2011-11-09T15:59:04-06:00 2010-12-31 KERBER ECK & BRAECKEL LLP 1116 W MAIN ST CARBONDALE IL 629012335 990 2010-01-01 430654874 SOUTHEAST MISSOURI HOSPITAL ASSOCIATION SOUT 5733344822 1701 LACEY ST CAPE GIRARDEAU MO 637015230 HUGH W KING 5733344822 2011-11-09 true MARK DALLAS 6185291040 2011-11-09 2010 2016-03-07 17:11:31Z SOUTHEASTHEALTH HUGH W KING 1701 LACEY ST CAPE GIRARDEAU MO 637015230 363529656 false X WWW.SEHEALTH.ORG X 1926 MO PROVIDER OF HEALTHCARE SERVICE 36 33 2697 233 6408360 -2148224 579673 11190 311399234 327041523 -789261 2974195 472532 518098 311662178 330545006 0 0 124643226 133010032 0 0 168010932 187293639 292654158 320303671 19008020 10241335 339230071 353843799 147472203 147170406 191757868 206673393 X PROVIDER OF HEALTHCARE SERVICE false false 320303671 319371077 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 45,054 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 SEMINARS 320303671 true false false false false false false false false false true true false false true true true false 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 115 0 2697 true true true false false false false false false false false false X 36 33 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 RONALD J FISCHER 4.00 X 0 0 0 CLIFF W FORD 1.00 X 0 0 0 KEVIN E FORD 1.00 X 0 0 0 WALTER J FORD 1.00 X 0 0 0 JOHN W GRIMM 1.00 X 0 0 0 DAVID L HAHS 4.00 X 0 0 0 T RONALD HAHS 1.00 X 0 0 0 MATTHEW D SHOEMAKER 1.00 X 0 0 0 ROBERT S HUNT MD 1.00 X 0 0 0 CHRISTOPHER L HUTSON 1.00 X 0 0 0 ED K KIEFNER 1.00 X 0 0 0 FRANK KINDER 1.00 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 MICHAEL A PRICE 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 JANICE L SEABAUGH MD 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 C R TALBERT JR MD 1.00 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 614726 0 33151 DAVID STRONG 50.00 X 85310 0 14715 HUBERT U KING 50.00 X 71140 0 19286 JAMES P LIMBAUGH 50.00 X 382388 0 11151 E LEE TAYLOR MD 50.00 X 283500 0 25851 KAREN S HENDRICKSON 50.00 X 236035 0 40837 PATRICK BIRA 50.00 X 183304 0 9390 DANIEL BERRY 50.00 X 170966 0 22144 SYLVIA C MOORE 50.00 X 157619 0 5425 WILLIAM R M OGLE 50.00 X 787067 0 44536 MATTHEW D GAETA 40.00 X 778001 0 53401 RANDY G BROWN 40.00 X 757688 0 44421 EMAD M ABUHAMDA 40.00 X 728310 0 27651 JAMES C MOSLEY III MD 40.00 X 523613 0 4184 JAMES W WENTE X 315900 0 45907 6075567 402050 100 true true false ANESTHESIA ASSOCIATES PO BOX 751 CAPE GIRARDEAU MO 63702 CRNA 5298687 SODEXHO INC AFFILIATES PO BOX 70060 CHICAGO IL 60673 DIETARY SERVICE 2013512 PANSING NOLAN MATLOCK 564 GRAY AVE WEBSTER GROVES MO 63119 ARCHITECTS 1029116 FINCH LAW FIRM 701 BELLEVUE CAPE GIRARDEAU MO 63701 LEGAL & COLLECT 602962 CAPE RADIOLOGY GROUP 70 DOCTORS PARK CAPE GIRARDEAU MO 63703 MEDICAL SERVICE 568755 18 11190 11190 PATIENT SERVICE REVENUE 310457138 310457138 REFERENCE LAB 621500 3476466 3476466 HEALTHPOINT FITNESS 2685535 2685535 PLAZA PHARMACY 446110 1903683 1903683 NURSING SCHOOL TUITION 1550674 1550674 6968027 3335519 1028211 2604297 327041523 1631984 1631984 1221364 703266 518098 518098 518098 33117278 506317 31478213 803171 1639065 -296854 1342211 1342211 330545006 319371077 6408360 4754379 2594356 2594356 361807 361807 97454274 97454274 4549991 4549991 21413478 21413478 6636126 6636126 410349 410349 432879 432879 118709 118709 23732532 23732532 2812805 2812805 44704188 44704188 1719696 1719696 2998425 2998425 365451 365451 995649 995649 4108734 4108734 14676071 14676071 4239772 4239772 PROVISION FOR BAD DEBTS 34695581 34695581 DRUGS & PHARMACEUTICALS 17923525 17923525 MEDICAID FRA ASSESSMENT 14742711 14742711 REPAIRS & MAINTENANCE 6431324 6431324 LABORATORY 2821988 2821988 9363250 9363250 320303671 320303671 0 0 18217872 9211272 46046107 47373603 129626 97055 1332220 1238491 11739735 10787984 7587966 8451321 304772850 134608378 153178911 170164472 35231381 50944586 61115247 49766597 4651006 5808418 339230071 353843799 24865322 27527451 114477735 112342753 1368146 994889 6761000 6305313 147472203 147170406 X 191757868 206673393 191757868 206673393 339230071 353843799 X 10241335 4674190 X false true true X true true X false false false false false false false false false false 14513231 14513231 84104386 35420030 48684356 164292330 93873470 70418860 41862903 5314878 36548025 170164472 BOARD DESIGNATED FUNDS - CASH 28952686 F TRUSTEED BOND FUNDS - CASH 15878262 F BOARD DESIGNATED FUNDS - GOVT/STATE 4460354 F WORKERS' COMP FUNDS - GOVT/STATE 474882 F WORKERS'COMP FUNDS - CASH 413 F 49766597 ACCUM POST RETIRE BENEFITS 4574888 BUILDING CONTRACTS PAYABLE 1730425 DUE TO THIRD PARTY PAYORS 6305313 330545006 320303671 10241335 4674190 -50596 4623594 14864929 329255137 4674190 4674190 324580947 5964059 5964059 330545006 314390208 314390208 5913463 5913463 320303671 LIABILITY UNDER FIN 48 FOOTNOTE SCHEDULE D, PAGE 3, PART X SOUTHEASTHEALTH 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 - OTHER SCHEDULE D, PAGE 4, PART XI, LINE 8 AUXILARY 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 - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 4B AUXILARY 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 - OTHER SCHEDULE D, PAGE 4, PART XIII, LINE 4B 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 SUPPLEMENTAL FINANCIAL INFORMATION SCHEDULE D, PAGE 4, PART XIV THE 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. 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OUTPATIENT CLINIC 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 PRIOR YEARS COST REPORT FISCAL YEAR 2009 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 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 EXPLANATION PART III LINE 8 PRIOR 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 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 X true true X X X false false false false false false false false false DEBRA W LINNES 475226 139500 22000 11151 647877 JAMES P LIMBAUGH 324263 58125 11151 393539 E LEE TAYLOR MD 283500 14700 11151 309351 KAREN S HENDRICKSON 229158 6877 35755 5082 276872 PATRICK BIRA 183304 3471 5919 192694 DANIEL BERRY 170966 10323 11821 193110 SYLVIA C MOORE 157619 5425 163044 WILLIAM R M OGLE 700580 86487 31200 13336 831603 MATTHEW D GAETA 685638 92363 42250 11151 831402 RANDY G BROWN 710760 46928 31200 13221 802109 EMAD M ABUHAMDA 728310 16500 11151 755961 JAMES C MOSLEY III MD 468409 55204 4184 527797 JAMES W WENTE 315900 36733 9174 361807 INDUSTRIAL DEVELOPMENT AUTHORITY 431193901 139404DD6 2007-04-12 101802089 REFUND EXISTING DEBT & CAPITAL PROJECT true false false 100036261 8903206 798559 35252309 10248024 2010 true true true true false false false false false true false false false true BANK OF NEWYORK MELLON TRUST COMPANY 3.0 true false false JAMES C MOSLEY III MD RECRUITMENT INCENTIVE X 83572 43454 false true true MATTHEW GAETA MD RECRUITMENT INCENTIVE X 128009 40910 false true true WILLIAM RAY SILLIMAN MD RECRUITMENT INCENTIVE X 98283 12691 false true true 97055 FKINDER (CEO OF RED LETTER COMM) BOARD TRUSTEE 563799 ADVERTISING SERVICES false FIRST ACHIEVEMENT 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, 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 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 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 STOCKHOLDERS FORM 990, PAGE 6, PART VI, LINE 6 SOUTHEAST 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 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 CHANGE IN NET UNREALIZED GAINS ON OTHER THAN TRADING SECURITIES OF 4,674,190 SEH PHYSICIANS LLC 1701 LACEY STREET CAPE GIRARDEAU MO 63701 431912860 PHYSICIANS MO 12200331 2949635 N/A SOUTHEAST MO HOSPITAL FOUNDATION 1701 LACEY STREET CAPE GIRARDEAU MO 63701 431122759 SUPPORT MO 501C3 11A N/A false SEH BREAST CARE & DIAGNOSTIC CENTER 1701 LACEY STREET CAPE GIRARDEAU MO 63701 202745540 BREAST CAR MO N/A S CORP -434011 1.00000 false false true false false false false false false false false true true true false true false false