetCommunityBenefitExpense
Percent Of Total Expense0.02760PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense45215947TotalCommunityBenefitExpense
Direct Offsetting Revenue33842505DirectOffsettingRevenue
Net Community Benefit Expense11373442NetCommunityBenefitExpense
Percent Of Total Expense0.03550PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense597683TotalCommunityBenefitExpense
Direct Offsetting Revenue52589DirectOffsettingRevenue
Net Community Benefit Expense545094NetCommunityBenefitExpense
Percent Of Total Expense0.00170PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense4405786TotalCommunityBenefitExpense
Direct Offsetting Revenue2790624DirectOffsettingRevenue
Net Community Benefit Expense1615162NetCommunityBenefitExpense
Percent Of Total Expense0.00500PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense19263TotalCommunityBenefitExpense
Net Community Benefit Expense19263NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense5022732TotalCommunityBenefitExpense
Direct Offsetting Revenue2843213DirectOffsettingRevenue
Net Community Benefit Expense2179519NetCommunityBenefitExpense
Percent Of Total Expense0.00680PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense50238679TotalCommunityBenefitExpense
Direct Offsetting Revenue36685718DirectOffsettingRevenue
Net Community Benefit Expense13552961NetCommunityBenefitExpense
Percent Of Total Expense0.04230PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$10,104,866BadDebtExpenseAmount
Amount Attributable To5095865AmountAttributableTo
Amount Reimbursed By Medicare70256005AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare93648929CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-23392924MedicareSurplusOrShortfall

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 Facilities22NumberOfOtherFacilities

Other Facilities OtherFacilities (22 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
HEMATOLOGY-ONCOLOGY 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
PLAZA PRIMARY CARE WEST
817 SOUTH MT AUBURN ROADCAPE GIRARDEAUMO63703OUTPATIENT PHYSICIAN CLINIC
SHOW MOBILE
MOBILE CLINICCAPE GIRARDEAUMO63701OUTPATIENT CLINIC

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 PRIOR YEARS COST REPORT FISCAL YEAR 2009 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 50 OF THE PATIENT ACCOUNTS WRITTEN OFF TO BAD DEBTS MAY QUALIFY FOR CHARITY CARE OR OTHER ASSISTANCE BUT CHOSE NOT TO APPLY THEREFORE 50 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 2010 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 10104866
MEDICARE EXPLANATIONPART III LINE 8PRIOR YEARS MEDICARE COST REPORT FISCAL YEAR 2009 THE LATEST INFORMATION AVAILABLE WAS USED TO DETERMING THE UNPAID COST OF MEDICARE UNPAID COST OF MEDICARE REPRESENTS THE COST DETERMINED USING PRIOR YEARS COST REPORT 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
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
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 (13 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrg
DEBRA W LINNES
4752261395002200011151647877
JAMES P LIMBAUGH
3242635812511151393539
E LEE TAYLOR MD
2835001470011151309351
KAREN S HENDRICKSON
2291583575550822768726877
PATRICK BIRA
18330434715919192694
DANIEL BERRY
1709661032311821193110
SYLVIA C MOORE
1576195425163044
WILLIAM R M OGLE
700580864873120013336831603
MATTHEW D GAETA
685638923634225011151831402
RANDY G BROWN
710760469283120013221802109
EMAD M ABUHAMDA
7283101650011151755961
JAMES C MOSLEY III MD
468409552044184527797
JAMES W WENTE
315900367339174361807

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 Fund8903206AmountInReserveFund
Capitalized Interest798559CapitalizedInterest
Refunding Escrow35252309RefundingEscrow
Capital Expenditures10248024CapitalExpenditures
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
Any Research AgreementsfalseAnyResearchAgreements
Bond Counsel Routinely EngagedfalseBondCounselRoutinelyEngaged
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
JAMES C MOSLEY III MD
RECRUITMENT INCENTIVEX$83,57243454falsetruetrue
MATTHEW GAETA MD
RECRUITMENT INCENTIVEX$128,00940910falsetruetrue
WILLIAM RAY SILLIMAN MD
RECRUITMENT INCENTIVEX$98,28312691falsetruetrue
FieldValueIRS element (for citing)
Total Balance Due97055TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1FKINDER (CEO OF RED LETTER COMM)BusinessNameLine1
FieldValueIRS element (for citing)
RelationshipBOARD TRUSTEERelationship
Amount Of Transaction563799AmountOfTransaction
Description Of TransactionADVERTISING SERVICESDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FIRST ACHIEVEMENT 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, 2010. BENEFITS FOR THE POOR AND THE BROADER COMMUNITY CHARITY CARE AT COST 2,548,450 UNPAID COST OF MEDICARE 23,392,924 UNPAID COST OF MEDICAID 8,825,192 COMMUNITY HEALTH SERVICES 545,094 COLLEGE AND HEALTH SCIENCES SUBSIDY 1,615,162 CASH CONTRIBUTIONS TO COMMUNITY GROUPS 19,263 TOTAL COMMUNITY BENEFIT 36,945,885 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 10,104,866 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 CLIFF FORD - SEHOSP WALTER FORD - SEHOSP TRUSTEE TRUSTEE FAMILY & BUSINESS RELATIONSHIP KEVIN FORD - SEHOSP WALTER FORD - SEHOSP TRUSTEE TRUSTEE FAMILY & BUSINESS 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 ASSOCIATION HAS MEMBERS WHOSE RIGHTS ARE LIMITED TO ATTENDING REGULAR MEETINGS OF THE MEMBERS ADN 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 5CHANGE IN NET UNREALIZED GAINS ON OTHER THAN TRADING SECURITIES OF 4,674,190

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
Total Income12200331TotalIncome
EOY Assets2949635EOYAssets
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1SOUTHEAST MO HOSPITAL FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11701 LACEY STREETAddressLine1
CityCAPE GIRARDEAUCity
StateMOState
ZIP Code63701ZIPCode
FieldValueIRS element (for citing)
EIN431122759EIN
Primary ActivitiesSUPPORTPrimaryActivities
Legal Domicile StateMOLegalDomicileState
Exempt Code Section501C3ExemptCodeSection
Public Charity Status11APublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled OrgfalseControlledOrg

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 Income-434011ShareOfTotalIncome
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