SAINT FRANCIS MEDICAL CENTER: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: SAINT FRANCIS MEDICAL CENTER (EIN 23-7246265)
Tax period: 2020-07-01 to 2021-06-30
Filed: 2022-02-27
IRS object ID: 202210589349300301
Schema version: 2020v4.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-02-27T07:52:02-06:00	ReturnTs
Tax Period End	2021-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	430352985	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KERBER ECK & BRAECKEL LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	3401 OFFICE PARK DRIVE	AddressLine1Txt
City	MARION	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	62959	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	237246265	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SAINT FRANCIS MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SAIN	BusinessNameControlTxt
Phone	5733313000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	211 SAINT FRANCIS DRIVE	AddressLine1Txt
City	CAPE GIRARDEAU	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63703	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JUSTIN DAVISON	PersonNm
Person Title	PRESIDENT & CFO	PersonTitleTxt
Phone	5733313000	PhoneNum
Signature	2022-02-25	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	JUSTIN	PersonFirstNm
Person Last	DAVISON	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	AMBER HALSTEAD	PreparerPersonNm
PTIN	P01343727	PTIN
Phone	6189938724	PhoneNum
Preparation	2022-02-25	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	211 SAINT FRANCIS DRIVE	AddressLine1Txt
City	CAPE GIRARDEAU	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63703	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,381,250,524	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SFMC.NET	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1972	FormationYr
Legal Domicile State	MO	LegalDomicileStateCd
Activity Or Mission	THE MISSION OF SAINT FRANCIS MEDICAL CENTER IS TO PROVIDE A MINISTRY OF HEALING, WELLNESS, QUALITY AND LOVE INSPIRED BY OUR FAITH IN JESUS CHRIST.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$17,626,373	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$11,947,487	PYContributionsGrantsAmt
CY Contributions Grants	$12,143,071	CYContributionsGrantsAmt
PY Program Service Revenue	$499,807,186	PYProgramServiceRevenueAmt
CY Program Service Revenue	$506,435,602	CYProgramServiceRevenueAmt
PY Investment Income	$16,966,218	PYInvestmentIncomeAmt
CY Investment Income	$80,876,153	CYInvestmentIncomeAmt
PY Other Revenue	$2,812,411	PYOtherRevenueAmt
CY Other Revenue	$2,687,386	CYOtherRevenueAmt
PY Total Revenue	$531,533,302	PYTotalRevenueAmt
CY Total Revenue	$602,142,212	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$254,658,134	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$250,213,564	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$243,641,804	PYOtherExpensesAmt
CY Other Expenses	$232,749,755	CYOtherExpensesAmt
PY Total Expenses	$498,299,938	PYTotalExpensesAmt
CY Total Expenses	$482,963,319	CYTotalExpensesAmt
PY Revenues Less Expenses	$33,233,364	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$119,178,893	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,022,809,384	TotalAssetsBOYAmt
Total Assets EOY	$1,286,204,245	TotalAssetsEOYAmt
Total Liabilities BOY	$242,522,266	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$321,627,153	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$780,287,118	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$964,577,092	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SAINT FRANCIS MEDICAL CENTER IS A 306-BED FACILITY SERVING MORE THAN 650,000 PEOPLE THROUGHOUT MISSOURI, ILLINOIS, KENTUCKY, TENNESSEE, AND ARKANSAS. THE MEDICAL CENTER PROVIDES COMPREHENSIVE INPATIENT ACUTE CARE SERVICES FOR MEDICAL AND SURGICAL PATIENTS SPECIALIZING IN ORTHOPEDICS, NEUROSURGERY, CARDIOVASCULAR SERVICES, ONCOLOGY, DISEASE MANAGEMENT, GASTROENTEROLOGY, MATERNAL-CHILD HEALTH AND NEUROLOGY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$416,275,111	ExpenseAmt
Revenue	$565,667,094	RevenueAmt
Desc	SINCE ITS FOUNDING IN 1875, SAINT FRANCIS MEDICAL CENTER'S (SFMC) MISSION HAS BEEN TO PROVIDE HEALTH CARE SERVICES TO EVERYONE, REGARDLESS OF RACE, CREED, GENDER, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF SFMC, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. IN FULFILLING OUR MISSION TO SERVE RESIDENTS OF CAPE GIRARDEAU AND THE SURROUNDING REGION, SFMC PROVIDES: -FREE AND/OR SUBSIDIZED CARE WHEN NEED AND/OR AN INDIVIDUAL'S INABILITY TO PAY COEXIST. THIS PAST YEAR, SFMC PROVIDED OVER $51.9 MILLION IN FREE AND/OR SUBSIDIZED CARE.-CARE FOR PERSONS COVERED BY GOVERNMENTAL PROGRAMS THAT REIMBURSE BELOW ACTUAL COST.-HEALTH SCREENINGS AND EDUCATIONAL PROGRAMS TO SUPPORT THE HEALTHCARE NEEDS OF THE COMMUNITY. SFMC PROVIDES A VARIETY OF WELLNESS PROGRAMS, COMMUNITY HEALTH EDUCATION ACTIVITIES, SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDER-SERVED AND PARTICIPATES IN A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. SFMC SERVED 8,627 INPATIENTS, 36,018 EMERGENCY PATIENTS AND 190,248 OUTPATIENTS DURING THE FISCAL YEAR (FY) ENDING JUNE 30, 2021. DURING FY 2021, SFMC HAD A TOTAL OF 45,957 PATIENT DAYS IN ITS MEDICAL/SURGICAL, CRITICAL CARE, OBSTETRIC, AND REHABILITATION CARE UNITS. SFMC PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS, FOR WHICH IT IS REIMBURSED BELOW COST. RECOGNIZING ITS MISSION IN THE COMMUNITY, SFMC PROVIDES SERVICES TO BOTH MEDICARE AND MEDICAID PATIENTS. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS IN EXCESS OF $58.2 MILLION IN FY 2021. CHARITY CARE IS PROVIDED IN THE FORM OF MANY REDUCED-PRICE AND FREE SERVICES OFFERED THROUGHOUT THE YEAR. SFMC STRONGLY BELIEVES THESE PROGRAMS AND SERVICES FILL A REAL NEED IN THE COMMUNITY. THESE PROGRAMS AND SERVICES INCLUDE THE FOLLOWING: -PARTICIPATION IN AND/OR SPONSORSHIP OF MANY COMMUNITY HEALTH FAIRS. THESE EVENTS RANGE FROM CHILDREN'S SPECIAL EVENTS TO SENIOR HEALTH FAIRS. THESE EVENTS DRAW SEVERAL THOUSAND ATTENDEES EACH YEAR.-SFMC SPONSORS THE REGIONAL ARTHRITIS CENTER, OFFERING INFORMATION AND ASSISTANCE TO PEOPLE THROUGHOUT SOUTHEAST MISSOURI. -FREE OR DISCOUNTED HEALTH SCREENINGS (CHOLESTEROL, BLOOD PRESSURE, GLAUCOMA, BLOOD SUGAR, ETC.) PROVIDED AT HEALTH FAIRS AND COMMUNITY HEALTH EDUCATION PROGRAMS, AS WELL AS OUR WEEKLY WEDNESDAY MORNING HEART HEALTH SCREENINGS.-COMMUNITY HEALTH FORUMS WERE OFFERED ON TOPICS SUCH AS ARTHRITIS, DIABETES, CARDIOVASCULAR FITNESS, CHILDREN'S HEALTH AND SAFETY, NUTRITION, BREAST CANCER AND OSTEOPOROSIS. OTHER WELLNESS PROGRAMS SUCH AS WEIGHT MANAGEMENT AND SMOKING CESSATION ARE SUBSIDIZED BY SFMC AND OFFERED FOR A NOMINAL FEE.-CHILDBIRTH, SIBLINGS, BREASTFEEDING AND INFANT CARE CLASSES ARE PROVIDED FREE OF CHARGE TO EXPECTANT MOTHERS AND YOUNG FAMILIES.-SFMC SPONSORS HEALTHCARE SPEAKERS FOR COMMUNITY EVENTS AND CIVIC MEETINGS. SFMC STAFF PRESENTS FREE PROGRAMS ON A VARIETY OF HEALTH AND WELLNESS TOPICS TO VARIOUS COMMUNITY, SCHOOL AND CHURCH GROUPS THROUGHOUT THE YEAR. -SEVERAL SFMC OUTPATIENT CLINICS ARE OFFERED AT REDUCED FEE OR NO COST TO PATIENTS AND THEIR FAMILIES. THE CLINICS ADDRESS DIABETIC FOOT CARE, GENETICS, ORTHOPEDICS AND SPORTS INJURIES. -SFMC PROVIDES FREE FIRST AID SERVICES AT THE WEEKLONG SEMO DISTRICT FAIR IN CAPE GIRARDEAU. MEDICAL CENTER PERSONNEL STAFF THE FIRST AID STATION AND PROVIDE MINOR MEDICAL SERVICES TO HUNDREDS OF PEOPLE DURING THE COURSE OF THE WEEK. SFMC ALSO PROVIDES STAFF AND FIRST AID MATERIALS FOR OTHER CIVIC FUNCTIONS DURING THE FISCAL YEAR. -SFMC PROVIDES FREE MEETING ROOM SPACE AND RELATED ASSISTANCE TO MANY HEALTHCARE SUPPORT GROUPS. SEVERAL HUNDRED PEOPLE REGULARLY PARTICIPATE IN THESE SUPPORT GROUPS FOR DISEASES AND DISORDERS INCLUDING BREAST CANCER, MUSCULAR DYSTROPHY, SLEEP DISTURBANCE, HEAD INJURIES, LARYNGECTOMY, HEART SURGERY, DIGESTIVE DISEASES, PARKINSON'S, ARTHRITIS, MULTIPLE SCLEROSIS AND STROKES, AS WELL AS GRIEF SUPPORT FOR PEOPLE WHO HAVE LOST A LOVED ONE TO ILLNESS, INJURY OR DISEASE. -SFMC PROVIDES FINANCIAL AND IN-KIND SUPPORT FOR ACTIVITIES OF LOCAL CHARITIES SUCH AS THE AMERICAN CANCER SOCIETY, AMERICAN DIABETES ASSOCIATION, THE AMERICAN ARTHRITIS ASSOCIATION, THE MARCH OF DIMES, THE AMERICAN HEART ASSOCIATION AND THE AMERICAN LUNG ASSOCIATION. -SCHOLARSHIPS AND TUITION REIMBURSEMENT ARE AWARDED ANNUALLY BY SFMC TO UNDERGRADUATE AND GRADUATE STUDENTS ENROLLED IN VARIOUS HEALTHCARE CURRICULUMS. THE VALUE OF THIS INVESTMENT IN THE ADVANCEMENT OF EXISTING CARE PROVIDERS AND THE EDUCATION OF FUTURE CARE PROVIDERS WAS $121,471 IN FY 2021. -SFMC SPONSORS MEDICAL MINUTE. THESE WEEKLY EDUCATIONAL PROGRAMS, PRODUCED IN COOPERATION WITH MEMBERS OF THE MEDICAL COMMUNITY, PROVIDES INFORMATION ON NEW TECHNOLOGY AND PROCEDURES, TREATMENT FOR DISEASES AND DISORDERS, AND GENERAL MEDICAL EDUCATION TO AREA PATIENTS. -SFMC PROVIDES FREE INTERNET LIBRARY SEARCHES ON HEALTHCARE TOPICS TO AREA RESIDENTS WHO DO NOT HAVE OTHER ACCESS. HOSPITAL EDUCATION STAFF CONDUCTS THE SEARCH AND FAX OR EMAIL MATERIALS. -SFMC PROVIDES EMERGENCY CARE, CLOTHING AND PHARMACEUTICALS TO CHILDREN IN NEED THROUGH THE SAINT FRANCIS FOUNDATION CHILDREN HELPING CHILDREN FUND. -DURING FY 2021 SFMC VOLUNTEERS CONTRIBUTED APPROXIMATELY 11,804 HOURS OF SERVICE TO OUR PATIENTS, THEIR FAMILIES AND THE COMMUNITY. THE VALUE OF THIS CONTRIBUTION IS ESTIMATED AT OVER $113,000 AND IS GIVEN BACK TO THE COMMUNITY THROUGH LOWER COSTS IN PATIENT CARE SERVICES AND WELLNESS PROGRAMS SUCH AS THOSE DESCRIBED ELSEWHERE IN THIS DOCUMENT. -DURING FY 2021 SFMC PROVIDED 2,650 FREE MAMMOGRAMS AND ULTRASOUNDS TO AREA WOMEN WHO COULD NOT AFFORD THIS POTENTIALLY LIFESAVING SCREENING. THE VALUE OF THIS CONTRIBUTION IS ESTIMATED AT MORE THAN $109,651.	Desc
Total Program Service Expenses	$416,275,111	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	Yes (1)	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JUSTIN DAVISON	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5733313000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	211 SAINT FRANCIS DRIVE	AddressLine1Txt
City	CAPE GIRARDEAU	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63703	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
DONALD KAVERMAN
DIRECTOR	2.00	4.00	Yes (X)	$2,027	$0	$0
KEVIN GOVERO
CHAIR OF THE BOARD	2.00	4.00	Yes (X)	$0	$0	$0
JANET VARNON
DIRECTOR	2.00	2.00	Yes (X)	$2,297	$0	$0
LAURA YOUNGHOUSE
DIRECTOR	2.00	4.00	Yes (X)	$15,631	$0	$0
JAMES BOLLINGER JR
DIRECTOR	2.00	2.00	Yes (X)	$5,858	$0	$0
STEVEN DIRNBERGER
VICE CHAIR OF THE BOARD	2.00	2.00	Yes (X)	$0	$0	$0
JOEY MCLANE
DIRECTOR	2.00	2.00	Yes (X)	$0	$0	$0
GINA RAFFETY
DIRECTOR	2.00	2.00	Yes (X)	$2,131	$0	$0
WILLIAM STAHR
DIRECTOR	2.00	2.00	Yes (X)	$0	$0	$0
ADAM KIDD
DIRECTOR	2.00	4.00	Yes (X)	$3,000	$0	$0
DENNIS VOLLINK
SECRETARY/TREASURER OF THE	2.00	2.00	Yes (X)	$0	$0	$0
MARYANN REESE
PRESIDENT & CEO	40.00	6.00		$1,234,079	$0	$25,365	Yes (X)
JAMES BURKE
CHIEF ADMINISTRATIVE OFFIC	40.00			$599,298	$0	$39,305	Yes (X)
THOMAS S DIEMER MD
CHIEF MEDICAL OFFICER	40.00			$486,539	$0	$32,183	Yes (X)
STEPHANIE LAPIERRE
CHIEF NURSING/CLINICAL OFF	40.00			$266,251	$0	$20,594	Yes (X)
DEBBY SPRANDEL
VP - AMBULATORY NURSING (FORMER)	40.00			$314,507	$0	$14,372		Yes (X)
STEVEN OGBURN
VP OF SFMP	40.00			$377,773	$0	$37,610	Yes (X)
GERRY SALTER
VP - SPECIALTY PRACTICES	40.00			$271,761	$0	$35,989	Yes (X)
JAMES WILFERTH
VP FOUNDATION	40.00	2.00		$229,749	$0	$34,209	Yes (X)
JULIE WOODRUFF
CHIEF NURSING OFFICER (FORMER)	40.00			$282,817	$0	$18,914		Yes (X)
JUSTIN DAVISON
CFO	40.00	2.00		$468,167	$0	$28,172	Yes (X)
DAVID PRATHER
CFO (FORMER)	40.00			$535,687	$0	$1,573		Yes (X)
WILLIAM BALSANO
CFO (FORMER)	40.00			$1,353,763	$0	$0		Yes (X)
LORI STURGILL
CHIEF INFORMATION OFFICER	40.00			$356,893	$0	$29,218	Yes (X)
CHRISTY SHAWAN
VP SFMP OPERATIONS SOUTHWE	40.00			$210,637	$0	$17,700	Yes (X)
JASON BANDERMANN
VP SFMP OPERATIONS NORTHEA	40.00			$182,856	$0	$32,273	Yes (X)
RAFID HUSSEIN DO
GASTROENTEROLOGIST	40.00			$819,356	$0	$41,835			Yes (X)
BRANDON SCOTT DO
NEUROSURGEON	40.00			$1,385,707	$0	$26,955			Yes (X)
FRANKLIN HAYWARD DO
NEUROSURGEON	40.00			$831,875	$0	$32,085			Yes (X)
KAYWAN GAMADIA DO
NEUROSURGEON	40.00			$1,380,544	$0	$32,085			Yes (X)
WILSON PAIS MD
GASTROENTEROLOGIST	40.00			$868,694	$0	$41,835			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$12,487,897	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$542,272	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	20	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Related Organizations	$98,167	RelatedOrganizationsAmt
Government Grants	$12,044,904	GovernmentGrantsAmt
Total Contributions	$12,143,071	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	621400	$485,196,119	$485,196,119
PHARMACY	446110	$17,603,564		$17,603,564
MISC PROGRAM SERVICE REVENUE	621990	$3,444,824	$3,444,824
FITNESS CENTER	621400	$167,912	$167,912
OUTSIDE LAUNDRY	812300	$22,809		$22,809

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$374	TotalRevenueColumnAmt
Related Or Exempt Func Income	$374	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$506,435,602	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,695,074	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,676,786	RelatedOrExemptFuncIncomeAmt
Exclusion	$4,018,288	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$700,123	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$700,123	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$700,123	TotalRevenueColumnAmt
Exclusion	$700,123	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$850,171,405	SecuritiesAmt
Other	$117,986	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$779,096,836	SecuritiesAmt
Other	$11,476	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$71,074,569	SecuritiesAmt
Other	$106,510	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$71,181,079	TotalRevenueColumnAmt
Related Or Exempt Func Income	$71,181,079	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA SALES	722514	$964,666	$964,666
MEDICAL RECORDS	621990	$595,878	$595,878
MISCELLANEOUS	900099	$262,786	$262,786

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$163,933	TotalRevenueColumnAmt
Exclusion	$163,933	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,987,263	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$602,142,212	TotalRevenueColumnAmt
Related Or Exempt Func Income	$565,667,094	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$17,626,373	UnrelatedBusinessRevenueAmt
Exclusion	$6,705,674	ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$208,854,439	TotalAmt
Program Services	$187,936,839	ProgramServicesAmt
Management And General	$20,917,600	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$41,359,125	TotalAmt
Program Services	$37,060,554	ProgramServicesAmt
Management And General	$4,298,571	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$23,140,223	TotalAmt
Program Services	$23,107,257	ProgramServicesAmt
Management And General	$32,966	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,934,346	TotalAmt
Program Services	$3,919,548	ProgramServicesAmt
Management And General	$14,798	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,499,793	TotalAmt
Management And General	$5,499,793	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$25,109,809	TotalAmt
Program Services	$25,109,809	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,304,490	TotalAmt
Program Services	$979,622	ProgramServicesAmt
Management And General	$3,324,868	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$126,359,628	$93,905,029	$32,454,599
DRUGS	$38,506,381	$38,489,306	$17,075
REPAIR & MAINTENANCE	$5,003,086	$4,981,831	$21,255
FOOD	$891,999	$785,316	$106,683

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$482,963,319	TotalAmt
Program Services	$416,275,111	ProgramServicesAmt
Management And General	$66,688,208	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$68,936,720	BOYAmt
EOY	$41,671,782	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$41,260,326	BOYAmt
EOY	$27,161,851	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$37,979,076	BOYAmt
EOY	$47,690,320	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
EOY	$1,086,724	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$10,579,478	BOYAmt
EOY	$9,681,584	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$16,863,509	BOYAmt
EOY	$44,121,821	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$644,631,848	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$370,395,255	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$285,649,796	BOYAmt
EOY	$274,236,593	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$558,105,528	BOYAmt
EOY	$812,836,179	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,509,476	BOYAmt
EOY	$1,648,916	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,925,475	BOYAmt
EOY	$26,068,475	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,022,809,384	BOYAmt
EOY	$1,286,204,245	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$100,559,551	BOYAmt
EOY	$159,671,859	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$141,962,715	BOYAmt
EOY	$137,649,441	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$24,305,853	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$242,522,266	BOYAmt
EOY	$321,627,153	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	$780,287,118	BOYAmt
EOY	$964,577,092	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$780,287,118	BOYAmt
EOY	$964,577,092	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,022,809,384	BOYAmt
EOY	$1,286,204,245	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$119,178,893	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$76,358,752	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$11,247,671	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	0	FSAuditedInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

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 D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,386,950	OtherCostOrOtherBasisAmt
Book Value	$8,386,950	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$246,627,615	OtherCostOrOtherBasisAmt
Depreciation	$119,129,831	DepreciationAmt
Book Value	$127,497,784	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$362,802,418	OtherCostOrOtherBasisAmt
Depreciation	$241,603,268	DepreciationAmt
Book Value	$121,199,150	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$26,814,865	OtherCostOrOtherBasisAmt
Depreciation	$9,662,156	DepreciationAmt
Book Value	$17,152,709	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$274,236,593	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
OPERATING LEASE OBLIGATIONS	$23,838,253
ASSET RETIREMENT OBLIGATION	$467,600

Field	Value	IRS element (for citing)
Total Liability	$24,305,853	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$678,812,861	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$76,358,752	NetUnrealizedGainsInvstAmt
Other Revenue	$311,897	OtherRevenueAmt
Revenue Not Reported	$76,670,649	RevenueNotReportedAmt
Revenue Subtotal	$602,142,212	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$602,142,212	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$482,963,319	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$482,963,319	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$482,963,319	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART X, LINE 2:	THERE WERE NO UNCERTAIN TAX BENEFITS IDENTIFIED AND RECORDED AS A LIABILITY AT JUNE 30, 2021 OR 2020.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	CHANGE IN INTEREST IN NET ASSETS OF SFF
PART XIII - SUPPLEMENTAL FINANCIAL INFORMATION	THE DIFFERENCE BETWEEN THE REVENUES AND THE NET ASSETS ON THE AUDITED FINANCIAL STATEMENTS AND THOSE REPORTED ON THE 990 REPRESENTS A DECREASE IN AUXILIARY FUNDS OF ($16,108) AND AN INCREASE OF AUXILIARY CASH OF $55,378

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	0	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,540,431	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,623,828	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,916,603	NetCommunityBenefitExpnsAmt
Total Expense	0.03920	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$83,344,942	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$63,517,692	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,827,250	NetCommunityBenefitExpnsAmt
Total Expense	0.04110	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$109,885,373	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$71,141,520	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$38,743,853	NetCommunityBenefitExpnsAmt
Total Expense	0.08030	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$300,535	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$300,535	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,555,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,555,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00320	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,670,928	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,377,807	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,293,121	NetCommunityBenefitExpnsAmt
Total Expense	0.01920	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$437,335	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$437,335	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,963,798	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,377,807	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,585,991	NetCommunityBenefitExpnsAmt
Total Expense	0.02390	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$125,849,171	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$75,519,327	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$50,329,844	NetCommunityBenefitExpnsAmt
Total Expense	0.10420	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$776	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$776	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,282	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$17,282	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$755	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$755	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,074	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,074	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,380	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,380	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$316,611	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$316,611	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$349,878	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$349,878	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$2,999,623	BadDebtExpenseAmt
Bad Debt Expense Attributable	$749,906	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$173,221,902	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$226,114,834	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$52,892,932	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 (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SAINT FRANCIS MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	211 SAINT FRANCIS DRIVE	AddressLine1Txt
City	CAPE GIRARDEAU	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63703	ZIPCd

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	SAINT FRANCIS MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	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
Other	Yes (X)	OtherInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.SFMC.NET	OwnWebsiteURLTxt
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.SFMC.NET	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.SFMC.NET	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.SFMC.NET	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.SFMC.NET	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 Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SAINT FRANCIS MEDICAL CENTER	PART V, SECTION B, LINE 3J: THE IMPACT OF ANY ACTIONS TAKEN TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE HOSPITAL FACILITY'S PRIOR CHNA.
SAINT FRANCIS MEDICAL CENTER	PART V, SECTION B, LINE 5: INDIVIDUALS REPRESENTING THE BOARD INTERESTS OF BOLLINGER, CAPE GIRARDEAU, SCOTT, AND STODDARD COUNTIES INCLUDED PEOPLE INVOLVED IN SOME OF THE FOLLOWING ORGANIZATIONS: PUBLIC HEALTH DEPARTMENTS RURAL HEALTH CLINICS LOCAL SCHOOL DISTRICTS SOCIAL SERVICE ORGANIZATIONS OTHER HOSPITALS MINORITY ADVOCACY GROUPSSIX FOCUS GROUPS WERE HELD IN THE FOUR DESIGNATED COUNTIES AND THE QUESTIONS ASKED CAN BE FOUND BELOW. 1. WHAT DO PEOPLE IN THIS COMMUNITY DO TO STAY HEALTHY? HOW DO PEOPLE GET INFORMATION ABOUT HEALTH? 2. IN THIS GROUP'S OPINION, WHAT ARE THE SERIOUS HEALTH PROBLEMS IN YOUR COMMUNITY? WHAT ARE SOME OF THE CAUSES OF THESE PROBLEMS? 3. WHAT KEEPS PEOPLE IN YOUR COMMUNITY FROM BEING HEALTHY? 4. WHAT COULD BE DONE TO SOLVE THESE PROBLEMS? 5. IS THERE ANY GROUP NOT RECEIVING ENOUGH HEALTH CARE? IF SO, WHY? 6. OF ALL THE ISSUES WE TALKED ABOUT TODAY, WHAT ISSUES DO YOU THINK ARE THE MOST IMPORTANT TO YOUR COMMUNITY TO ADDRESS? 237 SURVEYS WERE COMPLETED BY RESIDENTS OF THE FOUR DESIGNATED COUNTIES. THE SURVEY DEMOGRAPHICS WERE REPRESENTATIVE OF THE AREA'S POPULATION: 1. DEMOGRAPHICS: MULTIPLE-CHOICE QUESTIONS TO COLLECT INFORMATION ABOUT THE POPULATION OF THE COUNTY 2. SOCIAL AND ECONOMIC FACTORS: MULTIPLE-CHOICE QUESTIONS TO COLLECT INFORMATION REGARDING THE POPULATION'S EDUCATION, EMPLOYMENT AND INCOME STATUS. 3. HEALTH BEHAVIORS: QUESTIONS TO COLLECT INFORMATION ON THE BEHAVIORS CORRELATED TO HEALTH OF ADULTS AND CHILDREN IN THE COUNTRY. 4. MEDICAL CARE AND SERVICES: MULTIPLE-CHOICE, SHORT ANSWER AND RANKED QUESTIONS TO COLLECT INFORMATION REGARDING HEALTHCARE ACCESS, HEALTH STATUS, INSURANCE COVERAGE, AND OPINIONS ON HEALTH ISSUES.
SAINT FRANCIS MEDICAL CENTER	PART V, SECTION B, LINE 6A: SAINT FRANCIS HEALTHCARE SYSTEM CONDUCTED THE 2019 CHNA PRIMARY DATA GATHERING IN CONJUNCTION WITH SOUTHEAST HEALTH.
SAINT FRANCIS MEDICAL CENTER	PART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS PLACED ON THE SAINT FRANCIS MEDICAL CENTER'S WEBSITE. THERE WERE NUMEROUS NEWS STORIES ON THE ASSESSMENT AND WHERE TO LOCATE THE INFORMATION. LOCAL HEALTH AND HUMAN SERVICES AGENCIES WERE INFORMED WHEN THE ASSESSMENT WAS COMPLETED AT LOCAL MEETINGS. PRESENTATION OF THE CHNA FINDINGS WERE PRESENTED TO ALL BOARDS OF SAINT FRANCIS HEALTHCARE SYSTEM. THE CHNA WAS SHARED WITH MISSOURI DELTA MEDICAL CENTER IN SIKESTON, MISSOURI AND THE HEALTH DEPARTMENTS IN EACH COUNTY. HTTPS://WWW.SFMC.NET/CHNA
SAINT FRANCIS MEDICAL CENTER	PART V, SECTION B, LINE 11: WHILE TREATMENT FOR SUBSTANCE ABUSE AND MENTAL HEALTH CONDITIONS ARE A SIGNIFICANT COMMUNITY HEALTH NEED IDENTIFIED BY THIS ASSESSMENT, SAINT FRANCIS HEALTHCARE SYSTEM WILL NOT BE ADDRESSING THIS NEED AS PART OF ITS 2019-2022 CHNA IMPLEMENTATION PLAN FOR THE FOLLOWING REASONS: 1. CONSIDERABLE SAINT FRANCIS RESOURCES HAVE BEEN ALLOCATED TO ADDRESS THE OTHER TOP-PRIORITY HEALTH NEEDS IDENTIFIED BY THE 2019 CHNA. 2. SOUTHEASTHEALTH, THE OTHER COMMUNITY HOSPITAL IN CAPE GIRARDEAU, RECENTLY OPENED A NEW IMPATIENT BEHAVIORAL HEALTH FACILITY IN STODDARD COUNTY WHICH SERVES SAINT FRANCIS' SERVICE AREA. SOUTHEASTHEALTH ALSO PLANS A NEW $33 MILLION BEHAVIORAL HEALTH HOSPITAL IN CAPE GIRARDEAU FOR TREATING ADULTS AND ADOLESCENTS. MISSOURI DELTA MEDICAL CENTER IN SIKESTON (SCOTT COUNTY) PLANS TO OPEN AN ADOESCENTS BEHAVIORAL HEALTH UNIT. DUPLICATION OF SUCH SERVICES IN THE SAME COMMUNITIES IS NOT THE BEST USE OF SAINT FRANCIS' RESOURCES. 3. THE SIGNIFICANT RESOURCES REQUIRED FOR SAINT FRANCIS HEALTHCARE SYSTEM TO DEVELOP ITS OWN OUTPATIENT SUBSTANCE ABUSE AND/OR BEHAVIORAL HEALTH TREATMENT PROGRAMS FROM THE GROUND UP ARE NOT FEASIBLE IN THE SERVICE AREA. SAINT FRANCIS WILL INSTEAD CONTINUE TO WORK WITH OTHER COMMUNITY PARTNERS THAT OFFER SUCH SERVICES IN THE COMMUNITY BY MAKING APPROPRIATE PATIENT REFFERALS. 4. SAINT FRANCIS HEALTHCARE SYSTEM RECENTLY ACQUIRED A MULTI-SPECIALTY CLINIC IN FERGUSON MEDICAL GROUP, WHICH EMPLOYS A PSYCHOLOGIST AND OTHER BEHAVIORAL HEALTH PROVIDERS. SAINT FRANCIS ALSO PROVIDES PSYCHIATRIC SERVICE IN POPULAR BLUFF THROUGH KNEIBERT CLINIC. BOTH OF THESE CLINICS SERVE A WIDE RANGE OF PATIENTS IN SCOTT, STODDARD AND BUTLER COUNTIES.
SAINT FRANCIS MEDICAL CENTER	PART V, SECTION B, LINE 13H: ALL UNINSURED PATIENTS RECEIVING SERVICES AT SAINT FRANCIS MEDICAL CENTER WILL RECEIVE A 75% REDUCTION ON ALL GROSS CHARGES AT THE TIME OF BILLING (WITHOUT APPLICATION).ALL SELF-PAY ACCOUNTS WILL BE PROCESSED THROUGH A PRESUMPTIVE SCORING PROGRAM TO DETERMINE IF THEY QUALIFY FOR ASSISTANCE. IF THE PATIENT MEETS THE QUALIFICATIONS, THE PATIENT'S ACCOUNT WILL BE REDUCED TO ZERO. IF THE QUALIFICATIONS ARE NOT MET, COLLECTIONS WILL BE ESCALATED.
SAINT FRANCIS MEDICAL CENTER	PART V, SECTION B, LINE 16J: ALL PATIENTS ARE NOTIFIED OF THE FINANCIAL ASSISTANCE POLICY VIA THE CONSENT FORM UPON ADMISSION. UNINSURED PATIENTS ARE CONTACTED AFTER ADMISSION AND INFORMED OF THE FINANCIAL ASSISTANCE AVAILABLE THROUGH THE MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY.
SAINT FRANCIS MEDICAL CENTER	PART V, SECTION B, LINE 20E: IN-HOUSE AND THIRD PARTY REPRESENTATIVES WORK WITH UNINSURED PATIENTS TO HELP THEM QUALIFY FOR MEDICAID BENEFITS THROUGH THEIR STATE OF RESIDENCE. FINANCIAL ASSISTANCE APPLICATIONS ARE OFFERED FOR THOSE THAT DO NOT QUALIFY FOR MEDICAID AND EXPRESS THE INABILITY TO PAY FOR MEDICAL SERVICES.

Field	Value	IRS element (for citing)
Facility	36	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (36 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - ADVANCED ORTHOPEADIC SPECIALISTS
48 DOCTORS PARK	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
2 - CAPE PHYSICIAN ASSOCIATES
3250 GORDONVILLE ROAD	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
3 - CAPE CARDIOLOGY GROUP
211 SAINT FRANCIS DRIVE	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
4 - KNEIBERT CLINIC
686 LESTER STREET	POPLAR BLUFF	MO	63901	PHYSICIAN PRACTICE
5 - CAPE CARE FOR WOMEN
211 SAINT FRANCIS DRIVE	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
6 - FERGUSON MEDICAL GROUP - SIKESTON
1012 NORTH MAIN STREET	SIKESTON	MO	63801	PHYSICIAN PRACTICE
7 - PHYSICIANS PARK PRIMARY CARE
225 PHYSICIANS PARK DRIVE SUITE 40	POPLAR BLUFF	MO	63901	PHYSICIAN PRACTICE
8 - CAPE SPINE AND NEUROSURGERY
150 S MOUNT AUBURN ROAD	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
9 - CAPE GASTROENTEROLOGY SPECIALISTS
28 S MOUNT AUBURN ROAD	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
10 - FARMINGTON PHYSICIAN ASSOCIATES
515 MAPLE VALLEY DRIVE	FARMINGTON	MO	63640	PHYSICIAN PRACTICE
11 - CAPE ENT GROUP
150 S MOUNT AUBURN ROAD	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
12 - HOSPICE
14 C DOCTORS PARK	CAPE GIRARDEAU	MO	63703	HOSPICE
13 - PIEDMONT PHYSICIAN ASSOCIATES
RT 4 BOX 4515	PIEDMONT	MO	63957	PHYSICIAN PRACTICE
14 - CAPE MEDICAL ONCOLOGY
211 SAINT FRANCIS DRIVE	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
15 - CAPE THORACIC & CARDIOVASCULAR SURGERY
3250 GORDONVILLE ROAD	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
16 - POPULAR BLUFF PEDIATRICS
2210 BARRON ROAD SUITE 120-122	POPLAR BLUFF	MO	63901	PHYSICIAN PRACTICE
17 - POPLAR BLUFF NEUROLOGY SPECIALISTS
2210 BARRON ROAD SUITE 112	POPLAR BLUFF	MO	63901	PHYSICIAN PRACTICE
18 - SAINT FRANCIS OUTPATIENT CENTER - DEXTER
1212 SAINT FRANCIS DRIVE	DEXTER	MO	63841	PHYSICIAN PRACTICE
19 - CAPE PRIMARY CARE
1702 N KINGSHIGHWAY	CAPE GIRARDEAU	MO	63701	PHYSICIAN PRACTICE
20 - CAPE NEUROLOGY SPECIALISTS
3004 GORDONVILLE ROAD	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
21 - IMMEDIATE CONVENIENT CARE - CAPE
1702 N KINGSHIGHWAY	CAPE GIRARDEAU	MO	63701	PHYSICIAN PRACTICE
22 - FERGUSON MEDICAL GROUP - EAST PRAIRIE
320 NORTH LINCOLN	EAST PRAIRIE	MO	63845	PHYSICIAN PRACTICE
23 - SAINT FRANCIS OUTPATIENT CENTER - POPLAR
225 PHYSICIANS PARK DRIVE SUITE 400	POPLAR BLUFF	MO	63901	PHYSICIAN PRACTICE
24 - SAINT FRANCIS HOME HEALTH
14 DOCTORS PARK	CAPE GIRARDEAU	MO	63703	HOME HEALTH
25 - PHYSICIANS PARK GENERAL SURGERY
225 PHYSICIANS PARK DRIVE SUITE 301	POPLAR BLUFF	MO	63901	PHYSICIAN PRACTICE
26 - CAPE PULMONARY AND SLEEP MEDICINE
24 S MOUNT AUBURN ROAD	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
27 - CAPE NEUROSURGICAL ASSOCIATES
150 S MOUNT AUBURN ROAD	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
28 - JACKSON FAMILY CARE
545 BROADRIDGE DRIVE	JACKSON	MO	63755	PHYSICIAN PRACTICE
29 - FERGUSON MEDICAL GROUP - CHARLESTON
112 WEST COMMERCIAL	CHARLESTON	MO	63834	PHYSICIAN PRACTICE
30 - CAPE DIABETES & ENDOCRINOLOGY
211 SAINT FRANCIS DRIVE	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
31 - FITNESS PLUS
150 S MOUNT AUBURN ROAD	CAPE GIRARDEAU	MO	63703	FITNESS CENTER
32 - CAPE GYNECOLOGIC ONCOLOGY
211 SAINT FRANCIS DRIVE	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
33 - CHARLESTON FAMILY CARE
400 S MAIN STREET	CHARLESTON	MO	63834	PHYSICIAN PRACTICE
34 - FERGUSON MEDICAL GROUP - SCOTT CITY
100 EAST OUTER ROAD	SCOTT CITY	MO	63780	PHYSICIAN PRACTICE
35 - JACKSON PHYSICIAN ASSOCIATES
2130 E JACKSON BLVD	JACKSON	MO	63755	PHYSICIAN PRACTICE
36 - FITNESS PLUSS - DEXTER
1212 SAINT FRANCIS DRIVE	CAPE GIRARDEAU	MO	63841	FITNESS CENTER

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	ALL UNINSURED PATIENTS RECEIVING SERVICES AT SAINT FRANCIS MEDICAL CENTER WILL RECEIVE A 75% REDUCTION ON ALL GROSS CHARGES AT THE TIME OF BILLING (WITHOUT APPLICATION). ALL SELF-PAY ACCOUNTS WILL BE PROCESSED THROUGH A PRESUMPTIVE SCORING PROGRAM TO DETERMINE IF THEY QUALIFY FOR ASSISTANCE. IF THE PATIENT MEETS THE QUALIFICATIONS, THE PATIENT'S ACCOUNT WILL BE REDUCED TO ZERO. IF THE QUALIFICATIONS ARE NOT MET, COLLECTIONS WILL BE ESCALATED.
PART I, LINE 7:	A COST-TO-CHARGE RATIO WAS USED IN ACCORDANCE WITH THE CALCULATION IN WORKSHEET 2, "RATIO OF PATIENT CARE COST TO CHARGES."
PART I, LINE 7G:	COSTS FOR SUBSIDIZED HEALTH SERVICES INCLUDE COSTS ASSOCIATED WITH PROVIDED NEONATOLOGY, TRAUMA, AND HOSPITALIST PHYSICIAN CLINICAL SERVICES WHERE OPERATIONS RESULT IN LOSSES. TOTAL EXPENSES IN THE AMOUNT OF $13,670,928 ARE INCLUDED.
PART II, COMMUNITY BUILDING ACTIVITIES:	SAINT FRANCIS MEDICAL CENTER'S COMMUNITY BUILDING ACTIVITIES ARE TARGETED TO KEEP GOOD HEALTH IN THE FOREFRONT THROUGH NON-TRADITIONAL CHANNELS. THESE ACTIVITIES ARE USED TO DELIVER HEALTHCARE INFORMATION AND EDUCATION DIRECTLY TO CITIZENS OF THE COMMUNITY. COMMUNITY FORUMS OR MEETINGS ALLOW REPRESENTATIVES OF THE MEDICAL CENTER TO PRESENT POTENTIALLY LIFE-SAVING INFORMATION TO AN AUDIENCE NOT TYPICALLY REACHED BY COMMUNITY HEALTH AGENCIES OR SCREENINGS.
PART III, LINE 2:	A COST-TO-CHARGE RATIO WAS USED IN ACCORDANCE WITH THE CALCULATION IN WORKSHEET 2, "RATIO OF PATIENT CARE COST TO CHARGES" TO DEVELOP COSTS ASSOCIATED WITH BAD DEBT EXPENSE. PATIENT PAYMENTS AND DISCOUNTS ARE APPLIED TO THE PATIENT'S ACCOUNT BEFORE BAD DEBT DETERMINATION IS MADE.
PART III, LINE 3:	AN ESTIMATE OF BAD DEBT EXPENSE AT COST ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY WAS CALCULATED BASED ON A STUDY OF POVERTY RATES IN THE UNITED STATES BY THE UNITED STATES CENSUS BUREAU. THE PERCENTAGE OF THE POPULATION WITH INCOME LEVELS AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES WAS OBTAINED AND THAT PERCENTAGE WAS THEN APPLIED TO THE ESTIMATED BAD DEBT EXPENSE TO OBTAIN THE ESTIMATED AMOUNT IN BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSITANCE POLICY. THE COST-TO-CHARGE RATIO WAS THEN APPLIED TO CONVERT TO COST. THE MEDICAL CENTER ESTIMATES THAT $749,906 AT COST IS FINANCIAL ASSISTANCE ELIGIBLE AND IS INCLUDED IN BAD DEBT EXPENSE.
PART III, LINE 4:	THE FOLLOWING IS FROM FOOTNOTE B OF THE AUDITED FINANCIAL STATEMENTS FOR SAINT FRANCIS MEDICAL CENTER FOR THE YEAR ENDED JUNE 30, 2021:THE MEDICAL CENTER ALSO PROVIDES A SIGNIFICANT AMOUNT OF UNCOMPENSATED CARE FOR PATIENTS WHICH IS NOT INCLUDED IN COMMUNITY BENEFIT EXPENSE BUT IS REPORTED ON THE STATEMENT OF ACTIVITIES AS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANY OF THOSE PATIENTS ARE UNINSURED OR UNDERINSURED, BUT DID NOT APPLY FOR OR QUALIFY FOR CHARITY CARE. DURING THE YEAR ENDED JUNE 30, 2021, THE MEDICAL CENTER REPORTED BAD DEBT EXPENSE; AT COST, OF $2,999,623.
PART III, LINE 8:	THE COSTING METHODOLOGY USED FOR PART III, LINE 6, IS A COST-TO-CHARGE RATIO DERIVED FROM THE PRIOR YEAR'S MEDICARE COST REPORT WHICH USES ONLY MEDICARE ALLOWABLE COSTS.IRS REV. RUL. 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THIS IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT.FOR-PROFIT SPECIALTY HOSPITALS HAVE BEEN CARVING OUT CERTAIN HIGH-MARGIN SERVICES (SUCH AS CARDIAC, ORTHOPEDICS, AND ONCOLOGY), LEAVING GENERAL ACUTE CARE HOSPITALS WITH LOWER-MARGIN MEDICARE SERVICES. THIS INDICATES THAT MEDICARE LOSSES CAN BE A RESULT OF RENDERING THESE LOWER-MARGIN SERVICES (WHICH BENEFIT THE COMMUNITY) RATHER THAN INEFFICIENT OPERATIONS.IN SOME COMMUNITIES, MEDICARE IS THE LARGEST PAYER, AND HOSPITALS MUST ACCEPT THESE PATIENTS REGARDLESS OF WHETHER THEY MAKE A SURPLUS OR DEFICIT FROM PROVIDING SUCH SERVICES. IF THE MEDICARE PARTICIPATION IS PREMISED ON THIS FACT, THEN PROVIDING MEDICARE SERVICES PROMOTES ACCESS TO HEALTHCARE SERVICES WHICH IS A COMMUNITY BENEFIT.THERE ARE A NUMBER OF LOW-INCOME CONSUMERS RECEIVING MEDICARE BENEFITS.THE ELDERLY ARE OFTEN AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDING MEDICARE SERVICES, CMS WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING SERVICES TO THE ELDERLY.**MEDICARE PAYMENT ANOMALIES MAY BE PRESENT IN SOME STATES SO EVEN VERY EFFICIENT HOSPITALS ARE UNABLE TO AVOID LOSSES. THUS, LOSSES MAY NOT BE INDICATIVE OF INEFFICIENCY BUT RATHER PROVISION OF A COMMUNITY BENEFIT.
PART III, LINE 9B:	IF A PATIENT EXPRESSES FINANCIAL INABILITY TO PAY, THE REPRESENTATIVE OF THE MEDICAL CENTER WILL OFFER A FINANCIAL ASSISTANCE APPLICATION TO THE PATIENT. THE PATIENT THEN RETURNS THE APPLICATION TO THE BUSINESS OFFICE FOR REVIEW. AFTER REVIEW, THE BUSINESS OFFICE WILL NOTIFY THE PATIENT IN WRITING OF THE DECISION. IF APPROVED, THE BUSINESS OFFICE WILL WRITE OFF THE REMAINING BALANCES. IF DENIED, THE BUSINESS OFFICE WILL CONTACT THE PATIENT TO MAKE PAYMENT ARRANGEMENTS.
PART VI, LINE 2:	SAINT FRANCIS IS PROACTIVE IN ASSESSING THE HEALTHCARE NEEDS OF ITS SERVICE AREA THROUGH GATHERING INFORMATION OR STUDIES FROM COMMUNITY HEALTHCARE AGENCIES, DEVELOPING AND SUPPORTING COMMUNITY HEALTH EDUCATORS, AND FOLLOWING UP ON INFORMATION FROM PATIENTS AND FAMILIES. SAINT FRANCIS IS REACTIVE IN ASSESSING THE HEALTHCARE NEEDS OF ITS SERVICE AREA BY PROVIDING SUPPORT AND ASSISTANCE THROUGH LOCAL AND NATIONAL AGENCIES, WHICH PROVIDE DIRECT HEALTHCARE SERVICES TO THE MEDICAL CENTER'S SERVICE AREA.
PART VI, LINE 3:	HOSPITAL PERSONNEL, INCLUDING NURSES, PHYSICIANS, SOCIAL WORKERS AND OTHERS, MAY IDENTIFY AND REQUEST AN APPLICATION FOR A PATIENT WHEN DEEMED APPROPRIATE. PATIENTS AND PERSONS WHO MAY BE BILLED RECEIVE AN APPLICATION FOR ASSISTANCE WHEN A NEED IS EXPRESSED. REQUEST FOR ASSISTANCE IS USUALLY MADE WHEN THE PATIENT RECEIVES THE BILL, OR WHEN THE CUSTOMER SERVICE REPRESENTATIVE CONTACTS THE PATIENT FOR PAYMENT OF ACCOUNT. AT THE TIME NEED IS EXPRESSED, THE APPLICATION IS GIVEN PERSONALLY OR MAILED TO THE PATIENT. CUSTOMER SERVICE REPRESENTATIVES THEN WORK WITH THE PATIENT TO COMPLETE ASSISTANCE REQUEST AND FORWARD APPLICATION FOR APPROVAL. ANY PATIENTS WHO RETURN TO THE MEDICAL CENTER TO PAY A BILL HAVE ACCESS TO ASSISTANCE EDUCATION DOCUMENTATION AT THE BILLING OFFICE.
PART VI, LINE 4:	SAINT FRANCIS MEDICAL CENTER IS A LEADING TERTIARY CARE PROVIDER SERVING PORTIONS OF A FIVE-STATE REGION - MISSOURI, ARKANSAS, TENNESSEE, KENTUCKY AND ILLINOIS. THE SYSTEM PROVIDES TO A POPULATION OF MORE THAN 740,000 PEOPLE. THE PRIMARY SERVICE AREA CONSISTS OF CAPE GIRARDEAU COUNTY THAT HAS AN ESTIMATED POPULATION OF 78,871 AS OF 2019. ACCORDING TO THE MISSOURI OFFICE OF ADMINISTRATION, BUDGET AND PLANNING, CAPE GIRARDEAU COUNTY'S POPULATION IS EXPECTED TO INCREASE TO 84,612 BY 2030. THE SECONDARY SERVICE AREA HAS A POPULATION OF NEARLY 169,000 AND INCLUDES THE COUNTIES OF ALEXANDER (5,761), PULASKI (5,335) AND UNION (16,653) IN ILLINOIS; AND BOLLINGER (12,133), MISSISSIPPI (13,180), NEW MADRID (17,076), PERRY (19,136), SCOTT (38,280), AND STODDARD (29,025) IN MISSOURI. THE TERTIARY SERVICES AREA HAS A POPULATION OF MORE THAN 493,000 AND INCLUDES THE COUNTIES OF BUTLER (42,478), CARTER (5,982), DUNKLIN (19,131), IRON (10,125), MADISON (12,088), PEMISCOT (15,805), REYNOLDS (6,270), RIPLEY (13,288), ST. FRANCOIS (67,215), STE. GENEVIEVE (17,894) AND WAYNE (12,873) IN MISSOURI; JACKSON (56,750), JOHNSON (12,417), RANDOLPH (31,782) AND WILLIAMSON (66,597) IN ILLINOIS; CLAY (14,551) AND RANDOLPH (17,958) IN ARKANSAS; LAKE (7,016) AND OBION (30,069) IN TENNESSEE; AND BALLARD (7,888), CARLISLE (4,760), FULTON(5,969) AND HICKMAN (4,380) IN KENTUCKY. THE SOUTHEAST REGION OF MISSOURI IS DECLINING IN POPULATION AND EVERY COUNTY HAS A HIGHER THAN AVERAGE PERCENTAGE OF RETIREE-AGED PEOPLE AS COMPARED WITH THE U.S. THIS REGION IS 89.8 PERCENT CAUCASIAN, 7.0 PERCENT AFRICAN-AMERICAN AND 2.4 PERCENT HISPANIC. PER CAPITA INCOME FOR CAPE GIRARDEAU COUNTY WAS $28,267. OF THE ENTIRE SOUTHEAST MISSOURI REGION POPULATION AGED 25 OR OLDER, 16 PERCENT DID NOT OBTAIN A HIGH SCHOOL DIPLOMA. APPROXIMATELY 84 PERCENT GRADUATED FROM HIGH SCHOOL OR HIGHER, 24 PERCENT EARNED A COLLEGE DEGREE OR HIGHER AND 6 PERCENT COMPLETED A GRADUATE OR PROFESSIONAL DEGREE.ACCORDING TO EMPLOYMENT STATISTICS IN DECEMBER 2020, THE SOUTHEAST REGION HAD AN UNEMPLOYMENT RATE OF 6.0 PERCENT. STATISTICS ARE FROM THE MISSOURI ECONOMIC RESEARCH AND INFORMATION CENTER AND THE U.S. CENSUS BUREAU.
PART VI, LINE 5:	SAINT FRANCIS MEDICAL CENTER FURTHERS ITS EXEMPT PURPOSE BY PROVIDING FOR AN OPEN MEDICAL STAFF COMPRISED OF PHYSICIANS IN ITS PRIMARY SERVICE AREA. THE BOARD OF DIRECTORS IS COMPRISED OF LOCAL COMMUNITY MEMBERS WITH A VESTED INTEREST IN PROMOTING AND IMPROVING THE HEALTH OF THE POPULATION SERVED BY SAINT FRANCIS MEDICAL CENTER. IN ADDITION, SURPLUS FUNDS GENERATED BY THE OPERATINS OF THE MEDICAL CENTER ARE REINVESTED IN EQUIPMENT AND FACILITIES SO THAT SAINT FRANCIS MEDICAL CENTER CAN PROVIDE CUTTING EDGE HEALTHCARE TO THE RESIDENTS OF ITS COMMUNITY.
PART VI, LINE 6:	SAINT FRANCIS HEALTHCARE SYSTEM IS A HOLDING COMPANY WHICH IS THE SOLE MEMBER OF SAINT FRANCIS MEDICAL CENTER. SAINT FRANCIS MEDICAL CENTER OPERATES A 306-BED ACUTE CARE HOSPITAL LOCATED IN CAPE GIRARDEAU, MISSOURI. ADMITTING PHYSICIANS ARE PRIMARILY PRACTITIONERS IN THE LOCAL AREA. SAINT FRANCIS HEALTH DEVELOPMENT SERVICES, INC. WAS ORGANIZED BY SAINT FRANCIS HEALTHCARE SYSTEM. SAINT FRANCIS HEALTH DEVELOPMENT SERVICES, INC. FORMED IN 2002, OWNS A 51% INTEREST IN PHYSICIANS ALLIANCE, LC, A 68.35% INTEREST IN BLACK RIVER REAL ESTATE, LLC, A 30% INTEREST IN LANDMARK HOSPITAL OF CAPE GIRARDEAU, LLC, A 100% INTEREST IN SAINT FRANCIS HEALTH DEVELOPMENT REAL ESTATE, LLC, A 100% INTEREST IN BLACK RIVER AMBULATORY SURGERY CENTER, LLC AND A 30% INTEREST IN UC CLINIC 001, LLC, WHICH OPERATES AFC URGENT CARE CENTER.
PART VI, LINE 7, REPORTS FILED WITH STATES	MO

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (1)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 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
MARYANN REESE
PRESIDENT & CEO	$940,334	$0	$208,493	$0	$85,252	$0	$13,438	$0	$11,927	$0	$1,259,444	$0	$0	$0
JAMES BURKE
CHIEF ADMINISTRATIVE OFFIC	$469,967	$0	$77,969	$0	$51,362	$0	$11,720	$0	$27,585	$0	$638,603	$0	$0	$0
THOMAS S DIEMER MD
CHIEF MEDICAL OFFICER	$396,334	$0	$44,584	$0	$45,621	$0	$11,291	$0	$20,892	$0	$518,722	$0	$0	$0
STEPHANIE LAPIERRE
CHIEF NURSING/CLINICAL OFF	$213,190	$0	$33,056	$0	$20,005	$0	$10,289	$0	$10,305	$0	$286,845	$0	$0	$0
DEBBY SPRANDEL
VP - AMBULATORY NURSING (FORMER)	$270,497	$0	$28,134	$0	$15,876	$0	$7,037	$0	$7,335	$0	$328,879	$0	$0	$0
STEVEN OGBURN
VP OF SFMP	$266,148	$0	$55,990	$0	$55,635	$0	$10,471	$0	$27,139	$0	$415,383	$0	$0	$0
GERRY SALTER
VP - SPECIALTY PRACTICES	$238,091	$0	$24,921	$0	$8,749	$0	$9,069	$0	$26,920	$0	$307,750	$0	$0	$0
JAMES WILFERTH
VP FOUNDATION	$181,501	$0	$21,093	$0	$27,155	$0	$7,577	$0	$26,632	$0	$263,958	$0	$0	$0
JULIE WOODRUFF
CHIEF NURSING OFFICER (FORMER)	$221,725	$0	$36,054	$0	$25,038	$0	$8,835	$0	$10,079	$0	$301,731	$0	$0	$0
JUSTIN DAVISON
CFO	$388,427	$0	$79,200	$0	$540	$0	$615	$0	$27,557	$0	$496,339	$0	$0	$0
DAVID PRATHER
CFO (FORMER)	$505,734	$0	$0	$0	$29,953	$0	$767	$0	$806	$0	$537,260	$0	$0	$0
WILLIAM BALSANO
CFO (FORMER)	$1,353,763	$0	$0	$0	$0	$0	$0	$0	$0	$0	$1,353,763	$0	$0	$0
LORI STURGILL
CHIEF INFORMATION OFFICER	$303,989	$0	$32,594	$0	$20,310	$0	$10,563	$0	$18,655	$0	$386,111	$0	$0	$0
CHRISTY SHAWAN
VP SFMP OPERATIONS SOUTHWE	$169,430	$0	$19,024	$0	$22,183	$0	$6,923	$0	$10,777	$0	$228,337	$0	$0	$0
JASON BANDERMANN
VP SFMP OPERATIONS NORTHEA	$157,385	$0	$16,992	$0	$8,479	$0	$6,184	$0	$26,089	$0	$215,129	$0	$0	$0
RAFID HUSSEIN DO
GASTROENTEROLOGIST	$738,565	$0	$102	$0	$80,689	$0	$14,250	$0	$27,585	$0	$861,191	$0	$0	$0
BRANDON SCOTT DO
NEUROSURGEON	$686,617	$0	$661,251	$0	$37,839	$0	$14,250	$0	$12,705	$0	$1,412,662	$0	$0	$0
FRANKLIN HAYWARD DO
NEUROSURGEON	$829,553	$0	$0	$0	$2,322	$0	$5,700	$0	$26,385	$0	$863,960	$0	$0	$0
KAYWAN GAMADIA DO
NEUROSURGEON	$753,582	$0	$626,152	$0	$810	$0	$5,700	$0	$26,385	$0	$1,412,629	$0	$0	$0
WILSON PAIS MD
GASTROENTEROLOGIST	$774,240	$0	$102	$0	$94,352	$0	$14,250	$0	$27,585	$0	$910,529	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	EXECUTIVE MEMBERS RECEIVE TRAVEL FOR THEIR SPOUSES. SPOUSAL TRAVEL IS ADDED TO W-2'S FOR EXECUTIVES.
PART I, LINE 4B	STEVEN A OGBURN - NONQUALIFIED - $19,907
PART I, LINE 6	ALL EXECUTIVE BONUSES ARE BASED ON ATTAINMENT OF STRATEGIC GOALS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
IND DEV AUTH OF CAPE GIRARDEAU
A	431193901	139404FH5	2013-05-01	$131,833,295	CAPITAL EXPENDITURES	0	0	0
IND DEV AUTH OF CAPE GIRARDEAU
B	431193901	139404GB7	2016-11-16	$34,876,270	ADVANCED REFUNDING	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Capitalized InterestCapitalizedInterestAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Refunding EscrowRefundingEscrowAmt
A	$131,833,295	$3,393,406	$1,380,910	$75,003,510	2015	Yes (1)	Yes (1)	Yes (1)	Yes (1)
B	$34,876,270		$178,601		2016	0	Yes (1)	Yes (1)	Yes (1)	$35,254,267

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	Yes (1)	0	0	0	0	0
B	0	Yes (1)	0	0	0	0	0

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 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	0	0	0	0	0	0	0	0	0
B	0	0	0	0	Yes (1)	0	0	0	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	0
B	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2	A BUSINESS RELATIONSHIP IS CONSIDERED TO EXIST AMONGST OFFICERS AND/OR DIRECTORS OF SAINT FRANCIS MEDICAL CENTER (SFMC) WHO ALSO SERVE AS OFFICERS AND/OR DIRECTORS OF SAINT FRANCIS HEALTH DEVELOPMENT SERVICES, INC., WHICH IS A RELATED TAXABLE ENTITY OF SAINT FRANCIS MEDICAL CENTER. THE FOLLOWING OFFICERS AND/OR DIRECTORS SERVE ON BOTH THE SAINT FRANCIS MEDICAL CENTER AND SAINT FRANCIS HEALTH DEVELPMENT SERVICES, INC. BOARD OF DIRECTORS: MARYANN REESE - PRESIDENT AND CEO AT SFMC DON KAVERMAN - MEMBER OF SFMC BOARD OF DIRECTORS LAURA YOUNGHOUSE - MEMBER OF SFMC BOARD OF DIRECTORS KEVIN GOVERO - CHAIRMAN OF SFMC BOARD OF DIRECTORS ADAM KIDD - MEMBER OF SFMC BOARD OF DIRECTORS
FORM 990, PART VI, SECTION A, LINE 6	SAINT FRANCIS HEALTHCARE SYSTEM IS THE SOLE MEMBER OF THE SAINT FRANCIS MEDICAL CENTER.
FORM 990, PART VI, SECTION A, LINE 7A	SAINT FRANCIS HEALTHCARE SYSTEM, AS THE SOLE MEMBER OF SAINT FRANCIS MEDICAL CENTER HAS THE POWER TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS, THE CHAIRMAN OF THE BOARD, THE VICE CHAIRMAN OF THE BOARD AND THE SECRETARY/TREASURER OF THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7B	DECISIONS ARE SUBJECT TO THE BISHOP'S APPROVAL.
FORM 990, PART VI, SECTION B, LINE 11B	A COPY OF THE FORM 990 IS PROVIDED TO ALL THE MEMBERS OF THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO BEING FILED WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C	THE MEDICAL CENTER REQUIRES ALL OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES TO COMPLETE A CONFLICT OF INTEREST STATEMENT EACH YEAR. OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ARE EDUCATED EACH YEAR ON THE DEFINITION OF A CONFLICT OF INTEREST AND HOW TO AVOID THEM.
FORM 990, PART VI, SECTION B, LINE 15	AN OUTSIDE CONSULTANT IS ENGAGED TO PROVIDE BENCHMARK DATA FOR COMPARABLE POSITIONS IN COMPARABLY SIZED MEDICAL CENTERS. BASED ON THE DATA, THE CONSULTANT MAKES A RECOMMENDATION TO THE COMPENSATION COMMITTEE OF THE BOARD. THE BOARD DISCUSSES THE RECOMMENDATIONS AND MAKES A DECISION AS TO WHAT WILL BE PROVIDED FOR THE YEAR. THE PRESIDENT OF THE BOARD PROVIDES THE INFORMATION TO THE CHIEF FINANCIAL OFFICER TO IMPLEMENT. BASED ON DATA PROVIDED BY CONSULTANTS, THE BOARD OF DIRECTORS ESTABLISH PAY TARGETS FOR THE EXECUTIVE TEAM. THE PRESIDENT GRANTS THE VICE PRESIDENTS THEIR PAY INCREASES BASED ON PERFORMANCE IN THE PRECEEDING YEAR.
FORM 990, PART VI, SECTION C, LINE 19	COPIES OF THE MEDICAL CENTERS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND FEDERAL FORM 990 ARE AVAILABLE AT THE ADMINISTRATIVE OFFICE UPON REQUEST.
FORM 990, PART XI, LINE 9:	CHANGE IN INTEREST IN NET ASSETS OF SFF 311,897. TRANSFER TO SAINT FRANCIS HEATHCARE SYSTEM -11,559,568.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SAINT FRANCIS MEDICAL PARTNERS LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	211 SAINT FRANCIS DRIVE	AddressLine1Txt
City	CAPE GIRARDEAU	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63703	ZIPCd

Field	Value	IRS element (for citing)
EIN	431869973	EIN
Primary Activities	PHYS. PRACTICE	PrimaryActivitiesTxt
Legal Domicile State	MO	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SFMC	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd
SAINT FRANCIS HEALTHCARE SYSTEM
211 SAINT FRANCIS DRIVE	CAPE GIRARDEAU	MO	63703	430662499	HOLDING COMPANY	MO	501(C)(3)	LINE 12B, II	N/A	0
SAINT FRANCIS FOUNDATION
211 SAINT FRANCIS DRIVE	CAPE GIRARDEAU	MO	63703	431111276	FUND DEV.	MO	501(C)(3)	LINE 12B, II	N/A	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	SAINT FRANCIS HEALTH DEVELOP SRVS	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	211 SAINT FRANCIS DRIVE	AddressLine1Txt
City	CAPE GIRARDEAU	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63703	ZIPCd

Field	Value	IRS element (for citing)
EIN	470849798	EIN
Primary Activities	HOLDING COMPANY	PrimaryActivitiesTxt
Legal Domicile State	MO	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Entity Type	C	EntityTypeTxt
Controlled Organization	0	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd