SOUTHEAST HOSPITAL: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- SOUTHEAST HOSPITAL (EIN 43-0654874)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-15
- IRS object ID
- 202443209349320719
- Schema version
- 2023v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-15T15:03:14+00:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 440160260 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Forvis Mazars LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 E St Louis 200 PO Box 1190 | AddressLine1Txt |
| City | Springfield | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 658062523 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 430654874 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTHEAST HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SOUT | BusinessNameControlTxt |
| Phone | 5733344822 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1701 LACEY ST | AddressLine1Txt |
| City | CAPE GIRARDEAU | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63701 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KRISTA BERRY | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5733344822 | PhoneNum |
| Signature | 2024-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BRIAN D TODD | PreparerPersonNm |
| PTIN | P00422601 | PTIN |
| Phone | 4178658701 | PhoneNum |
| Preparation | 2024-11-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY HOSPITAL SOUTHEAST | BusinessNameLine1Txt |
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERIC AMMONS | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1701 LACEY ST | AddressLine1Txt |
| City | CAPE GIRARDEAU | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $490,564,004 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.sehealth.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1926 | FormationYr |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Activity Or Mission | TOGETHER WE WILL EVOLVE HEALTHCARE THROUGH INNOVATION, COMPASSION AND PARTNERSHIPS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 23 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 19 | VotingMembersIndependentCnt |
| Total Employee | 3115 | TotalEmployeeCnt |
| Total Volunteers | 55 | TotalVolunteersCnt |
| Total Gross UBI | $12,233,925 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $11,494,620 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,255,928 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $390,664,583 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $380,195,373 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,758,981 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,102,811 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$1,029,769 | PYOtherRevenueAmt |
| CY Other Revenue | -$605,452 | CYOtherRevenueAmt |
| PY Total Revenue | $404,888,415 | PYTotalRevenueAmt |
| CY Total Revenue | $387,948,660 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,205,638 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,356,541 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $188,628,858 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $196,212,557 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $237,012,533 | PYOtherExpensesAmt |
| CY Other Expenses | $334,766,610 | CYOtherExpensesAmt |
| PY Total Expenses | $426,847,029 | PYTotalExpensesAmt |
| CY Total Expenses | $532,335,708 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$21,958,614 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$144,387,048 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $410,375,855 | TotalAssetsBOYAmt |
| Total Assets EOY | $267,173,625 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $259,839,554 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $249,967,241 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $150,536,301 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $17,206,384 | NetAssetsOrFundBalancesEOYAmt |
| Mission | WITH OUR COLLECTIVE EXPERTISE, WE STRIVE TO BE THE BEST IN PATIENT EXPERIENCE AND OUTCOMES, INSTILLING CONFIDENCE WITHIN OUR COMMUNITY AND EMPOWERMENT AMONG OUR EMPLOYEES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $469,214,399 | ExpenseAmt |
| Grant | $1,356,541 | GrantAmt |
| Revenue | $368,058,740 | RevenueAmt |
| Desc | SOUTHEASTHEALTH, THE REGION'S PREMIER HEALTHCARE SYSTEM IN SOUTHEAST MISSOURI, PROVIDES OUR PATIENTS WITH EXCELLENT CARE OF THE HIGHEST CLINICAL QUALITY, CLOSE TO HOME. WITHIN OUR NETWORK ARE NEARLY 50 CARE LOCATIONS IN 10 COMMUNITIES, INCLUDING HOSPITALS, PRIMARY AND SPECIALTY CARE CLINICS, EXTENDING CARE FOR PATIENTS IN A FOUR-STATE AREA. SOUTHEAST HOSPITAL IN CAPE GIRARDEAU HAS BEEN A TRUSTED HEALTH CARE RESOURCE IN THE COMMUNITY FOR NEARLY 100 YEARS. SOUTHEAST HEALTH CENTER OF STODDARD COUNTY WAS ESTABLISHED IN 1969 AND HAS BEEN UNDER SOUTHEASTHEALTH'S MANAGEMENT SINCE 2013. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. | Desc |
| Total Program Service Expenses | $469,214,399 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 270 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 3115 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (true) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 23 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 19 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KRISTA BERRY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5733344822 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1701 LACEY ST | AddressLine1Txt |
| City | CAPE GIRARDEAU | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63701 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (43 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| ANGIE UMFLEET | |||||||||
| VICE CHAIRMAN | 2.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CHARLES KRUSE | |||||||||
| SECRETARY | 2.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JAMES DUFEK | |||||||||
| CHAIRMAN | 2.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| KENNETH BATEMAN | |||||||||
| PRESIDENT/CEO, DIRECTOR | 40.0 | 4.0 | Yes (X) | Yes (X) | $2,303,334 | $0 | $83,459 | ||
| STANLEY CRADER | |||||||||
| TREASURER | 2.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ALBERT SPRADLING III | |||||||||
| HOSPITAL DIRECTOR | 2.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| BENJAMIN LEWIS | |||||||||
| HOSPITAL DIRECTOR | 2.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| BRIAN ROBISON | |||||||||
| REGIONAL DIRECTOR | 3.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| CHRISTINE MACKEY-ROSS | |||||||||
| HOSPITAL DIRECTOR | 2.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| CLAY CROSSON | |||||||||
| REGIONAL VICE CHAIRMAN | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| CURT BUCHHEIT | |||||||||
| HOSPITAL DIRECTOR | 3.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| FRANK KINDER | |||||||||
| HOSPITAL DIRECTOR | 2.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| FRED DUCHARME | |||||||||
| HOSPITAL DIRECTOR | 3.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| GREG MATHIS | |||||||||
| REGIONAL DIRECTOR | 3.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| JAMIE HARRISON | |||||||||
| FAMILY PRACTITIONER | 40.0 | 0 | Yes (X) | $471,002 | $0 | $49,901 | |||
| KEVIN FORD | |||||||||
| HOSPITAL DIRECTOR | 2.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| MARISSA MILLS | |||||||||
| REGIONAL DIRECTOR | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| MARK AVERY | |||||||||
| REGIONAL CHAIRMAN | 3.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL KOHLFELD | |||||||||
| HOSPITAL DIRECTOR | 2.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| MICHELLE AYCOCK | |||||||||
| REGIONAL IMMEDIATE PAST CHAIR | 3.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT NEFF | |||||||||
| HOSPITAL DIRECTOR | 2.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| RYAN ADAMS | |||||||||
| REGIONAL SECRETARY/TREASURER | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| STEVEN GREEN | |||||||||
| IMMEDIATE PAST CHAIRMAN | 2.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| KRISTA BERRY | |||||||||
| CHIEF FINANCIAL OFFICER BEG 12/23 | 40.0 | 4.0 | Yes (X) | $439,720 | $0 | $47,771 | |||
| STEVEN HAAS | |||||||||
| VP AND CFO END 12/23 | 40.0 | 4.0 | Yes (X) | $753,742 | $0 | $65,734 | |||
| ERIN PFEIFER | |||||||||
| VP OF HUMAN RESOURCES AND DEVE | 40.0 | 0 | $487,641 | $0 | $52,335 | Yes (X) | |||
| GINA LEATH | |||||||||
| VP AND CHIEF NURSING OFFICER END 02/23 | 40.0 | 0 | $221,621 | $0 | $21,197 | Yes (X) | |||
| JASON EMMENDERFER | |||||||||
| EXEC DIR SPORTS MED AND ORTHO | 40.0 | 0 | $154,559 | $0 | $37,490 | Yes (X) | |||
| KATHRYN VICKERY | |||||||||
| VP ANCILLARY SERVICES | 40.0 | 0 | $494,496 | $0 | $54,377 | Yes (X) | |||
| MARIA STIFFLER | |||||||||
| EXECUTIVE DIRECTOR HEALTH LUNG END 04/23 | 40.0 | 0 | $787,791 | $0 | $34,654 | Yes (X) | |||
| MARIELLENA SUDAK | |||||||||
| VP AND CHIEF OPERATING OFFICER | 40.0 | 0 | $775,760 | $0 | $63,134 | Yes (X) | |||
| MATTHEW JANZOW | |||||||||
| VP AND CHIEF MEDICAL OFFICER | 40.0 | 0 | $443,199 | $0 | $56,540 | Yes (X) | |||
| MICHAEL NICHOLS | |||||||||
| VP & CHIEF INFORMATION OFFICER | 40.0 | 0 | $627,000 | $0 | $58,453 | Yes (X) | |||
| REGINA FAULKENBERRY | |||||||||
| VP AND GENERAL COUNSEL | 40.0 | 0 | $391,727 | $0 | $53,623 | Yes (X) | |||
| SHAUNA WINTERS HOFFMAN | |||||||||
| VP OF MARKETING & DEVELOPMENT | 40.0 | 0 | $424,444 | $0 | $34,286 | Yes (X) | |||
| SHERRIE LANE | |||||||||
| DIRECTOR OF PHARMACY | 40.0 | 0 | $179,781 | $0 | $31,414 | Yes (X) | |||
| STEVEN LANGDON | |||||||||
| PRESIDENT - COLLEGE OF NURSING | 40.0 | 0 | $461,256 | $0 | $28,156 | Yes (X) | |||
| SUE ANN WILLIAMS | |||||||||
| CEO STODDARD | 40.0 | 0 | $158,870 | $0 | $49,766 | Yes (X) | |||
| BRENT KELLER | |||||||||
| GI PHYSICIAN | 40.0 | 0 | $994,460 | $0 | $62,282 | Yes (X) | |||
| CHIZOR IWUCHUKWU | |||||||||
| CARDIOLOGIST | 40.0 | 0 | $990,262 | $0 | $65,779 | Yes (X) | |||
| DAVID LAW | |||||||||
| CARDIOLOGIST | 40.0 | 0 | $993,825 | $0 | $61,630 | Yes (X) | |||
| GABRIEL SOTO | |||||||||
| CARDIOLOGIST | 40.0 | 0 | $1,150,166 | $0 | $74,126 | Yes (X) | |||
| ULFUR GUDJONSSON | |||||||||
| CARDIOLOGIST | 40.0 | 0 | $1,062,532 | $0 | $45,928 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $14,767,189 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,132,036 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 340 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| AMN HEALTHCARE LOCUM TENENS INC | ||||||
| PO BOX 281923 | ATLANTA | GA | 303841923 | NURSE COVERAGE | $4,729,222 | |
| MEDICAL SOLUTIONS | ||||||
| PO BOX 850737 | MINNEAPOLIS | MN | 55485 | PHYSICIAN COVERAGE | $3,188,126 | |
| CHG MEDICAL STAFFING RN NETWORK | ||||||
| PO BOX 974088 | DALLAS | TX | 753974088 | NURSE COVERAGE | $2,614,619 | |
| TRAVEL NURSE ACROSS AMERICA | ||||||
| DEPT 730068 | DALLAS | TX | 752660919 | NURSE COVERAGE | $2,530,598 | PO BOX 660919 |
| FASTAFF LLC | ||||||
| PO BOX 911452 | DENVER | CO | 802911452 | NURSE COVERAGE | $1,383,116 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 50 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $200,000 | RelatedOrganizationsAmt |
| Government Grants | $5,738,254 | GovernmentGrantsAmt |
| All Other Contributions | $317,674 | AllOtherContributionsAmt |
| Total Contributions | $6,255,928 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621400 | $358,773,784 | $358,773,784 | |
| PHARMACY REVENUE | 456110 | $10,590,075 | $2,965,470 | $7,624,605 |
| LAB REVENUE | 621500 | $4,458,188 | $4,458,188 | |
| TUITION REVENUE | 611600 | $3,227,963 | $3,227,963 | |
| CAFETERIA REVENUE | 722514 | $651,101 | $651,101 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,494,262 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,343,130 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $151,132 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $380,195,373 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,769,341 | TotalRevenueColumnAmt |
| Exclusion | $3,769,341 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $555,975 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $540,245 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $15,730 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,730 | TotalRevenueColumnAmt |
| Exclusion | $15,730 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $100,248,769 | SecuritiesAmt |
| Other | $159,800 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $101,937,108 | SecuritiesAmt |
| Other | $137,991 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$1,688,339 | SecuritiesAmt |
| Other | $21,809 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,666,530 | TotalRevenueColumnAmt |
| Exclusion | -$1,666,530 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| GAIN ON EXTINGUISHMENT OF DEBT | 900099 | $190,469 | $190,469 |
| LOSS ON EQUITY INVESTEE | 900099 | -$211,996 | -$211,996 |
| LOSS ON LEGAL SETTLEMENT | 900099 | -$599,655 | -$599,655 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | -$621,182 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $387,948,660 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $367,961,448 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $12,233,925 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,497,359 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,356,541 | TotalAmt |
| Program Services | $1,356,541 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,398,233 | TotalAmt |
| Program Services | $4,123,510 | ProgramServicesAmt |
| Management And General | $6,274,723 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $923,276 | TotalAmt |
| Program Services | $923,276 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $158,781,782 | TotalAmt |
| Program Services | $130,602,407 | ProgramServicesAmt |
| Management And General | $28,179,375 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,691,532 | TotalAmt |
| Program Services | $2,332,542 | ProgramServicesAmt |
| Management And General | $358,990 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,034,659 | TotalAmt |
| Program Services | $8,951,346 | ProgramServicesAmt |
| Management And General | $2,083,313 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,383,075 | TotalAmt |
| Program Services | $9,907,114 | ProgramServicesAmt |
| Management And General | $2,475,961 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,630,027 | TotalAmt |
| Program Services | $1,465,998 | ProgramServicesAmt |
| Management And General | $164,029 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $240,095 | TotalAmt |
| Management And General | $240,095 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $578,059 | TotalAmt |
| Management And General | $578,059 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,000 | TotalAmt |
| Program Services | $40,472 | ProgramServicesAmt |
| Management And General | $4,528 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,745 | TotalAmt |
| Management And General | $20,745 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,731,121 | TotalAmt |
| Program Services | $46,927,765 | ProgramServicesAmt |
| Management And General | $3,803,356 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,907,973 | TotalAmt |
| Program Services | $1,715,975 | ProgramServicesAmt |
| Management And General | $191,998 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,031,239 | TotalAmt |
| Program Services | $9,941,625 | ProgramServicesAmt |
| Management And General | $1,089,614 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,637,547 | TotalAmt |
| Program Services | $10,466,468 | ProgramServicesAmt |
| Management And General | $1,171,079 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,213,475 | TotalAmt |
| Program Services | $4,688,846 | ProgramServicesAmt |
| Management And General | $524,629 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $451,358 | TotalAmt |
| Program Services | $405,938 | ProgramServicesAmt |
| Management And General | $45,420 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $703,834 | TotalAmt |
| Program Services | $633,008 | ProgramServicesAmt |
| Management And General | $70,826 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,282,060 | TotalAmt |
| Program Services | $5,831,026 | ProgramServicesAmt |
| Management And General | $1,451,034 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,933,862 | TotalAmt |
| Program Services | $14,361,944 | ProgramServicesAmt |
| Management And General | $3,571,918 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,017,907 | TotalAmt |
| Program Services | $4,512,958 | ProgramServicesAmt |
| Management And General | $504,949 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| RESTRUCTURING EXPENSES | $100,402,563 | $90,299,113 | $10,103,450 |
| MEDICAL SUPPLIES & DRUGS | $100,169,461 | $100,169,461 | |
| PROVIDER TAX | $17,651,439 | $17,651,439 | |
| LICENSES, DUES, SUBSCRIPTIONS | $1,128,100 | $1,014,580 | $113,520 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $990,745 | TotalAmt |
| Program Services | $891,047 | ProgramServicesAmt |
| Management And General | $99,698 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $532,335,708 | TotalAmt |
| Program Services | $469,214,399 | ProgramServicesAmt |
| Management And General | $63,121,309 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,103,296 | BOYAmt |
| EOY | $5,445,665 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,650,785 | BOYAmt |
| EOY | $40,260,048 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,861,145 | BOYAmt |
| EOY | $48,814,373 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,249 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,464,391 | BOYAmt |
| EOY | $8,220,966 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,307,603 | BOYAmt |
| EOY | $4,566,193 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $389,363,401 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $291,817,313 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $172,704,515 | BOYAmt |
| EOY | $97,546,088 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,785,139 | BOYAmt |
| EOY | $46,232,225 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,514,991 | BOYAmt |
| EOY | $4,302,995 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,047,698 | BOYAmt |
| EOY | $5,451,703 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $757,304 | BOYAmt |
| EOY | $104,150 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,164,739 | BOYAmt |
| EOY | $6,229,219 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $410,375,855 | BOYAmt |
| EOY | $267,173,625 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,258,610 | BOYAmt |
| EOY | $52,225,219 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $210,286 | BOYAmt |
| EOY | $42,301 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $177,715,818 | BOYAmt |
| EOY | $172,039,593 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,192,678 | BOYAmt |
| EOY | $9,429,171 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,462,162 | BOYAmt |
| EOY | $16,230,957 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $259,839,554 | BOYAmt |
| EOY | $249,967,241 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $145,488,603 | BOYAmt |
| EOY | $11,754,681 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,047,698 | BOYAmt |
| EOY | $5,451,703 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $150,536,301 | BOYAmt |
| EOY | $17,206,384 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $410,375,855 | BOYAmt |
| EOY | $267,173,625 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$144,387,048 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $4,780,253 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $6,276,878 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $45,000 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $46,057 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $91,057 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule C, Part II-B, Line 1g DIRECT CONTACT WITH LEGISLATORS: | THE ORGANIZATION HIRED A LOBBYING FIRM, WINNING STRATEGIES WASHINGTON, TO DEVELOP AND MAINTAIN CONGRESSIONAL RELATIONSHIPS, MONITOR FEDERAL POLICIES, PROVIDE COUNSEL ON THE ORGANIZATION SHOULD ENGAGE IN FEDERAL ISSUES, PROVIDE GUIDANCE REGARDING FEDERAL FUNDING OPPORTUNITIES, AND ARRANGE MEETINGS OR CALLS WITH OFFICIALS. |
| Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | THE ORGANIZATION IS A MEMBER OF THE MISSOURI HOSPITAL ASSOCIATION, OF WHICH THE FOLLOWING PORTION OF DUES IS ATTRIBUTABLE TO LOBBYING: MISSOURI HOSPITAL ASSOCIATION 36.0% OF $127,937 OR $46,057 |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,475,734 | OtherCostOrOtherBasisAmt |
| Book Value | $21,475,734 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $99,635,909 | OtherCostOrOtherBasisAmt |
| Depreciation | $98,422,890 | DepreciationAmt |
| Book Value | $1,213,019 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $407,604 | OtherCostOrOtherBasisAmt |
| Depreciation | $123,878 | DepreciationAmt |
| Book Value | $283,726 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $252,008,263 | OtherCostOrOtherBasisAmt |
| Depreciation | $187,946,203 | DepreciationAmt |
| Book Value | $64,062,060 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,835,891 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,324,342 | DepreciationAmt |
| Book Value | $10,511,549 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $97,546,088 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| OTHER LIABILITIES | $1,755,342 |
| DUE TO RELATED PARTY | $96,248 |
| DUE TO 3RD PARTY | $14,379,367 |
| DEF COMP LIABILITY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $16,230,957 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS: | FormAndLineReferenceDesc |
| Explanation | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | false | FinancialAssistanceBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,124,620 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,124,620 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0040 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $79,832,605 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $50,949,099 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $28,883,506 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0543 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $81,957,225 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $50,949,099 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $31,008,126 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0582 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,131,676 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,235,024 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $896,652 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0017 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,073,233 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,670,671 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,402,562 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0045 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $13,204,909 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,905,695 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,299,214 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0062 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $95,162,134 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $60,854,794 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $34,307,340 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0644 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $41,280,801 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $5,696,751 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $81,546,920 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $104,339,043 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$22,792,123 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Teaching HospitalTeachingHospitalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SOUTHEAST HOSPITAL | |||||||||||
| 1 | 1701 LACEY ST | CAPE GIRARDEAU | MO | 63701 | WWW.SEHEALTH.ORG | 80 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 1 |
| SOUTHEAST HEALTH OF STODDARD COUNTY | |||||||||||
| 2 | 1200 NORTH ONE MILE ROAD | DEXTER | MO | 63841 | WWW.SEHEALTH.ORG | 526 | Yes (X) | Yes (X) | Yes (X) | 1 | |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://WWW.SEHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH/ | OwnWebsiteURLTxt |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://WWW.SEHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH/ | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.0 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://WWW.MERCY.NET/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://WWW.MERCY.NET/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://WWW.MERCY.NET/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 3E | THE INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY INCLUDED INVOLVING PEOPLE FROM THE FOLLOWING ORGANIZATIONS WHEN THE PRIMARY RESEARCH WAS CONDUCTED: - BOLLINGER COUNTY HEALTH CENTER - DEXTER CHAMBER OF COMMERCE - SALVATION ARMY - BOLLINGER COUNTY PUBLIC LIBRARY - DEXTER PUBLIC SCHOOLS - SCOTT COUNTY HEALTH DEPARTMENT - BOOTHEEL COUNSELING SERVICES - FERGUSON MEDICAL GROUP - SEMO HEALTH NETWORK - CAPE GIRARDEAU COUNTY COMMISSIONER - GIBSON RECOVERY CENTER - SIKESTON DPS - CAPE GIRARDEAU CO PUBLIC HEALTH CTR - AGING MATTERS ASSOCIATION - SOUTH SCOTT CO. AMBULANCE DIST. - CAPE GIRARDEAU POLICE DEPARTMENT - JACKSON CHAMBER OF COMMERCE - SOUTHEAST HOSPITAL - CAPE GIRARDEAU SCHOOL DISTRICT - JACKSON MANOR - SOUTHEAST MISSOURI FOOD BANK - CATHOLIC CHARITIES - JACKSON POLICE DEPARTMENT - SOUTHEAST MISSOURI STATE UNIVERSITY - CITY OF CAPE GIRARDEAU - JACKSON R-2 SCHOOL DISTRICT - SOUTHEAST CONVENIENT CARE - JACKSON - CITY OF DEXTER - MO BOOTHEEL REGIONAL CONSORTIUM - SOUTHEAST HEALTH CENTER - STODDARD CO - CITY OF JACKSON - MO DELTA MEDICAL CENTER/CLINICS - ST. MARY CATHEDRAL/CATHOLIC - SOCIAL MINISTRIES FOOD PANTRY - MO DHSS - STODDARD COUNTY PUBLIC HEALTH CENTER - COMMUNITY CARING COUNCIL - OAK RIDGE K-11 SCHOOL DISTRICT - UNITED WAY OF SEMO - CROSS TRAILS MEDICAL CENTER - REGIONAL HEALTHCARE FOUNDATION - UNIVERSITY OF MISSOURI EXTENSION - DAUGHTERS OF SUNSET/CITY COUNCIL - SAINT FRANCIS MEDICAL CENTER - YMCA OF SEMO EFFORTS WERE MADE TO INCLUDE AT-RISK, TARGETED POPULATIONS AND PRINCIPAL SPECIALTY AREAS THAT ARE SERVED BY THE HOSPITAL AND PRESENT WITHIN THE COMMUNITY, SUCH AS THE MEDICALLY UNDERSERVED, LOW INCOME PERSONS, MINORITY GROUPS, AND THOSE WITH CHRONIC DISEASE NEEDS. SOUTHEAST'S PLANNING & RESEARCH TEAM TOOK EXTENSIVE TIME IN IDENTIFYING PARTNERS AND INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SOUTHEASTHEALTH PERFORMED THE PRIMARY DATA COLLECTION OF THE ASSESSMENT. THE CAPE GIRARDEAU COUNTY PUBLIC HEALTH CENTER WAS ALSO A PARTNER FOR THE CAPE GIRARDEAU COUNTY PORTION OF THE ASSESSMENT. SOUTHEASTHEALTH ADMINISTERED SURVEYS AND WORKED WITH A FOCUS GROUP MODERATOR FROM SOUTHEAST MISSOURI STATE UNIVERSITY FACULTY. THIS INDIVIDUAL TEACHES PRIMARY MARKET RESEARCH. |
| Schedule H, Part V, Section B, Line 6a Facility 1, 1 | Facility 1, 1 - SOUTHEAST HOSPITAL. THE CHNA PROCESS WAS CONDUCTED WITH SOUTHEASTHEALTH'S REGIONAL HOSPITAL FACILITIES, INCLUDING HOSPITAL FACILITY #2 SOUTHEAST HEALTH CENTER OF STODDARD COUNTY. |
| Schedule H, Part V, Section B, Line 6b Facility 1, 1 | Facility 1, 1 - SOUTHEAST HOSPITAL. CAPE GIRARDEAU COUNTY PUBLIC HEALTH CENTER WAS ALSO A PARTNER IN CONDUCTING THIS COMMUNITY HEALTH NEEDS ASSESSMENT. |
| Schedule H, Part V, Section B, Line 7 Facility 1, 1 | Facility 1, 1 - SOUTHEAST HOSPITAL. IN ADDITION TO THE HOSPITAL'S WEBSITE (SEHEALTH.ORG), THE ORGANIZATION SHARED COPIES OF THE EXECUTIVE SUMMARY AND THE COMPLETE REPORT WITH THE LOCAL MEDIA OUTLETS. THE ORGANIZATION ALSO SHARED COPIES OF THE REPORT TO THE MISSOURI HOSPITALS ASSOCIATION'S DIABETES SHARED LEARNING NETWORK GROUP. |
| Schedule H, Part V, Section B, Line 11 Facility 1, 1 | Facility 1, 1 - SOUTHEAST HOSPITAL. IN RESPONSE TO THE COMMUNITY HEALTH NEEDS ASSESSMENT, THE SOUTHEASTHEALTH CHNA TEAM REVIEWED AND COMPILED A LIST OF RESOURCES AND SERVICES ALREADY AVAILABLE IN THE COMMUNITY THAT ADDRESS THE PRIORITY NEEDS THAT SURFACED. THE TEAM THEN MET WITH THE TRANSITIONS OF CARE COMMITTEE WHICH IS COMPRISED OF INDIVIDUALS FROM VARIOUS DEPARTMENTS THROUGHOUT SOUTHEASTHEALTH, INCLUDING: QUALITY MANAGEMENT, CASE MANAGEMENT, EDUCATION, HOME HEALTH, PATIENT EXPERIENCE, AND CLINICAL AREAS SUCH AS THE EMERGENCY DEPARTMENT, CARDIOVASCULAR SERVICES, PERIOPERATIVE SERVICES, BEHAVIORAL HEALTH SERVICES, TO DETERMINE WHAT ADDITIONAL ACTIONS SHOULD TAKE PLACE TO ADDRESS THESE ISSUES. FROM THOSE DISCUSSIONS, THE FOLLOWING IMPROVEMENT STRATEGIES AND ACTIONS WERE DEVELOPED. THIS COMMUNITY HEALTH NEEDS ASSESSMENT WAS PRESENTED TO THE EXECUTIVE TEAM, HOSPITAL BOARD OF DIRECTORS ON THURSDAY, OCTOBER 27 AND THE REGIONAL BOARD OF DIRECTORS ON MONDAY, NOVEMBER 21, 2022, WHICH RECEIVED FINAL APPROVAL. THE TEAM IS FOCUSED ON THREE KEY OBJECTIVES FOR IMPROVING THE AREAS OF IDENTIFIED NEEDS: - ACCESS AND SCREEN PATIENTS - WORK TO ENSURE PATIENTS HAVE GOOD ACCESS TO CARE - OFFER ONGOING PATIENT EDUCATION ABOUT DISEASE STATE, PREVENTION AND OVERALL WELLNESS. |
| Schedule H, Part V, Section B, Line 13 Facility 1, 1 | Facility 1, 1 - . ADDITIONAL CRITERIA USED IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE OTHER THAN INCOME AND ASSETS ALREADY SPECIFIED INCLUDE: -ELIGIBILITY FOR MEDICAID |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 54 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (54 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| SOUTHEAST CANCER CENTER | ||||
| 789 S MT AUBURN RD | CAPE GIRARDEAU | MO | 63703 | OUTPATIENT MEDICAL SERIVCES |
| SOUTHEAST PRIMARY CARE WEST | ||||
| 817 S MT AUBURN RD | CAPE GIRARDEAU | MO | 63703 | RURAL HEALTH CLINIC |
| SOUTHEAST HEALTHPOINT REHABILITATION | ||||
| 2126 INDEPENDENCE SUITE B | CAPE GIRARDEAU | MO | 63701 | OUTPATIENT REHAB SERVICES |
| SOUTHEAST HEALTHPOINT REHAB - JACKSON | ||||
| 410 WEST MAIN STREET DOOR B | JACKSON | MO | 63755 | OUTPATIENT REHAB SERVICES |
| SOUTHEAST WOUND CARE AND HYPERBARIC MED | ||||
| 310 S SILVER SPRINGS DR | CAPE GIRARDEAU | MO | 63703 | OUTPATIENT MEDICAL SERVICES |
| SOUTHEAST LAB SERVICES | ||||
| 62 DOCTORS PARK | CAPE GIRARDEAU | MO | 63703 | OUTPATIENT LABORATORY SERVICES |
| SOUTHEAST HOME HEALTH | ||||
| 10 DOCTORS PARK | CAPE GIRARDEAU | MO | 63703 | HOSPITAL BASED HHA |
| SOUTHEAST BREAST CARE AND DIAGNOSTIC CTR | ||||
| 60 DOCTORS PARK | CAPE GIRARDEAU | MO | 63703 | OUTPATIENT IMAGING SERVICES |
| SOUTHEAST GASTROENTEROLOGY | ||||
| 1723 BROADWAY SUITE 220 | CAPE GIRARDEAU | MO | 63701 | PHYSICIAN CLINIC |
| SOUTHEAST HEALTHPOINT FITNESS | ||||
| 2126 INDEPENDENCE | CAPE GIRARDEAU | MO | 63701 | FITNESS CENTER |
| SOUTHEAST PHARMACY | ||||
| 1723 BROADWAY SUITE 110 | CAPE GIRARDEAU | MO | 63701 | RETAIL PHARMACY |
| SOUTHEAST PEDIATRICS | ||||
| 25 DOCTORS PARK | CAPE GIRARDEAU | MO | 63703 | RURAL HEALTH CLINIC |
| SOUTHEAST NEUROLOGY | ||||
| 1723 BROADWAY SUITE 205 | CAPE GIRARDEAU | MO | 63701 | PHYSICIAN CLINIC |
| SOUTHEAST VISITING SPECIALISTS | ||||
| 1723 BROADWAY STREET SUITE 120 | CAPE GIRARDEAU | MO | 63701 | PHYSICIAN CLINIC |
| SOUTHEAST PHARMACY | ||||
| 817 S MT AUBURN RD SUITE 130 | CAPE GIRARDEAU | MO | 63703 | RETAIL PHARMACY |
| SOUTHEAST DIABETES CENTER | ||||
| 15 DOCTORS PARK | CAPE GIRARDEAU | MO | 63703 | OUTPATIENT MEDICAL SERVICES |
| SOUTHEAST PULMONOLOGY | ||||
| 371 S BROADVIEW STREET | CAPE GIRARDEAU | MO | 63701 | PHYSICIAN CLINIC |
| SOUTHEAST IMAGING | ||||
| 817 S MT AUBURN RD | CAPE GIRARDEAU | MO | 63703 | OUTPATIENT IMAGING SERVICES |
| SOUTHEAST OCCUPATIONAL MEDICINE | ||||
| 2126 INDEPENDENCE DOOR B | CAPE GIRARDEAU | MO | 63701 | PHYSICIAN CLINIC |
| SOUTHEAST PHYSICAL MEDICINE AND REHAB | ||||
| 2126 INDEPENDENCE | CAPE GIRARDEAU | MO | 63701 | PHYSICIAN CLINIC |
| SOUTHEAST HEALTHPOINT FITNESS | ||||
| 410 WEST MAIN STREET | CAPE GIRARDEAU | MO | 63755 | FITNESS CENTER |
| THE CLINIC AT WALMART BY SOUTHEASTHEALTH | ||||
| 2025 BUSINESS HWY 60 | DEXTER | MO | 63841 | RURAL HEALTH CLINIC |
| SOUTHEAST ENDOCRINOLOGY | ||||
| 15 DOCTORS PARK | CAPE GIRARDEAU | MO | 63703 | PHYSICIAN CLINIC |
| SOUTHEASTHEALTH FAMILY MEDICINE | ||||
| 1200 N ONE MILE RD | DEXTER | MO | 63841 | RURAL HEALTH CLINIC |
| SOUTHEAST HEALTH BLOOMFIELD CLINIC | ||||
| 1003 N HWY 25 | BLOOMFIELD | MO | 63825 | RURAL HEALTH CLINIC |
| SOUTHEAST HOME HEALTH OF DEXTER | ||||
| 1300 N ONE MILE ROAD | DEXTER | MO | 63841 | HOSPITAL BASED HHA |
| SOUTHEASTHEALTH MALDEN CLINIC | ||||
| 500 N DOUGLAS | MALDEN | MO | 63863 | RURAL HEALTH CLINIC |
| SOUTHEASTHEALTH BERNIE CLINIC | ||||
| 810 N WALNUT ST | BERNIE | MO | 63822 | RURAL HEALTH CLINIC |
| SOUTHEASTHEALTH FAM MED OF POPLAR BLUFF | ||||
| 2002 KANELL BOULEVARD STE 103 106 | POPLAR BLUFF | MO | 63901 | RURAL HEALTH CLINIC |
| CARDIOVASCULAR CONSULTANTS | ||||
| 371 S BROADVIEW ST | CAPE GIRARDEAU | MO | 63703 | PHYSICIAN CLINIC |
| SOUTHEASTHEALTH PHARMACY | ||||
| 2002 KANELL BOULEVARD SUITE 102 | POPLAR BLUFF | MO | 63901 | RETAIL PHARMACY |
| SOUTHEAST CONVENIENT CARE | ||||
| 2432 EAST MAIN | JACKSON | MO | 63755 | PHYSICIAN CLINIC |
| SOUTHEAST EAR NOSE AND THROAT | ||||
| 1723 BROADWAY STE 205 | CAPE GIRARDEAU | MO | 63701 | PHYSICIAN CLINIC |
| WOMEN FIRST OF SOUTHEASTHEALTH | ||||
| 1111 N MT AUBURN RD | CAPE GIRARDEAU | MO | 63701 | PHYSICIAN CLINIC |
| SOUTHEAST HOSPICE | ||||
| 10 DOCTORS PARK | CAPE GIRARDEAU | MO | 63703 | HOSPITAL BASED HHA |
| SOUTHEAST RHEUMATOLOGY | ||||
| 1723 BROADWAY SUITE 310 | CAPE GIRARDEAU | MO | 63701 | PHYSICIAN CLINIC |
| SOUTHEAST PRIMARY CARE JACKSON | ||||
| 2600 EAST MAIN STREET | JACKSON | MO | 63755 | PHYSICIAN CLINIC |
| SOUTHEAST CARDIAC IMAGING | ||||
| 371 S BROADVIEW STREET | CAPE GIRARDEAU | MO | 63703 | OUTPATIENT IMAGING SERVICES |
| SOUTHEAST CARDIAC AND PULMONARY REHAB | ||||
| 1708 LACEY STREET | CAPE GIRARDEAU | MO | 63701 | OUTPATIENT REHAB SERVICES |
| SOUTHEAST CAMPUS HEALTH CLINIC | ||||
| 725 N PACIFIC ROOM 101 | CAPE GIRARDEAU | MO | 63701 | CAMPUS HEALTH CLINIC |
| SOUTHEAST CARDIOVASCULAR AND THORACIC SU | ||||
| 1723 BROADWAY SUITE 210 | CAPE GIRARDEAU | MO | 63701 | PHYSICIAN CLINIC |
| SOUTHEAST PRIMARY CARE | ||||
| 624 OLD SAINT MARYS ROAD | PERRYVILLE | MO | 63775 | PHYSICIAN CLINIC |
| SOUTHEASTHEALTH IMAGING OF POPLAR BLUFF | ||||
| 2002 KANELL BLVD SUITE 104 | POPLAR BLUFF | MO | 63901 | OUTPATIENT IMAGING SERVICES |
| SOUTHEASTHEALTH LAB SERV OF POPLAR BLUFF | ||||
| 2002 KANELL BLVD SUITE 105 | POPLAR BLUFF | MO | 63901 | OUTPATIENT LABORATORY SERVICES |
| NEW MADRID CLINIC | ||||
| 800 US HWY 61 | NEW MADRID | MO | 63869 | RURAL HEALTH CLINIC |
| SIKESTON CLINIC | ||||
| 522 VIRGINIA STREET | SIKESTON | MO | 63801 | RURAL HEALTH CLINIC |
| SOUTHEAST WOMEN AND CHILDREN SERVICES | ||||
| 1413 N MT AUBURN ROAD | CAPE GIRARDEAU | MO | 63701 | PHYSICIAN CLINIC |
| SOUTHEAST IMAGING | ||||
| 1723 BROADWAY SUITE 130 | CAPE GIRARDEAU | MO | 63701 | OUTPATIENT IMAGING SERVICES |
| SOUTHEAST IMAGING | ||||
| 2600 EAST MAIN STREET | JACKSON | MO | 63755 | OUTPATIENT IMAGING SERVICES |
| SOUTHEAST OCCUPATIONAL MEDICINE | ||||
| 1300 N ONE MILE ROAD | DEXTER | MO | 63841 | PHYSICIAN CLINIC |
| SOUTHEAST LAB SERVICES | ||||
| 1723 BROADWAY SUITE 130 | CAPE GIRARDEAU | MO | 63701 | OUTPATIENT LAB SERVICES |
| SOUTHEAST LAB SERVICES | ||||
| 2600 EAST MAIN STREET | JACKSON | MO | 63701 | OUTPATIENT LAB SERVICES |
| SOUTHEAST PHARMACY | ||||
| 2600 EAST MAIN STREET | JACKSON | MO | 63755 | RETAIL PHARMACY |
| SOUTHEAST ORTHOPEDICS | ||||
| 1723 BROADWAY SUITE | CAPE GIRARDEAU | MO | 63701 | PHYSICIAN CLINIC |
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 7f PERCENT OF TOTAL EXPENSE: | TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25, OF THE FORM 990. |
| Schedule H, Part I, Line 7g SUBSIDIZED SERVICES: | THE ORGANIZATION HAS INCLUDED COSTS ASSOCIATED WITH RURAL HEALTH CENTERS (RHC) IN THE CALCULATION OF SUBSIDIZED SERVICES ON LINE 7G, WITH A NET SUBSIDY FROM RHCS OF $2,402,562. SOUTHEASTHEALTH PROVIDES PRIMARY CARE SERVICES TO THE SURROUNDING COMMUNITIES AT THE CENTERS. THESE SERVICES ARE PROVIDED IN RURAL AREAS WHERE THERE WOULD BE A SHORTAGE OF QUALITY MEDICAL CARE WITHOUT THE SERVICES AND CONTINUES TO PROVIDE THESE SERVICES AS A BENEFIT TO THE COMMUNITY DESPITE KNOWING THAT FINANCIAL SHORTFALLS WILL BE SUSTAINED. |
| Schedule H, Part I, Line 7 COSTING METHODOLOGY: | THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. IRS WORKSHEET 6 USED SPECIFIC COST TO CHARGE RATIO FOR EACH SERVICE. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HEALTH SYSTEM DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HEALTH SYSTEM'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED DECEMBER 31, 2023. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | SOUTHEAST HOSPITAL ESTIMATES THAT APPROXIMATELY 13.8% OF THE PATIENT ACCOUNTS WRITTEN OFF TO BAD DEBTS MAY QUALIFY FOR CHARITY CARE OR OTHER ASSISTANCE BUT CHOSE NOT TO APPLY. THEREFORE, THE BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS DETERMINED USING 13.8% OF THE AMOUNT REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. |
| Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote | THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE, THAT NOTE CAN BE FOUND ON PAGE 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | SOUTHEASTHEALTH WILL ASSIST ALL PATIENTS IN THE BILLING OF INSURANCE CLAIMS TO GOVERNMENTAL AGENCIES, COMMERCIAL INSURANCE CARRIERS AND OTHER THIRD PARTY PAYERS. THIS POLICY OUTLINES THE PROCESS FOR MANAGING ALL PATIENT OR GUARANTOR RESPONSIBLE BALANCES DUE TO SOUTHEASTHEALTH FOR SERVICES PROVIDED. SELF-PAY PATIENTS OR GUARANTORS (PATIENTS WITHOUT HEALTH CARE INSURANCE) WILL BE COOPERATED WITH FULLY WHILE BEING ENCOURAGED TO SATISFY THEIR FINANCIAL OBLIGATIONS TO SOUTHEASTHEALTH ON A TIMELY BASIS. AN ATMOSPHERE OF MUTUAL UNDERSTANDING BETWEEN THE PATIENTS WE SERVE AND SOUTHEASTHEALTH WILL BE MAINTAINED AT ALL TIMES. SOUTHEASTHEALTH WILL ONLY BILL FOR SERVICES ACTUALLY PROVIDED TO PATIENTS AND WILL PROVIDE ASSISTANCE TO PATIENTS SEEKING TO UNDERSTAND THE COST OF THEIR CARE. STAFF WILL ALSO ATTEMPT TO RESOLVE QUESTIONS AND OBJECTIONS TO THE SATISFACTION OF THE PATIENT. SOUTHEAST HEALTH'S (HOSPITAL FACILITY #1) PROCEDURES ARE AS FOLLOWS: 1. ALL PATIENTS/GUARANTORS WILL BE PROVIDED A BILLING STATEMENT WITH A SUMMARY OF CHARGES, INSURANCE PAYMENTS, ADJUSTMENTS AND BALANCE DUE FROM THE PATIENT OR GUARANTOR. 2. SOUTHEASTHEALTH WILL CONDUCT ACCOUNT FOLLOW-UP WITH PATIENTS OR GUARANTORS AS FOLLOWS: A. BILLING STATEMENTS WILL BE SENT TO THE PATIENT OR GUARANTOR ROUTINELY EVERY 30 DAYS WITH PAYMENT OPTIONS, INCLUDING INFORMATION REGARDING FINANCIAL ASSISTANCE, CHARITY CARE, AND UNINSURED DISCOUNT B. TELEPHONE CONTACT WILL BEGIN WITHIN 21 DAYS OF THE INITIAL BILLING STATEMENT. PAYMENT OPTIONS INCLUDING SHORT TERM MONTHLY PAYMENT PLAN, FINANCIAL ASSISTANCE, CHARITY CARE, AND UNINSURED DISCOUNT WILL BE DISCUSSED (REFER TO THE APPLICABLE POLICIES) C. AT 150 DAYS FROM THE INITIAL BILLING STATEMENT, UNRESOLVED ACCOUNTS WILL RECEIVE A FINAL DEMAND FOR PAYMENT STATEMENT. AT THIS TIME THE ACCOUNT WILL QUALIFY FOR COLLECTION ACTION D. AT 180 DAYS FROM THE INITIAL BILLING STATEMENT, UNRESOLVED ACCOUNTS MAY BE PLACED WITH AN EXTERNAL COLLECTION AGENCY 3. SOUTHEASTHEALTH OFFERS SEVERAL DIFFERENT PAYMENT OPTIONS TO SETTLE ACCOUNTS: A. PAYMENT IN FULL: CASH, CHECK, MASTERCARD, VISA, DISCOVER B. THREE EQUAL INSTALLMENTS OVER 90 DAYS C. SHORT TERM MONTHLY PAYMENT ARRANGEMENTS MAY BE ESTABLISHED TO RESOLVE THE ACCOUNT BALANCE WITHIN 12 EQUAL MONTHLY INSTALLMENTS D. TERMS LONGER THAN TWELVE (12) MONTHS MAY BE CONSIDERED BASED UPON SPECIAL CIRCUMSTANCES AND APPROVED BY DIRECTOR - REVENUE CYCLE E. FINANCIAL ASSISTANCE, CHARITY CARE, AND UNINSURED DISCOUNT IS AVAILABLE, REFER TO THE POLICY GUIDELINES 4. COLLECTION AGENCY - PRIMARY. UNRESOLVED ACCOUNTS WILL BE ASSIGNED AT 181 DAYS FROM INITIAL BILLING AND WILL REMAIN WITH THE PRIMARY COLLECTION AGENCY FOR 180 DAYS FROM PLACEMENT. A. COLLECTIONS EFFORTS WILL BE CONDUCTED UTILIZING PATIENT OR GUARANTOR BILLING STATEMENTS, COLLECTION LETTERS AND TELEPHONE CONTACT B. PAYMENT ARRANGEMENTS ARE AVAILABLE AS STATED ABOVE C. FINANCIAL ASSISTANCE, CHARITY CARE, AND UNINSURED DISCOUNTS ARE AVAILABLE AS STATED ABOVE D. ACCOUNTS WILL NOT BE REPORTED TO THE CREDIT BUREAU E. ACCOUNTS WILL NOT BE SUBJECT TO LEGAL COLLECTION EFFORTS 5. COLLECTION AGENCY - SECONDARY. UNRESOLVED ACCOUNTS WILL BE ASSIGNED AT 331 DAYS FROM INITIAL STATEMENT DATE AND WILL REMAIN WITH THE SECONDARY COLLECTION AGENCY FOR 180 DAYS FROM PLACEMENT. A. COLLECTIONS EFFORTS WILL BE CONDUCTED UTILIZING PATIENT OR GUARANTOR BILLING STATEMENTS, COLLECTION LETTERS AND TELEPHONE CONTACT B. PAYMENT ARRANGEMENTS ARE AVAILABLE AS STATED ABOVE C. FINANCIAL ASSISTANCE, CHARITY CARE, UNINSURED DISCOUNTS ARE AVAILABLE AS STATED ABOVE 6. UNRESOLVED ACCOUNTS ARE SUBJECT TO CREDIT BUREAU REPORTING AT 60 DAYS FROM PLACEMENT WITH THE SECONDARY AGENCY 7. ALL UNRESOLVED ACCOUNTS ARE SUBJECT TO LEGAL ACTION. ANY COLLECTION COSTS INCURRED, SUCH AS ATTORNEY FEES AND/OR COURT COSTS WILL BECOME THE RESPONSIBILITY OF THE PATIENT OR GUARANTOR AND WILL BE ADDED TO THE ACCOUNT BALANCE 8. BAD DEBT A. UNRESOLVED ACCOUNTS THAT HAVE COMPLETED THE COLLECTION PROCESS WILL BE CONSIDERED UNCOLLECTABLE AND SUBJECT TO BAD DEBT WRITE-OFF SOUTHEAST HEALTH OF STODDARD COUNTY'S (HOSPITAL FACILITY #2) PROCEDURES ARE AS FOLLOWS: 1. ALL PATIENTS/GUARANTORS WILL BE PROVIDED A BILLING STATEMENT WITH A SUMMARY OF CHARGES, INSURANCE PAYMENTS, ADJUSTMENTS AND BALANCE DUE FROM THE PATIENT OR GUARANTOR 2. SEH STODDARD WILL CONDUCT ACCOUNT FOLLOW-UP WITH PATIENTS OR GUARANTORS AS FOLLOWS: A. BILLING STATEMENTS WILL BE SENT TO THE PATIENT OR GUARANTOR ROUTINELY EVERY 30 DAYS WITH PAYMENT OPTIONS, INCLUDING INFORMATION REGARDING FINANCIAL ASSISTANCE, CHARITY CARE, AND UNINSURED DISCOUNT B. AT 90 DAYS FROM THE INITIAL BILLING STATEMENT, UNRESOLVED ACCOUNTS WILL RECEIVE A FINAL DEMAND FOR PAYMENT STATEMENT. AT THIS TIME THE ACCOUNT WILL QUALIFY FOR COLLECTION ACTION C. AT 120 DAYS FROM THE INITIAL BILLING STATEMENT, UNRESOLVED ACCOUNTS MAY BE PLACED WITH AN EXTERNAL COLLECTION AGENCY 3. SEH STODDARD OFFERS SEVERAL DIFFERENT PAYMENT OPTIONS TO SETTLE ACCOUNTS: A. PAYMENT IN FULL: CASH, CHECK, MASTERCARD, VISA, DISCOVER B. THREE EQUAL INSTALLMENTS OVER 90 DAYS C. SHORT TERM MONTHLY PAYMENT ARRANGEMENTS MAY BE ESTABLISHED TO RESOLVE THE ACCOUNT BALANCE WITHIN 12 EQUAL MONTHLY INSTALLMENTS D. TERMS LONGER THAN TWELVE (12) MONTHS MAY BE CONSIDERED BASED UPON SPECIAL CIRCUMSTANCES AND APPROVED BY DIRECTOR - REVENUE CYCLE E. FINANCIAL ASSISTANCE, CHARITY CARE, AND UNINSURED DISCOUNT IS AVAILABLE, REFER TO THE POLICY GUIDELINES 4. COLLECTION AGENCY: UNRESOLVED ACCOUNTS WILL BE ASSIGNED AT 120 DAYS FROM INITIAL BILLING AND WILL REMAIN WITH THE PRIMARY COLLECTION AGENCY FOR 120 DAYS FROM PLACEMENT. A. COLLECTIONS EFFORTS WILL BE CONDUCTED UTILIZING PATIENT OR GUARANTOR BILLING STATEMENTS, COLLECTION LETTERS AND TELEPHONE CONTACT B. PAYMENT ARRANGEMENTS ARE AVAILABLE AS STATED ABOVE C. FINANCIAL ASSISTANCE, CHARITY CARE, UNINSURED DISCOUNTS ARE AVAILABLE AS STATED ABOVE D. UNRESOLVED ACCOUNTS ARE SUBJECT TO CREDIT BUREAU REPORTING AT 60 DAYS FROM PLACEMENT WITH THE COLLECTION AGENCY E. UNRESOLVED ACCOUNTS ARE SUBJECT TO LEGAL ACTION AT 120 DAYS FROM PLACEMENT WITH THE COLLECTION AGENCY. ANY COLLECTION COSTS INCURRED, SUCH AS ATTORNEY FEES AND/OR COURT COSTS WILL BECOME THE RESPONSIBILITY OF THE PATIENT OR GUARANTOR AND WILL BE ADDED TO THE ACCOUNT BALANCE 5. BAD DEBT: UNRESOLVED ACCOUNTS THAT HAVE COMPLETED THE COLLECTION PROCESS WILL BE CONSIDERED UNCOLLECTABLE AND SUBJECT TO BAD DEBT WRITE-OFF. |
| Schedule H, Part V, Section B, Line 16a FAP website | 1 - SOUTHEAST HOSPITAL: Line 16a URL: HTTPS://WWW.MERCY.NET/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | 1 - SOUTHEAST HOSPITAL: Line 16b URL: HTTPS://WWW.MERCY.NET/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | 1 - SOUTHEAST HOSPITAL: Line 16c URL: HTTPS://WWW.MERCY.NET/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE/; |
| Schedule H, Part VI, Line 2 Needs assessment | SOUTHEAST HOSPITAL STARTING POINT IS PRIORITY SETTING: THE HEIGHTENED RISKS AND RISK FACTORS, UNMET NEEDS FOR CARE, ACCESS BARRIERS, AND OTHER FINDINGS THAT AFFECT THE HEALTH STATUS OF THE COMMUNITY, AS IDENTIFIED IN THE QUALITATIVE AND QUANTITATIVE STUDIES. SELECTION OF A LIMITED NUMBER OF PRIORITIES FOR ACTION, CONSIDERING CRITERIA SUCH AS: - SEVERITY OF THE ISSUE, AS REPRESENTED BY SOME OR ALL OF THE FOLLOWING: HIGHLY ACUTE, AFFECTS A LARGE NUMBER OF PEOPLE, HAS SIGNIFICANT ECONOMIC AND/OR OPPORTUNITY COST, GROWING OR WORSENING OVER TIME. - AVAILABILITY OF KNOWN, FEASIBLE INTERVENTIONS, WITH MEASURABLE IMPACT, THAT ARE LIKELY TO ACHIEVE RESULTS AND IMPROVE THE COMMUNITY'S QUALITY OF LIFE AND HEALTH IN A REASONABLE TIME FRAME. - UNADDRESSED OR UNDER-ADDRESSED ISSUE: NO/FEW ORGANIZATIONS OR (INSUFFICIENT) RESOURCES FOCUSING ON IT EFFECTIVELY AT PRESENT. - SOUTHEASTHEALTH SYNERGIES: SPECIAL EXPERTISE, STRATEGIC PRIORITY, AND/OR PROGRAMS IN PLACE TO SERVE AS BUILDING BLOCKS. QUANTITATIVE ANALYSIS - EPIDEMIOLOGIC AND SOCIO-DEMOGRAPHIC ANALYSIS, AIMED AT IDENTIFYING AREAS OF HEIGHTENED RELATIVE RISK THROUGH COMPARISONS OF COUNTY DATA WITH STATE AND NATIONAL DATA. SOME AREAS THAT WERE RESEARCHED INCLUDE: *DEMOGRAPHICS *SOCIO-ECONOMIC CHARACTERISTICS *PHYSICAL & BUILT ENVIRONMENT *HEALTH BEHAVIORS *HEALTH OUTCOMES -MORTALITY & MORBIDITY *HEALTH CARE RESOURCES & PROVIDERS QUALITATIVE ASSESSMENT - INPUT FROM COMMUNITIES AND AGENCIES LOCATED IN THE SOUTHEAST HOSPITAL SERVICE AREA. - A SURVEY WAS ADMINISTERED IN MULTIPLE SETTINGS OVER A PERIOD OF SEVERAL WEEKS THAT WAS AVAILABLE ONLINE VIA JOTFORM AS WELL AS IN PAPER FORMAT FOR CIRCUMSTANCES WHERE THE ONLINE FORMAT COULD NOT BE USED - A TOTAL OF 292 SURVEYS WERE COMPLETED BY RESIDENTS FROM THE 4 PRIMARY COUNTIES: BOLLINGER (26), CAPE GIRARDEAU (171), SCOTT (47) AND STODDARD (48) - EIGHT FOCUS GROUPS WERE HELD IN THE FOUR COUNTIES ON VARIOUS DATES AND IN VARIOUS LOCATIONS - ONE FOCUS GROUP EACH WAS HELD IN DEXTER, SIKESTON, AND MARBLE HILL - FIVE FOCUS GROUPS WERE HELD IN CAPE GIRARDEAU COUNTY; 1 IN JACKSON, 3 AT THE CAPE GIRARDEAU PUBLIC HEALTH CENTER, AND 1 AT SOUTHEASTHEALTH WITH THE TRANSITIONS OF CARE AND CHRONIC DISEASE SELF-MANAGEMENT TEAMS |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | WE HAVE FINANCIAL COUNSELORS THAT WORK WITH SELF-PAY ACCOUNTS PRIOR TO SERVICE. THEY DO PRE-SCREENING FOR MEDICAID AND IF THEY MEET THOSE QUALIFICATIONS, THE PATIENT IS FORWARDED TO SOUTHEAST'S RESOURCE SERVICE WHICH HELP WITH A FULL MEDICAID APPLICATION. IF THE PATIENT DOESN'T QUALIFY FOR MEDICAID, THEY ARE INFORMED OF OUR FINANCIAL ASSISTANCE PROGRAM AND A PACKET IS MAILED TO THE PATIENT. |
| Schedule H, Part VI, Line 4 Community information | THE OVERALL DIRECTION OF DEMOGRAPHIC SHIFTS ANTICIPATED IN THE NEXT 10 YEARS HIGHLIGHTS THE NEED FOR THE DEVELOPMENT AND REINFORCEMENT OF SOCIAL SUPPORTS THAT WILL HELP THE POPULATION REMAIN ECONOMICALLY VITAL AND FACILITATE SAFE AGING IN PLACE. FINDINGS: - SLOW POPULATION GROWTH VS. MO OR US - GREATER CONCENTRATION IN CAPE GIRARDEAU COUNTY - STATIC OR DECLINING POPULATION IN OUTLYING COUNTIES - GREATEST GROWTH SEGMENT IN SENIOR YEARS, AGES 65+ - FAIRLY LOW DIVERSITY LEVELS (85-97% IN EACH COUNTY CLASSIFIED AS WHITE) - INCREASING DEPENDENCY RATIO (NUMBER OF INDIVIDUALS RELYING ON EACH EMPLOYMENT-ELIGIBLE INDIVIDUAL FOR SUPPORT), PUTTING GREATER PRESSURE ON THE 45-64 SEGMENT AS IT MOVES TOWARD POTENTIAL RETIREMENT AGE THE POPULATION OF THE FOUR-COUNTY AREA FACES SEVERAL CHALLENGES THAT MAY AFFECT SOCIO-ECONOMIC SELF-SUFFICIENCY, AND THEREFORE LEAD TO BOTH DIRECT AND INDIRECT EFFECTS ON HEALTH STATUS. FINDINGS: - HIGHER PERCENTAGES OF THE POPULATION WITHOUT A HIGH SCHOOL DIPLOMA AND LOWER PERCENTAGES OF HIGHER EDUCATION ACHIEVED IN COMPARISON WITH THE MO AND US PERCENTAGES IN ALL COUNTIES EXCEPT CAPE GIRARDEAU - LOWER MEDIAN AND PER CAPITA INCOMES, AND HIGH RATES OF PERSONS LIVING IN POVERTY, IN COMPARISON WITH THE STATE AND NATIONAL LEVEL. - THE LACK OF HEALTH INSURANCE AND/OR THE COST OF HEALTHCARE SERVICES ARE SUBSTANTIAL BARRIERS TO CARE IN MOST OF THE COUNTIES. - SEVERAL MEASURES RELATED TO HUNGER AND FOOD UNCERTAINTY ARE MORE PREVALENT THAN AVERAGE IN ALL FOUR COUNTIES. - THE LACK OF PUBLIC TRANSPORTATION, AND LIMITED ACCESS TO OR HIGH COST OF PERSONAL TRANSPORTATION AMONG SOME SEGMENTS IN THE RURAL COUNTIES, CREATES BARRIERS TO ACCESS HEALTHCARE SERVICES - FURTHER EXACERBATING THE ACCESS ISSUE IN RURAL COUNTIES WITH RELATIVELY FEW PROVIDERS PER POPULATION. - MORE CHALLENGES ARE PRESENT REGARDING THE PHYSICAL AND BUILT ENVIRONMENTS FOR THE FOUR COUNTIES THAT MAY HAVE AN EFFECT ON HEALTH STATUS: *HIGH PERCENTAGES OF LOW FOOD ACCESS FOR SCOTT AND STODDARD COUNTIES *LOW RATE OF RECREATION AND FITNESS FACILITY ACCESS PER THE POPULATION IN CAPE GIRARDEAU COUNTY (ALL OTHER COUNTIES HAVE DATA THAT IS SUPPRESSED |
| Schedule H, Part VI, Line 5 Promotion of community health | SOUTHEAST HAS ESTABLISHED AND WORKED WITH A COMMUNITY COALITION TO HELP FILL THE GAP IN HEALTH AND WELLNESS NEED IN THE FOUR COUNTIES THAT ARE IDENTIFIED IN SOUTHEAST'S PRIMARY SERVICE AREA. WE CONDUCT FREE EVENTS WITH VARIOUS LINES TO HELP WITH COMMUNITY HEALTH: - SKIN CANCER SCREENING - TOBACCO CESSATION CLASSES - KIDS' DIABETES CAMP - VASCULAR SCREENINGS (REDUCED COST) EACH YEAR THE SOUTHEASTHEALTH FOUNDATION SUPPORTS OUR PATIENTS MOST IN NEED THROUGH DONATIONS. WE PROVIDE $30,000 ANNUALLY IN MEDICATIONS, TRANSPORTATION AND EMERGENCY SUPPORT TO OVER 900 LOW-INCOME PATIENTS. WE PROVIDE $30,000 ANNUALLY IN CRISIS FUNDS TO OVER 170 EMPLOYEES. WE PROVIDE OVER $35,000 ANNUALLY TO OVER 1,000 CANCER PATIENTS IN CRISIS INCLUDING TRANSPORTATION, PHARMACEUTICALS AND UTILITY BILLS. THE FOUNDATION PROVIDES MEDICATIONS TO THOSE WHO CANNOT AFFORD THEM. OUR NEWLY DIAGNOSED CANCER PATIENTS ARE PROVIDED A WEEKEND RETREAT -FREE OF CHARGE. OUR KIDS WITH DIABETES ARE WELCOMED TO A CAMP WHERE THERE ARE OTHER KIDS LIKE THEM. WE PROVIDE BEREAVEMENT COUNSELING TO THOSE WHO HAVE RECENTLY SUFFERED A LOSS. |
| Schedule H, Part VI, Line 6 Affiliated health care system | THE FILING ORGANIZATION IS PART OF MERCY HEALTH ("MERCY") STARTING DECEMBER 20, 2023. MERCY IS A MISSOURI NON-PROFIT CORPORATION WITH ITS HEADQUARTERS ("MINISTRY OFFICE") IN ST. LOUIS, MISSOURI. MERCY PROVIDES HEALTH CARE SERVICES IN FOUR STATES - ARKANSAS, KANSAS, MISSOURI, AND OKLAHOMA - AND HAS OUTREACH MINISTRIES LOCATED IN ARKANSAS, LOUISIANA, MISSISSIPPI, AND TEXAS. MERCY'S MISSION IS "AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE." IN 2023, MERCY FACILITIES INCLUDED 30 ACUTE CARE HOSPITALS, 5 HEART HOSPITALS, 6 REHAB HOSPITALS, 2 CHILDREN'S HOSPITALS, 2 ORTHOPEDIC HOSPITALS, AND 1 VIRTUAL CARE COMMAND CENTER. FOR 2023, MERCY HAD MORE THAN 10.9 MILLION CLINIC AND OUTPATIENT VISITS, APPROXIMATELY 2,400 EMPLOYED PHYSICIANS, AND APPROXIMATELY 45,000 FULL-TIME EQUIVALENT EMPLOYEES, MAKING MERCY THE SIXTH LARGEST CATHOLIC HEALTH SYSTEM IN THE UNITED STATES. MERCY IS SPONSORED BY MERCY HEALTH MINISTRY, WHICH IS GOVERNED BY MEMBERS THAT INCLUDE SISTERS OF MERCY. MANY SERVICES THAT ARE ESSENTIAL TO FULFILLING MERCY'S MISSION ARE CENTRALIZED AT THE MINISTRY OFFICE. SUCH CENTRALIZED SERVICES INCLUDE: FINANCE (INCLUDING TREASURY, FINANCIAL ACCOUNTING AND REPORTING, REVENUE MANAGEMENT, INTERNAL AUDIT, ACCOUNTS PAYABLE AND PAYROLL OPERATIONS, ANALYTICS AND DECISION SUPPORT); ENVIRONMENTAL SERVICES SUPPORT; CLINICAL INTEGRATION; CARE MANAGEMENT; CLINICAL PERFORMANCE ACCELERATION; CLINICAL ENGINEERING; CLINICAL QUALITY MANAGEMENT; COMPLIANCE; GRANTS AND RESEARCH SERVICES; LEGAL AND COMPLIANCE COUNSEL; MARKETING AND COMMUNICATIONS; PLANNING, DESIGN AND CONSTRUCTION; PRODUCT DEVELOPMENT INFORMATICS; REAL ESTATE; SUPPLY CHAIN MANAGEMENT; MANAGED CARE STRATEGY SUPPORT; HUMAN RESOURCES (INCLUDING COMPENSATION, BENEFITS AND RECRUITING); MISSION SERVICES AND ETHICS; PHILANTHROPY SUPPORT; INFORMATION TECHNOLOGY; AND, COMMUNITY RELATIONS. THE CENTRALIZATION OF SUCH SUPPORT SERVICES ENABLES MERCY TO ENSURE THAT EACH OF ITS COMMUNITIES, WHETHER LARGE OR SMALL, HAS THE SERVICES IT NEEDS |
| Schedule H, Part VI, Line 7 State filing of community benefit report | MO |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| FEDERAL STUDENT LOANS | 144 | $968,873 |
| PELL GRANTS | 105 | $387,668 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. | FormAndLineReferenceDesc |
| Explanation | THE COLLEGE ADHERES TO THE FEDERAL STUDENT AID HANDBOOK PUBLISHED BY THE DEPARTMENT OF EDUCATION WHEN ADMINISTERING TITLE IV FUNDING. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KENNETH BATEMAN | ||||||||||||||
| PRESIDENT/CEO, DIRECTOR | $746,854 | $0 | $868,414 | $0 | $688,066 | $0 | $55,638 | $0 | $27,821 | $0 | $2,386,793 | $0 | $569,027 | $0 |
| JAMIE HARRISON | ||||||||||||||
| FAMILY PRACTITIONER | $242,829 | $0 | $228,173 | $0 | $0 | $0 | $29,100 | $0 | $20,801 | $0 | $520,903 | $0 | $0 | $0 |
| KRISTA BERRY | ||||||||||||||
| CHIEF FINANCIAL OFFICER BEG 12/23 | $215,548 | $0 | $224,172 | $0 | $0 | $0 | $29,100 | $0 | $18,671 | $0 | $487,491 | $0 | $0 | $0 |
| STEVEN HAAS | ||||||||||||||
| VP AND CFO END 12/23 | $376,819 | $0 | $375,458 | $0 | $1,465 | $0 | $36,600 | $0 | $29,134 | $0 | $819,476 | $0 | $0 | $0 |
| JASON EMMENDERFER | ||||||||||||||
| EXEC DIR SPORTS MED AND ORTHO | $154,559 | $0 | $0 | $0 | $0 | $0 | $16,297 | $0 | $21,193 | $0 | $192,049 | $0 | $0 | $0 |
| REGINA FAULKENBERRY | ||||||||||||||
| VP AND GENERAL COUNSEL | $189,999 | $0 | $201,729 | $0 | $0 | $0 | $29,100 | $0 | $24,523 | $0 | $445,350 | $0 | $0 | $0 |
| SHAUNA WINTERS HOFFMAN | ||||||||||||||
| VP OF MARKETING & DEVELOPMENT | $210,391 | $0 | $214,053 | $0 | $0 | $0 | $23,646 | $0 | $10,640 | $0 | $458,730 | $0 | $0 | $0 |
| MATTHEW JANZOW | ||||||||||||||
| VP AND CHIEF MEDICAL OFFICER | $232,416 | $0 | $0 | $0 | $210,783 | $0 | $23,437 | $0 | $33,103 | $0 | $499,739 | $0 | $0 | $0 |
| SHERRIE LANE | ||||||||||||||
| DIRECTOR OF PHARMACY | $179,781 | $0 | $0 | $0 | $0 | $0 | $21,132 | $0 | $10,282 | $0 | $211,196 | $0 | $0 | $0 |
| STEVEN LANGDON | ||||||||||||||
| PRESIDENT - COLLEGE OF NURSING | $228,327 | $0 | $232,929 | $0 | $0 | $0 | $11,237 | $0 | $16,919 | $0 | $489,412 | $0 | $0 | $0 |
| MICHAEL NICHOLS | ||||||||||||||
| VP & CHIEF INFORMATION OFFICER | $310,424 | $0 | $316,576 | $0 | $0 | $0 | $36,600 | $0 | $21,853 | $0 | $685,453 | $0 | $0 | $0 |
| ERIN PFEIFER | ||||||||||||||
| VP OF HUMAN RESOURCES AND DEVE | $238,520 | $0 | $249,122 | $0 | $0 | $0 | $29,100 | $0 | $23,235 | $0 | $539,977 | $0 | $0 | $0 |
| MARIELLENA SUDAK | ||||||||||||||
| VP AND CHIEF OPERATING OFFICER | $345,617 | $0 | $0 | $0 | $430,143 | $0 | $36,600 | $0 | $26,534 | $0 | $838,894 | $0 | $0 | $0 |
| KATHRYN VICKERY | ||||||||||||||
| VP ANCILLARY SERVICES | $245,375 | $0 | $249,122 | $0 | $0 | $0 | $36,600 | $0 | $17,777 | $0 | $548,874 | $0 | $0 | $0 |
| SUE ANN WILLIAMS | ||||||||||||||
| CEO STODDARD | $158,870 | $0 | $0 | $0 | $0 | $0 | $27,755 | $0 | $22,011 | $0 | $208,636 | $0 | $0 | $0 |
| GINA LEATH | ||||||||||||||
| VP AND CHIEF NURSING OFFICER END 02/23 | $47,213 | $0 | $0 | $0 | $174,408 | $0 | $0 | $0 | $21,197 | $0 | $242,818 | $0 | $0 | $0 |
| MARIA STIFFLER | ||||||||||||||
| EXECUTIVE DIRECTOR HEALTH LUNG END 04/23 | $357,648 | $0 | $0 | $0 | $430,143 | $0 | $0 | $0 | $34,654 | $0 | $822,445 | $0 | $0 | $0 |
| BRENT KELLER | ||||||||||||||
| GI PHYSICIAN | $764,678 | $0 | $229,782 | $0 | $0 | $0 | $29,100 | $0 | $33,182 | $0 | $1,056,742 | $0 | $0 | $0 |
| DAVID LAW | ||||||||||||||
| CARDIOLOGIST | $333,763 | $0 | $660,063 | $0 | $0 | $0 | $36,600 | $0 | $25,030 | $0 | $1,055,455 | $0 | $0 | $0 |
| GABRIEL SOTO | ||||||||||||||
| CARDIOLOGIST | $719,947 | $0 | $147,649 | $0 | $282,570 | $0 | $48,792 | $0 | $25,333 | $0 | $1,224,292 | $0 | $282,570 | $0 |
| ULFUR GUDJONSSON | ||||||||||||||
| CARDIOLOGIST | $1,062,532 | $0 | $0 | $0 | $0 | $0 | $36,600 | $0 | $9,328 | $0 | $1,108,460 | $0 | $0 | $0 |
| CHIZOR IWUCHUKWU | ||||||||||||||
| CARDIOLOGIST | $365,435 | $0 | $624,827 | $0 | $0 | $0 | $37,408 | $0 | $28,372 | $0 | $1,056,041 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 4a Severance or change-of-control payment | MARIELLENA SUDAK, COO, RECEIVED A SEVERANCE PAYMENT OF $430,143 DURING 2023. MATTHEW JANZOW, CMO, RECEIVED A SEVERANCE PAYMENT OF $210,783 DURING 2023. STEVEN HAAS, CFO, RECEIVED A SEVERANCE PAYMENT OF $1,465 DURING 2023. GINA LEATH, CNO, RECEIVED A SEVERANCE PAYMENT OF $174,408 DURING 2023. MARIA STIFFLER, EXECUTIVE DIRECTOR HEART LUNG, RECEIVED A SEVERANCE PAYMENT OF $430,143 DURING 2023. |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | THE ORGANZIATION CONTRIBUTED $100,000 TO A 457 (F) PLAN ON BEHALF OF KENNETH BATEMAN. KENNETH BATEMAN RECEIVED A DISTRIBUTION OF $482,942, WHICH WAS VESTED IN THE CURRENT YEAR AND WAS INCLUDED IN HIS W-2. $382,942 OF THE TOTAL VESTED AMOUNT WAS REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990. |
| Schedule J, Part II, Column (F) COMPENSATION REPORTED IN PRIOR FORM 990 | COMPENSATION IS REPORTED ON THE FORM 990 IN THE YEAR THAT THE COMPENSATION IS EARNED BY OR AWARDED TO AN INDIVIDUAL, EVEN IF THE COMPENSATION IS NOT PAID TO THE INDIVIDUAL, IS NOT FULLY VESTED, OR IS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. IF COMPENSATION IS EARNED OR AWARDED IN ONE YEAR BUT PAID IN A LATER YEAR, THEN THE COMPENSATION IS REPORTED A SECOND TIME ON THE FORM 990 IN THE YEAR THE COMPENSATION IS VESTED OR PAID TO THE INDIVIDUAL. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| IND DEV AUTH OF THE COUNTY OF CAPE GIRARDEAU MO | ||||||||
| A | 431193901 | 86149UAB0 | 2016-03-16 | $21,930,000 | REVENUE AND REFUNDING BONDS | false | false | false |
| IND DEV AUTH OF STODDARD COUNTY MO | ||||||||
| B | 431282203 | 86149UAA2 | 2016-03-16 | $16,880,000 | REVENUE AND REFUNDING BONDS | false | false | false |
| IND DEV AUTH OF THE COUNTY OF CAPE GIRARDEAU MO | ||||||||
| C | 431193901 | 139404GT8 | 2017-08-24 | $94,510,782 | REVENUE AND REFUNDING BONDS | false | false | false |
| IND DEV AUTH OF STODDARD COUNTY MO | ||||||||
| D | 431282203 | 86149UAB0 | 2017-08-24 | $6,707,250 | REVENUE AND REFUNDING BONDS | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $6,440,000 | $0 | $21,996,438 | $676,317 | $0 | $17,910,771 | $383,916 | $0 | $0 | $3,025,513 | $0 | $0 | 2019 | Yes (true) | false | Yes (true) | Yes (true) |
| B | $2,485,000 | $0 | $16,906,923 | $528,568 | $0 | $11,140,866 | $257,336 | $0 | $0 | $4,980,153 | $0 | $0 | 2018 | Yes (true) | false | Yes (true) | Yes (true) |
| C | $27,045,781 | $0 | $94,697,311 | $0 | $0 | $78,420,703 | $1,286,579 | $0 | $0 | $14,990,029 | $0 | $0 | 2019 | Yes (true) | false | Yes (true) | Yes (true) |
| D | $0 | $0 | $6,716,760 | $0 | $0 | $0 | $103,159 | $0 | $0 | $6,613,601 | $0 | $0 | 2018 | false | false | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | 0.0 | 0.0 | 0.0 | false | false | Yes (true) |
| B | false | false | false | false | 0.0 | 0.0 | 0.0 | false | false | Yes (true) |
| C | false | false | false | false | 0.0 | 0.0 | 0.0 | false | false | Yes (true) |
| D | false | false | false | false | 0.0 | 0.0 | 0.0 | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | Yes (true) | false | false | false | false | Yes (true) |
| B | false | Yes (true) | false | false | false | false | false | false | Yes (true) |
| C | false | Yes (true) | false | false | false | false | false | false | Yes (true) |
| D | false | Yes (true) | false | false | false | false | false | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
| C | Yes (true) |
| D | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule K, Part I, Column (c) | CUSIPS: THE 2017A BONDS INCLUDE THE FOLLOWING CUSIPS: 139404GC5 139404GD3 139404GE1 139404GF8 139404GC6 139404GH4 139404GJ0 139404GK7 139404GL5 139404GM3 139404GN1 139404GP6 139404GQ4 139404GR2 139404GS0 139404GT8 |
| Schedule K, Part II, Line 3 | TOTAL PROCEEDS ON LINE 3 DOES NOT EQUAL THE ISSUE PRICE. LINE 3 INCLUDES INVESTMENT INCOME. |
| Schedule K, Part IV, Line 2c | REBATE COMPUTATION DATE: THE REBATE WAS PERFORMED 03/05/2021 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | IND DEV AUTH OF THE COUNTY OF CAPE GIRARDEAU MO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 431193901 | BondIssuerEIN |
| CUSIP | 139404HT7 | CUSIPNum |
| Bond Issued | 2021-05-25 | BondIssuedDt |
| Issue Price | $66,088,649 | IssuePriceAmt |
| Purpose | REVENUE AND REFUNDING BONDS | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $0 | RetiredAmt |
| Bond Defeased | $0 | BondDefeasedAmt |
| Total Proceeds | $67,589,572 | TotalProceedsAmt |
| In Reserve Fund | $20,849,613 | InReserveFundAmt |
| Capitalized Interest | $0 | CapitalizedInterestAmt |
| Refunding Escrow | $1,088,649 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $0 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $0 | CreditEnhancementAmt |
| Working Capital Expenditures | $0 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $45,651,311 | CapitalExpendituresAmt |
| Other Spent Proceeds | $0 | OtherSpentProceedsAmt |
| Unspent | $0 | UnspentAmt |
| Refunding Tax Exempt Bonds | false | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | false | RefundingTaxableBondsInd |
| Final Allocation Made | false | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.0 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.0 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.0 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (true) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (true) | RebateNotDueYetInd |
| Exception To Rebate | false | ExceptionToRebateInd |
| No Rebate Due | false | NoRebateDueInd |
| Variable Rate Issue | false | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (true) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (true) | ProceduresCorrectiveActionInd |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (8 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| ERIC BATEMAN | |||
| SEE PART V | $29,821 | COMPENSATION | false |
| JULIE ETINK | |||
| SEE PART V | $72,912 | COMPENSATION | false |
| PARKER KOHLFELD | |||
| SEE PART V | $401,079 | COMPENSATION | false |
| JENNIFER SUDAK | |||
| SEE PART V | $44,688 | COMPENSATION | false |
| CHRISTINA WILCSEK | |||
| SEE PART V | $50,050 | COMPENSATION | false |
| RYAN WILCSEK | |||
| SEE PART V | $32,379 | COMPENSATION | false |
| PETER KINDER | |||
| SEE PART V | $271,262 | COMPENSATION | false |
| SCOTT LEATH | |||
| SEE PART V | $21,085 | COMPENSATION | false |
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule L, Part IV, Column (b) (1) | (1) ERIC BATEMAN IS THE SON OF KENNETH BATEMAN, CEO. |
| Schedule L, Part IV, Column (b) (2) | (2) JULIE KIRCHDOERFER-ETINK IS THE SISTER-IN-LAW OF ERIN PFEIFER, KEY EMPLOYEE |
| Schedule L, Part IV, Column (b) (3) | (3) PARKER KOHLFELD IS THE SON OF MICHAEL KOHLFELD, BOARD MEMBER |
| Schedule L, Part IV, Column (b) (4) | (4) JENNIFER SUDAK IS THE DAUGTHER OF MARIELLENA SUDAK, COO. |
| Schedule L, Part IV, Column (b) (5) | (5) CHRISTINA WILCSEK IS THE DAUGHTER OF MARIELLENA SUDAK, COO |
| Schedule L, Part IV, Column (b) (6) | (6) RYAN WILCSEK IS THE SON-IN-LAW OF MARIELLENA SUDAK, COO. |
| Schedule L, Part IV, Column (b) (7) | (7) PETER KINDER IS THE BROTHER OF FRANK KINDER, BOARD MEMBER |
| Schedule L, Part IV, Column (b) (8) | (8) SCOTT LEATH IS THE HUSBAND OF GINA LEATH, CNO. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4a PROGRAM ACHIEVEMENTS: | THE FACILITY PROVIDES A FULL RANGE OF INTEGRATED PATIENT CARE SERVICES, INCLUDING ACUTE, PRIMARY AND SPECIALTY CARE IN BOTH THE INPATIENT AND OUTPATIENT SETTINGS. THE DELIVERY OF INPATIENT AND AMBULATORY CARE IS ALSO SUPPORTED BY THE SERVICES PROVIDED THROUGH SPECIALIZED CENTERS AND FACILITIES THROUGHOUT THE REGION. SOUTHEAST HOSPITAL HAS AN ORGANIZED ACTIVE, ASSOCIATE AND CONSULTING MEDICAL STAFF OF PHYSICIANS, DENTISTS, AND PODIATRISTS FROM MORE THAN 40 MEDICAL AND SURGICAL FIELDS. MISSION: TOGETHER WE WILL EVOLVE HEALTHCARE THROUGH INNOVATION, COMPASSION, AND PARTNERSHIPS. VISION: AS A LEADING PROVIDER OF HEALTH SERVICES, SOUTHEASTHEALTH IS DEDICATED TO CONTINUOUS IMPROVEMENT OF THE REGION'S HEALTH STATUS IN A COLLABORATIVE COST-EFFECTIVE MANNER. VALUES: TO ACCOMPLISH OUR MISSION AND VISION, WE UPHOLD THESE VALUES: -VISION FOR CHANGE OUR CHALLENGE IN PREPARING FOR TOMORROW'S HEALTH NEED IS TO KEEP CONTEMPORARY CARE AVAILABLE FOR THOSE WE SERVE. BY EVALUATING THE PRESENT, SETTING APPROPRIATE GOALS, BEING FLEXIBLE AND INNOVATIVE, WE PREPARE DAILY TO MEET AND SHAPE THE FUTURE OF HEALTH CARE IN OUR REGION. -ACCESS TO CARE WE BELIEVE THAT ALL PATIENTS IN OUR CARE ARE ENTITLED TO QUALITY HEATH SERVICES, INFORMATION AND CONFIDENTIALITY ABOUT THEIR CARE AND TREATMENT WITH DIGNITY AND COMPASSION IN ALL OF LIFE'S STAGES. -LEADERSHIP WITH RESPONSIBILITY DEDICATED TO MAINTAINING PUBLIC TRUST AND A HIGH LEVEL OF INTEGRITY, OUR HOSPITAL LEADERS STRIVE TO BALANCE PROGRESS WITH COSTS, REGULATIONS AND COMPETITION WHILE ALWAYS PRESERVING THE HUMAN TOUCH. AS A NOT-FOR-PROFIT HOSPITAL, WE ARE PLEDGED TO ENHANCING QUALITY OF LIFE THROUGH WISE USE OF HUMAN AND MATERIAL RESOURCES IN MEDICAL AND CIVIC ENDEAVORS. -UNITY OF PURPOSE A SPIRIT OF COOPERATION, MUTUAL RESPECT AND CONCERN IS PROMOTED BY OUR HOSPITAL FAMILY TO DELIVER EFFICIENT AND COORDINATED SERVICES. WE ALSO WORK TOGETHER TO PROVIDE PATIENTS AND FAMILIES WITH REASSURANCES, SUPPORT AND CARE THAT IS SENSITIVE TO ALL THEIR NEEDS. -EXCELLENCE IN PERFORMANCE AT SOUTHEAST HOSPITAL, WE HAVE MADE A COMMITMENT TO EXCELLENCE IN INDIVIDUAL PERFORMANCE, TECHNOLOGY AND FACILITIES. THIS TRADITION OF EXCELLENCE IS EXPRESSED BY HELPING PATIENTS ATTAIN THE HIGHEST QUALITY OF LIFE THEY ARE CAPABLE OF ACHIEVING AND BY PROVIDING REGIONAL LEADERSHIP FOR HEALTH CARE ISSUES AND DEVELOPMENTS. -SERVICE ABOVE SELF TO DEMONSTRATE PROFESSIONALISM, ETHICS AND DEVOTION TO DUTY IS OUR CHARGE; TO SERVE WITH ENTHUSIASM AND COMPASSION IS OUR SPIRIT. RECOGNIZING THAT TECHNOLOGY IS IN OUR HANDS AND PEOPLE ARE IN OUR HEARTS, WE TAKE PRIDE IN GIVING OUR PERSONAL BEST FOR THE BENEFIT OF OTHERS. |
| Form 990, Part VI, Line 4 Significant changes to organizational documents | SOUTHEAST HEALTH UPDATED ITS BYLAWS DURING THE YEAR TO REFLECT THE AFFILIATION AGREEMENT BETWEEN MERCY HEALTH, SOUTHEASTHEALTH SYSTEM, INC., SOUTHEAST HOSPITAL, AND SOUTHEASTHEALTH REPRESENTATIVE, LLC. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | THE SOLE MEMBER IS SOUTHEASTHEALTH SYSTEM, INC., A RELATED ORGANIZATION. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | THE BOARD OF DIRECTORS OF SOUTHEAST HOSPITAL IS ELECTED AT THE ANNUAL MEETING OF THE MEMBER IN ACCORDANCE WITH THE MEMBER'S BYLAWS, WITH THE DIRECTORS TO BE ELECTED FROM THE SLATE OF CANDIDATES PREPARED BY THE MEMBER'S GOVERNANCE AND NOMINATING COMMITTEE. AMONG THE POWERS RESERVED TO THE MEMBER IS THE POWER TO ELECT, EVALUATE, AND REMOVE THE DIRECTORS OF THE CORPORATION, PROVIDED THAT SUCH REMOVAL REQUIRES TWO-THIRDS OR GREATER ACTION BY THE SYSTEM BOARD. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | THE MEMBER RESERVES ALL POWER, SUBJECT TO THE AUTHORITY OF SOUTHEAST HEALTH SYSTEM, INC. (SYSTEM) TO TAKE THE ACTIONS BELOW WITH RESPECT TO SOUTHEAST HOSPITAL: (1) ESTABLISH AND INTERPRET PHILOSOPHY, EXPECTATIONS, AND CORE VALUES OF THE CORPORATION AND THE CORPORATION'S SUBSIDIARIES; (2) ESTABLISH ANNUAL PERFORMANCE OBJECTIVES AND COMPENSATION FOR THE PRESIDENT/CEO OF THE CORPORATION AND THE PRESIDENT/CEOS OF THE CORPORATION'S SUBSIDIARIES; (3) ESTABLISH THE DEBT LIMITS OF, AND DEBT GUIDELINES FOR, THE CORPORATION AND THE CORPORATION'S SUBSIDIARIES; (4) SELECT THE AUDITOR FOR THE CORPORATION AND THE CORPORATION'S SUBSIDIARIES; (5) ESTABLISH GUIDELINES FOR TRANSFERRING OR ENCUMBERING ASSETS OF THE CORPORATION AND THE CORPORATION'S SUBSIDIARIES FINANCED USING TAX-EXEMPT BONDS; AND (6) ESTABLISH GUIDELINES FOR PROJECTS AND TRANSACTIONS WHICH MAY BE APPROVED BY THE CORPORATION OR THE CORPORATION'S SUBSIDIARIES; THE MEMBER FURTHER RESERVES THE POWER TO TAKE THE ACTIONS AS DESCRIBED BELOW WITH RESPECT TO SOUTHEAST HEALTH CENTER OF RIPLEY COUNTY, PROVIDED, HOWEVER, THAT THE BOARD SHALL HAVE THE RIGHT TO MAKE RECOMMENDATIONS REGARDING SUCH ACTIONS WHICH THE MEMBER MAY TAKE INTO CONSIDERATION, BUT THE BOARD SHALL NOT HAVE THE POWER TO TAKE ANY OF THE FOLLOWING ACTIONS UNLESS DIRECTED TO DO SO BY THE MEMBER, AND FURTHER SUBJECT TO THE MEMBER'S AUTHORITY GRANTED BY THE SYSTEM: (1) ESTABLISH, MODIFY, AND INTERPRET MISSION AND VISION STATEMENTS FOR THE CORPORATION AND THE CORPORATION'S SUBSIDIARIES; (2) APPROVE THE FORMATION OR ACQUISITION OF LEGAL ENTITIES BY THE CORPORATION OR THE CORPORATION'S SUBSIDIARIES; (3) APPROVE THE SALE, TRANSFER, DISPOSITION OF, OR SUBSTANTIAL CHANGE TO THE USE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR THE CORPORATION'S SUBSIDIARIES; (4) APPROVE A DIVESTITURE, MERGER, DISSOLUTION, REORGANIZATION, CLOSING, OR CONSOLIDATION INVOLVING THE CORPORATION OR THE CORPORATION'S SUBSIDIARIES; (5) APPROVE A CHANGE TO THE CORPORATE MEMBERSHIP OR OWNERSHIP OF THE CORPORATION OR THE CORPORATION'S SUBSIDIARIES; (6) ADOPT AND AMEND THE ARTICLES OF INCORPORATION, BYLAWS, ARTICLES OF ORGANIZATION, AND/OR OPERATING AGREEMENTS, AS APPLICABLE, OF THE CORPORATION AND THE CORPORATION'S SUBSIDIARIES; (7) ESTABLISH CORE COMPETENCIES FOR THE DIRECTORS OR MANAGERS (AS APPLICABLE) (8) ELECT, EVALUATE, AND REMOVE THE DIRECTORS OR MANAGERS (AS APPLICABLE) OF THE CORPORATION'S SUBSIDIARIES; (9) TRANSFER ASSETS AND REALLOCATE DEBT OF THE CORPORATION AND THE CORPORATION'S SUBSIDIARIES; AND (10) ESTABLISH POLICIES AND PROCEDURES, INCLUDING POLICIES FOR PROVIDER CREDENTIALING, QUALITY, AND PATIENT SAFETY (AS APPLICABLE), FOR THE CORPORATION AND THE CORPORATION'S SUBSIDIARIES. AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT AND MANAGEMENT. THE FORM 990 IS REVIEWED BY THE ACCOUNTING DEPARTMENT, LEGAL COUNSEL, AND MANAGEMENT AND IS THEN PROVIDED TO THE BOARD OF DIRECTORS AT A MEETING BEFORE FILING.. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT AND MANAGEMENT. THE FORM 990 IS REVIEWED BY THE ACCOUNTING DEPARTMENT, LEGAL COUNSEL, AND MANAGEMENT AND IS THEN PROVIDED TO THE BOARD OF DIRECTORS AT A MEETING BEFORE FILING. |
| Form 990, Part VI, Line 12c Conflict of interest policy | ALL TRUSTEES AND KEY EMPLOYEES (ADMINISTRATIVE STAFF) ARE REQUIRED TO READ THE ORGANIZATIONAL ETHICS STATEMENT ANNUALLY AND COMPLETE A CERTIFICATION STATEMENT TO THAT EFFECT. DIRECTORS, OFFICERS, MANAGERS AND KEY EMPLOYEES MUST DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST TO THE BOARD OF DIRECTORS. THE REMAINING DIRECTORS WILL DISCUSS AND VOTE UPON WHETHER A CONFLICT OF INTEREST EXISTS. IF A CONFLICT OF INTEREST IS DETERMINED TO EXIST, THE CHAIRMAN SHALL APPOINT A DISINTERESTED DIRECTOR TO INVESTIGATE ALTERNATIVE OPTIONS FOR THE TRANSACTION/ARRANGEMENT IN QUESTION. IF A MORE ADVANTAGEOUS OPTION IS NOT AVAILABLE, A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WILL DETERMINE IF IT IS IN THE BEST INTEREST OF THE ORGANIZATION TO CONTINUE WITH THE TRANSACTION/ARRANGEMENT. IF A CONFLICT OF INTEREST HAS FAILED TO BE DISCLOSED, THE INTERESTED PARTY WILL BE NOTIFIED AND APPROPRIATE DISCIPLINARY ACTION WILL BE TAKEN AS NEEDED. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | 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. THE BOARD COMPLETES THIS REVIEW ANNUALLY. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | THE CEO AND VICE PRESIDENTS DETERMINE COMPENSATION FOR APPLICABLE KEY EMPLOYEES AND OTHER OFFICERS. HUMAN RESOURCES COMPILES EXTERNAL DATA FOR COMPARABLE AMOUNTS TO CONFIRM RATES ARE ADEQUATE. |
| Form 990, Part VI, Line 19 Required documents available to the public | COPIES OF THE SOUTHEAST HOSPITAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND FEDERAL FORM 990 ARE AVAILABLE AT THE ADMINISTRATIVE OFFICE UPON REQUEST. |
| Form 990, Part VII, Section A BOARD MEMBER COMPENSATION: | NO BOARD MEMBERS RECEIVE COMPENSATION FOR THEIR ROLES AS BOARD MEMBERS. KENNETH BATEMAN RECEIVED COMPENSATION FOR HIS ROLE AS CEO. JAMIE HARRISON RECEIVED COMPENSATION FOR HER ROLE AS A FAMILY PRACTITIONER. |
| Form 990, Part VIII, Line 2f Other Program Service Revenue | OTHER REVENUE - Total Revenue: 2494262, Related or Exempt Function Revenue: 2343130, Unrelated Business Revenue: 151132, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | TRANSFER FROM AFFILIATES - 5872873; CHANGE IN INTEREST IN RELATED PARTY - 404005; |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| SOUTHEAST MISSOURI HOSPITAL PHYSICIANS | |||||||||
| 1701 LACEY STREET | CAPE GIRARDEAU | MO | 63701 | 431912860 | PHYSICIANS | MO | $0 | $0 | SEH |
| SOUTHEASTHEALTH HOSPITAL HOLDINGS LLC | |||||||||
| 2002 KANELL BOULEVARD | POPLAR BLUFF | MO | 63901 | 461480915 | HOLDING CO | MO | $0 | $0 | SEH |
| SOUTHEAST HEALTH CENTER OF STODDARD | |||||||||
| 1200 NORTH ONE MILE ROAD | DEXTER | MO | 63841 | 461481133 | HEALTHCARE | MO | $32,819,939 | $24,375,701 | SEH |
| SERVIR LLC | |||||||||
| 1701 LACEY STREET | CAPE GIRARDEAU | MO | 63701 | 452912066 | IT | MO | $0 | $0 | SEH |
| SOUTHEAST HEALTH PHARMACY LLC | |||||||||
| 2002 KANELL BOULEVARD | POPLAR BLUFF | MO | 63901 | 461606996 | PHARMACY | MO | $2,708,238 | $523,121 | SEH |
| SOUTHEAST HEALTH CENTER OF REYNOLDS COUNTY LLC | |||||||||
| 100 HIGHWAY 21 SO | ELLINGTON | MO | 63638 | 461480575 | HEALTHCARE | MO | $0 | $0 | SEH |
| CARDIOVASCULAR CONSULTANTS OF CAPE GIRARDEAU LLC | |||||||||
| 1701 LACEY STREET | CAPE GIRARDEAU | MO | 63701 | 431268532 | PHYS CLINIC | MO | $0 | $0 | SEH |
| SOUTHEAST HEALTH CLINICS-RH LLC | |||||||||
| 1701 LACEY STREET | CAPE GIRARDEAU | MO | 63701 | PHYS CLINIC | MO | $0 | $0 | SEH | |
| ELITE STAFFING OF TENNESSEE LLC | |||||||||
| 511 UNION ST STE 1000 | NASHVILLE | TN | 37219 | 882733650 | NURSE STAFF | TN | $0 | $0 | SEH |
| ELITE STAFFING HOLDING CO LLC | |||||||||
| 1000 WALNUT ST STE 1400 | KANSAS CITY | MO | 64106 | 882739249 | NURSE STAFF | MO | $0 | $0 | SEH |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (72 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Casa de Misericordia | ||||||||||
| 1000 Mier St | Laredo | TX | 78040 | 742912461 | Women's domestic violence shelter | TX | 501(c)(3) | 7 | Mercy Ministries of Laredo | false |
| McAuley Portfolio Management Company | ||||||||||
| 15740 South Outer 40 Rd | Chesterfield | MO | 63017 | 261708048 | Portfolio Management | MO | 501(c)(3) | Type II | Mercy Health | false |
| Mercy ACO Clinical Services Inc | ||||||||||
| 15740 South Outer 40 Rd | Chesterfield | MO | 63017 | 464504901 | Virtual Care Center | MO | 501(c)(3) | 3 | Mercy Health | false |
| Mercy Clinic East Communities | ||||||||||
| 15740 South Outer 40 Rd | Chesterfield | MO | 63017 | 431771217 | Physician Group | MO | 501(c)(3) | 10 | Mercy Health East Communities | false |
| Mercy Clinic Fort Smith Communities | ||||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72903 | 261318597 | Physician Clinic | AR | 501(c)(3) | 3 | Mercy Health Fort Smith Communities | false |
| Mercy Clinic Oklahoma Communities Inc | ||||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 270473057 | Physician Group | OK | 501(c)(3) | 3 | Mercy Health Oklahoma Communities Inc | false |
| Mercy Clinic Springfield Communities | ||||||||||
| 1965 S Fremont Suite 200 | Springfield | MO | 65804 | 431560263 | Physician Group | MO | 501(c)(3) | 3 | Mercy Health Springfield Communities | false |
| Mercy Family Center | ||||||||||
| 110 Veterans Blvd | Metairie | LA | 70005 | 721069468 | Family counseling service | LA | 501(c)(3) | 7 | Mercy Health | false |
| Mercy Health | ||||||||||
| 15740 South Outer 40 Rd | Chesterfield | MO | 63017 | 431423050 | Corporate Office | MO | 501(c)(3) | 1 | NA | false |
| Mercy Health East Communities | ||||||||||
| 15740 South Outer 40 Rd | Chesterfield | MO | 63017 | 431718408 | Health System | MO | 501(c)(3) | Type I | Mercy Health | false |
| Mercy Health Fort Smith Communities | ||||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72917 | 261318515 | Holding Company | AR | 501(c)(3) | Type II | Mercy Health | false |
| Mercy Health Foundation | ||||||||||
| 15740 South Outer 40 Rd | Chesterfield | MO | 63017 | 200901499 | Foundation | MO | 501(c)(3) | Type II | Mercy Health | false |
| Mercy Health Foundation Ada | ||||||||||
| 430 N Monte Vista Street | Ada | OK | 74820 | 463596274 | Foundation | OK | 501(c)(3) | Type I | Mercy Hospital Ada Inc | false |
| Mercy Health Foundation Ardmore | ||||||||||
| 1011 14th Avenue NW | Ardmore | OK | 73401 | 710962525 | Foundation | OK | 501(c)(3) | Type I | Mercy Hospital Ardmore Inc | false |
| Mercy Health Foundation Berryville | ||||||||||
| 214 Carter Street | Berryville | AR | 72616 | 710759301 | Foundation | AR | 501(c)(3) | Type I | Mercy Hospital Berryville | false |
| Mercy Health Foundation Fort Scott | ||||||||||
| 401 Woodland Hills Blvd | Fort Scott | KS | 66701 | 481077073 | Foundation | KS | 501(c)(3) | 7 | Mercy Kansas Communities Inc | false |
| Mercy Health Foundation Fort Smith | ||||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72917 | 237330425 | Foundation | AR | 501(c)(3) | 7 | Mercy Health Fort Smith Communities | false |
| Mercy Health Foundation Jefferson | ||||||||||
| 1400 US Highway 61 South | Festus | MO | 63028 | 462797051 | Foundation | MO | 501(c)(3) | Type II | Mercy Hospital Jefferson | false |
| Mercy Health Foundation Joplin | ||||||||||
| 100 Mercy Way | Joplin | MO | 64804 | 270906136 | Foundation | MO | 501(c)(3) | 7 | Mercy Health SW MOKS Communities | false |
| Mercy Health Foundation Lebanon | ||||||||||
| 100 Hospital Drive | Lebanon | MO | 65536 | 822514567 | Foundation | MO | 501(c)(3) | Type II | Mercy Hospital Lebanon | false |
| Mercy Health Foundation Lincoln | ||||||||||
| 1000 East Cherry Street | Troy | MO | 63379 | 811477159 | Foundation | MO | 501(c)(3) | Type II | Mercy Hospitals East Communities | false |
| Mercy Health Foundation Northwest Arkansas | ||||||||||
| 2710 Rife Medical Lane | Rogers | AR | 72758 | 710601687 | Foundation | AR | 501(c)(3) | 7 | Mercy Hospital Rogers | false |
| Mercy Health Foundation of Oklahoma | ||||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 454732301 | Foundation | OK | 501(c)(3) | Type I | Mercy Health Oklahoma Communities Inc | false |
| Mercy Health Foundation Oklahoma City | ||||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 463184231 | Foundation | OK | 501(c)(3) | Type I | Mercy Hospital Oklahoma City Inc | false |
| Mercy Health Foundation Springfield | ||||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 320195818 | Foundation | MO | 501(c)(3) | Type II | Mercy Health Springfield Communities | false |
| Mercy Health Foundation St Francis | ||||||||||
| 100 W Highway 60 | Mountain View | MO | 65548 | 431873914 | Foundation | MO | 501(c)(3) | Type I | Mercy St Francis Hospital | false |
| Mercy Health Foundation St Louis | ||||||||||
| 615 South New Ballas Road | St Louis | MO | 63141 | 562410020 | Foundation | MO | 501(c)(3) | Type II | Mercy Health East Communities | false |
| Mercy Health Foundation Washington | ||||||||||
| 901 E Fifth Street | Washington | MO | 63090 | 562410022 | Foundation | MO | 501(c)(3) | Type II | Mercy Health East Communities | false |
| Mercy Health Northwest Arkansas Communities | ||||||||||
| 2710 Rife Medical Lane | Rogers | AR | 72758 | 621684203 | Physician Group | AR | 501(c)(3) | 10 | Mercy Health | false |
| Mercy Health Oklahoma Communities Inc | ||||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 731453048 | Health System | OK | 501(c)(3) | Type I | Mercy Health | false |
| Mercy Health Southwest MissouriKansas Communities | ||||||||||
| 100 Mercy Way | Joplin | MO | 64804 | 300584463 | Health System | MO | 501(c)(3) | Type II | Mercy Health | false |
| Mercy Health Springfield Communities | ||||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 431856028 | Health System | MO | 501(c)(3) | Type II | Mercy Health | false |
| Mercy Hospital Ada Inc | ||||||||||
| 430 N Monte Vista Street | Ada | OK | 74820 | 462288155 | Hospital | OK | 501(c)(3) | 3 | Mercy Health Oklahoma Communities Inc | false |
| Mercy Hospital Ardmore Inc | ||||||||||
| 1011 14th Avenue NW | Ardmore | OK | 73401 | 731500629 | Hospital | OK | 501(c)(3) | 3 | Mercy Health Oklahoma Communities Inc | false |
| Mercy Hospital Aurora | ||||||||||
| 500 Porter Avenue | Aurora | MO | 65605 | 431936696 | Hospital | MO | 501(c)(3) | 3 | Mercy Health Springfield Communities | false |
| Mercy Hospital Berryville | ||||||||||
| 214 Carter Street | Berryville | AR | 72616 | 710759299 | Hospital | AR | 501(c)(3) | 3 | Mercy Health NW Ark Communities | false |
| Mercy Hospital Booneville | ||||||||||
| 880 West Main Street | Booneville | AR | 72927 | 463851119 | Hospital | AR | 501(c)(3) | 3 | Mercy Hospital Fort Smith | false |
| Mercy Hospital Carthage | ||||||||||
| 3125 Dr Russell Smith Way | Carthage | MO | 64836 | 453808607 | Hospital | MO | 501(c)(3) | 3 | Mercy Health SW MOKS Communities | false |
| Mercy Hospital Cassville | ||||||||||
| 94 Main Street | Cassville | MO | 65625 | 431936699 | Hospital | MO | 501(c)(3) | 3 | Mercy Health Springfield Communities | false |
| Mercy Hospital Columbus | ||||||||||
| 220 Pennsylvania Avenue | Columbus | KS | 66725 | 270842031 | Hospital | KS | 501(c)(3) | 3 | Mercy Health SW MOKS Communities | false |
| Mercy Hospital El Reno Inc | ||||||||||
| 2115 Parkview Drive | El Reno | OK | 73036 | 272716065 | Hospital | OK | 501(c)(3) | 3 | Mercy Hospital Oklahoma City Inc | false |
| Mercy Hospital Fort Smith | ||||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72903 | 710240352 | Hospital | AR | 501(c)(3) | 3 | Mercy Health Fort Smith Communities | false |
| Mercy Hospital Healdton Inc | ||||||||||
| 3462 Hospital Rd | Healdton | OK | 73438 | 263173902 | Hospital | OK | 501(c)(3) | 3 | Mercy Hospital Ardmore Inc | false |
| Mercy Hospital Jefferson | ||||||||||
| 1400 Highway 61 South | Festus | MO | 63028 | 430687077 | Hospital | MO | 501(c)(3) | 3 | Mercy Health East Communities | false |
| Mercy Hospital Joplin | ||||||||||
| 100 Mercy Way | Joplin | MO | 64804 | 270814858 | Hospital | MO | 501(c)(3) | 3 | Mercy Health SW MOKS Communities | false |
| Mercy Hospital Kingfisher Inc | ||||||||||
| 1000 Kingfisher Regional Hospital C | Kingfisher | OK | 73750 | 463433074 | Hospital | OK | 501(c)(3) | 3 | Mercy Hospital Oklahoma City Inc | false |
| Mercy Hospital Lebanon | ||||||||||
| 100 Hospital Drive | Lebanon | MO | 65536 | 431767432 | Hospital | MO | 501(c)(3) | 3 | Mercy Health Springfield Communities | false |
| Mercy Hospital Lincoln | ||||||||||
| 1000 East Cherry Street | Troy | MO | 63379 | 472219204 | Hospital | MO | 501(c)(3) | 3 | Mercy Hospitals East Communities | false |
| Mercy Hospital Logan County Inc | ||||||||||
| 200 South Academy | Guthrie | OK | 73044 | 452998842 | Hospital | OK | 501(c)(3) | 3 | Mercy Hospital Oklahoma City Inc | false |
| Mercy Hospital Oklahoma City Inc | ||||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 730579285 | Hospital | OK | 501(c)(3) | 3 | Mercy Health Oklahoma Communities Inc | false |
| Mercy Hospital Ozark | ||||||||||
| 801 W River Street | Ozark | AR | 72949 | 710689680 | Hospital | AR | 501(c)(3) | 3 | Mercy Hospital Fort Smith | false |
| Mercy Hospital Paris | ||||||||||
| 500 E Academy | Paris | AR | 72855 | 710655753 | Hospital | AR | 501(c)(3) | 3 | Mercy Hospital Fort Smith | false |
| Mercy Hospital Rogers | ||||||||||
| 2710 Rife Medical Lane | Rogers | AR | 72758 | 710294390 | Hospital | AR | 501(c)(3) | 3 | Mercy Health NW Ark Communities | false |
| Mercy Hospital Springfield | ||||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 440552485 | Hospital | MO | 501(c)(3) | 3 | Mercy Health Springfield Communities | false |
| Mercy Hospital Tishomingo Inc | ||||||||||
| 1000 South Byrd | Tishomingo | OK | 73460 | 274433830 | Hospital | OK | 501(c)(3) | 3 | Mercy Hospital Ada Inc | false |
| Mercy Hospital Waldron | ||||||||||
| 1341 W 6th Street | Waldron | AR | 72958 | 710557895 | Hospital | AR | 501(c)(3) | 3 | Mercy Hospital Fort Smith | false |
| Mercy Hospital Watonga Inc | ||||||||||
| 500 Clarence Nash Blvd | Watonga | OK | 73772 | 455199762 | Hospital | OK | 501(c)(3) | 3 | Mercy Hospital Oklahoma City Inc | false |
| Mercy Hospitals East Communities | ||||||||||
| 615 S New Ballas Road | St Louis | MO | 63141 | 430653493 | Hospital | MO | 501(c)(3) | 3 | Mercy Health East Communities | false |
| Mercy Kansas Communities Inc | ||||||||||
| 401 Woodland Hills Blvd | Ft Scott | KS | 66701 | 480956045 | Hospital | KS | 501(c)(3) | 3 | Mercy Health SW MOKS Communities | false |
| Mercy Ministries of Laredo | ||||||||||
| 2500 Zacatecas St | Laredo | TX | 78046 | 200198462 | Outreach | TX | 501(c)(3) | 7 | Mercy Health | false |
| Mercy Research | ||||||||||
| 524 North Booneville Avenue | Springfield | MO | 65802 | 870796305 | Research | MO | 501(c)(3) | 4 | Mercy Health | false |
| Mercy St Francis Hospital | ||||||||||
| 100 W Highway 60 | Mountain View | MO | 65548 | 440607149 | Hospital | MO | 501(c)(3) | 3 | Mercy Health Springfield Communities | false |
| MHM Support Services | ||||||||||
| 15740 South Outer 40 Rd | Chesterfield | MO | 63017 | 202553101 | Centralized Health System Functions | MO | 501(c)(3) | Type I | Mercy Health | false |
| Mission Clinical Services | ||||||||||
| 300 Werner Street | Hot Springs | AR | 71913 | 134239691 | Child advocacy center | AR | 501(c)(3) | 3 | Mercy Health | false |
| Mercy Health Foundation South | ||||||||||
| 10010 Kennerly Road | St Louis | MO | 63128 | 261516789 | Fundraising | MO | 501(c)(3) | Type I | Mercy Hospital South | false |
| Mercy Hospital South | ||||||||||
| 10010 Kennerly Road | St Louis | MO | 63128 | 430980256 | Hospital | MO | 501(c)(3) | 3 | Mercy Health East Communities | false |
| St Anthony's Physician Organization | ||||||||||
| 10010 Kennerly Road | St Louis | MO | 63128 | 431784536 | Health care | MO | 501(c)(3) | 3 | Mercy Hospital South | false |
| Mercy Specialty Hospital Southeast Kansas | ||||||||||
| 1619 W 7th Street | Galena | KS | 66739 | 843730625 | Hospital | KS | 501(c)(3) | 3 | Mercy Health SW MOKS Communities | false |
| Mercy Hospital Perry | ||||||||||
| 434 N West Street | Perryville | MO | 63775 | 923065475 | Hospital | MO | 501(c)(3) | 3 | Mercy Health East Communities | false |
| SOUTHEASTHEALTH SYSTEM | ||||||||||
| 1701 Lacey Street | Cape Girardeau | MO | 63701 | 474890906 | PARENT | MO | 501(c)(3) | Type III-FI | MERCY HEALTH EAST COMMUNITIES | false |
| Southeast Health Center of Ripley County | ||||||||||
| 1701 Lacey Street | Cape Girardeau | MO | 63701 | 273868479 | Hospital | MO | 501(c)(3) | 3 | SOUTHEASTHEALTH SYSTEM | false |
| Southeast Missouri Hospital Foundation | ||||||||||
| 1849 Broadway | Cape Girardeau | MO | 63701 | 431122759 | Foundation | MO | 501(c)(3) | 7 | Southeast Hospital | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | UBI Code VUBICodeVAmt | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Fort Smith Emergency Medical Services | ||||||||||||||
| 1701 S Greenwood | Fort Smith | AR | 72901 | 710416615 | Emergency Medical Services | AR | Mercy Hospital Fort Smith | Related | $0 | $0 | false | $0 | false | 0 |
| Plaza Surgery Services Company LLC | ||||||||||||||
| 12700 Southfork Road | St Louis | MO | 63128 | 204709312 | Inactive | MO | Mercy Hospital South | Related | $0 | $0 | false | $0 | false | 0 |
| St Edward Mercy MC M-P Office Bldg | ||||||||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72903 | 710554050 | Office Building | AR | Mercy Hospital Fort Smith | Related | $0 | $0 | false | $0 | false | 0 |
| Platinum CPS Holdings LLC | ||||||||||||||
| 15740 South Outer 40 Rd | Chesterfield | MO | 63017 | 842493007 | Holding Company | MO | Mercy Managed Care Corp Mercy Health | Related | $0 | $0 | false | $0 | false | 0 |
| Maryville Cancer Center LLC | ||||||||||||||
| 2227 Vadalabene Drive | Maryville | IL | 62062 | 813385885 | Outpatient Center | IL | Mercy Health East Communities | Related | $0 | $0 | false | $0 | false | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt |
|---|---|---|---|---|---|---|---|---|
| Frontenac Properties Inc | ||||||||
| 15740 South Outer 40 Rd | Chesterfield | MO | 63017 | 521914421 | Holding company | DE | Mercy Health | C Corporation |
| Mercy Commercial Services Inc | ||||||||
| 15740 South Outer 40 Rd | Chesterfield | MO | 63017 | 464953543 | Corp Parent of VCC taxable commercialized svcs | MO | Mercy Health | C Corporation |
| Mercy Health Center Condominium Inc | ||||||||
| 4300 W Memorial Rd | Oklahoma City | OK | 73120 | 680640970 | Real estate | OK | Mercy Hospital Oklahoma City Inc | C Corporation |
| Mercy Managed Care Corporation | ||||||||
| 15740 South Outer 40 Rd | Chesterfield | MO | 63017 | 731441665 | Holding company | OK | Mercy Health | C Corporation |
| St Anthony's Physician Organization of Illinois | ||||||||
| 10010 Kennerly Road | St Louis | MO | 63128 | 320457168 | Health Care | MO | Mercy Hospital South | C Corporation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTHEAST MISSOURI HOSPITAL FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionTypeTxt |
| Involved | $200,000 | InvolvedAmt |
| Method Of Amount Determination | CASH | MethodOfAmountDeterminationTxt |
Comments