SAINT FRANCIS MEDICAL CENTER: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: SAINT FRANCIS MEDICAL CENTER (EIN 23-7246265)
Tax period: 2016-07-01 to 2017-06-30
Filed: 2018-02-24
IRS object ID: 201800559349300325
Schema version: 2016v3.1
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 D
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-02-24T16:40:12-06:00	ReturnTs
Tax Period End	2017-06-30	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	1116 W MAIN ST	AddressLine1Txt
City	CARBONDALE	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	629012335	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-07-01	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	DAVID C PRATHER	PersonNm
Person Title	VP OF FINANCE	PersonTitleTxt
Phone	5733351251	PhoneNum
Signature	2017-02-19	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	AMBER HALSTEAD	PreparerPersonNm
PTIN	P01343727	PTIN
Phone	6185291040	PhoneNum
Preparation	2018-02-24	PreparationDt

Filing Security Information FilingSecurityInformation

Field	Value	IRS element (for citing)
At Submission Creation Device Id	D8AB8D36921CF03BD360323348BCD9DEA8888B35	AtSubmissionCreationDeviceId
At Submission Filing Device Id	105765E572DEB4DC3E7ACB4146B0BE8786E2D991	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	MARYANN REESE	PrincipalOfficerNm

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	$616,839,899	GrossReceiptsAmt
Group Return For Affiliates	false	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 AND WELLNESS INSPIRED BY ITS CHRISTIAN PHILOSOPHY AND VALUES.	ActivityOrMissionDesc
Voting Members Governing Body	5	VotingMembersGoverningBodyCnt
Voting Members Independent	4	VotingMembersIndependentCnt
Total Employee	3148	TotalEmployeeCnt
Total Volunteers	282	TotalVolunteersCnt
Total Gross UBI	$14,139,259	TotalGrossUBIAmt
PY Contributions Grants	$1,329,932	PYContributionsGrantsAmt
CY Contributions Grants	$1,367,089	CYContributionsGrantsAmt
PY Program Service Revenue	$461,636,285	PYProgramServiceRevenueAmt
CY Program Service Revenue	$463,829,625	CYProgramServiceRevenueAmt
PY Investment Income	$17,304,284	PYInvestmentIncomeAmt
CY Investment Income	$17,212,251	CYInvestmentIncomeAmt
PY Other Revenue	$3,848,103	PYOtherRevenueAmt
CY Other Revenue	$3,335,027	CYOtherRevenueAmt
PY Total Revenue	$484,118,604	PYTotalRevenueAmt
CY Total Revenue	$485,743,992	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$210,998,870	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$220,309,077	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$227,507,694	PYOtherExpensesAmt
CY Other Expenses	$240,131,788	CYOtherExpensesAmt
PY Total Expenses	$438,506,564	PYTotalExpensesAmt
CY Total Expenses	$460,440,865	CYTotalExpensesAmt
PY Revenues Less Expenses	$45,612,040	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$25,303,127	CYRevenuesLessExpensesAmt
Total Assets BOY	$875,387,158	TotalAssetsBOYAmt
Total Assets EOY	$906,679,879	TotalAssetsEOYAmt
Total Liabilities BOY	$280,201,593	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$268,159,789	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$595,185,565	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$638,520,090	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SAINT FRANCIS MEDICAL CENTER IS A 308-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	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$460,440,865	ExpenseAmt
Revenue	$463,829,625	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 84.3 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 12,649 INPATIENTS, 43,806 EMERGENCY PATIENTS AND 163,326 OUTPATIENTS DURING THE FISCAL YEAR (FY) ENDING JUNE 30, 2017. DURING FY 2017, SFMC HAD A TOTAL OF 59,747 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 86.3 MILLION IN FY 2017. 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. TOTAL ATTENDANCE AT THESE ACTIVITIES EXCEEDED 13,900 DURING FY 2017. -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 193,974 IN FY 2017. -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 2017 SFMC VOLUNTEERS CONTRIBUTED APPROXIMATELY 42,811 HOURS OF SERVICE TO OUR PATIENTS, THEIR FAMILIES AND THE COMMUNITY. THE VALUE OF THIS CONTRIBUTION IS ESTIMATED AT OVER 327,000 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 2017 SFMC PROVIDED 411 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 51,614.	Desc
Total Program Service Expenses	$460,440,865	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
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	false	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	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	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	Yes (true)	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	Yes (true)	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
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	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	64	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	3148	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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	5	GoverningBodyVotingMembersCnt
Independent Voting Member	4	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	DelegationOfMgmtDutiesInd
Change To Org Documents	false	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	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	DAVID C PRATHER	PersonNm
Phone	5733313000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	211 SAINT FRANCIS DR	AddressLine1Txt
Address Line2	211 SAINT FRANCIS DRIVE	AddressLine2Txt
City	CAPE GIRARDEAU	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63703	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 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	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DONALD KAVERMAN
BOARD MEMBER	2.00	4.00	Yes (X)	$0	$0	$0
KEVIN GOVERO
SECRETARY/TR	2.00	4.00	Yes (X)	$0	$0	$0
PATRICIA RAY
BOARD MEMBER	2.00	2.00	Yes (X)	$0	$0	$0
STEVEN DIRNBERGER
BOARD MEMBER	2.00	2.00	Yes (X)	$0	$0	$0
JAMES BOLLINGER
BOARD MEMBER	2.00	2.00	Yes (X)	$0	$0	$0
STEVEN C BJELICH
PRESIDENT &	40.00	6.00		$1,290,807	$0	$33,201	Yes (X)
WILLIAM A BALSANO
VP OF FINANC	40.00	2.00		$674,340	$0	$22,641	Yes (X)
MARYANN REESE
EXECUTIVE VP	40.00			$594,083	$0	$19,510	Yes (X)
MARILYN K CURTIS
VP OF PROF.	40.00			$487,597	$0	$32,799	Yes (X)
JEANNETTE K FADLER
VP OF PATIEN	40.00			$429,824	$0	$32,799	Yes (X)
THOMAS S DIEMER MD
VP OF QUALIT	40.00			$389,341	$0	$39,146	Yes (X)
STEVEN A OGBURN
VP OF AMBULA	40.00			$334,114	$0	$39,515	Yes (X)
TERI KREITZER
VP OF HR	40.00			$258,241	$0	$21,174	Yes (X)
GERRY SALTER
VP OF PROF S	40.00			$257,110	$0	$37,724	Yes (X)
BARBARA THOMPSON
VP OF MARKET	20.00			$0	$0	$0	Yes (X)
MICHAEL FREEMANMD
GASTRONENTER	40.00			$1,155,959	$0	$39,515		Yes (X)
BRANDON SCOTT DO
NEUROSURGEON	40.00			$1,079,422	$0	$23,383		Yes (X)
KAYWAN GAMADIA DO
NEUROSURGEON	40.00			$785,023	$0	$28,827		Yes (X)
EDWARD BENDERMD THORACIC AND
CARDIOVASCUL	40.00			$760,881	$0	$32,113		Yes (X)
CLIFFORD TALBERT JR MD
CARDIOLOGIST	40.00			$754,223	$0	$30,487		Yes (X)
JAMES A SCHELL MD
VP MEDICAL A	40.00			$399,705	$0	$13,746			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$9,650,670	TotalReportableCompFromOrgAmt
Total Other Compensation	$446,580	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	298	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	Yes (true)	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
THE ROBERTS GROUP
730 NORTH GRAND AVENUE	WAUKESHA	WI	53186	ADVERTISING	$8,057,630
CAPE ANESTHESIA GROUP INC
PO BOX 1777	CAPE GIRARDEAU	MO	637021777	ANESTHESIA SERV	$7,672,420
EPIC SYSTEMS CORP
PO BOX 88314	MILWAUKEE	WI	532880314	EHR SYSTEM	$6,341,478
HCTEC
5106 MARYLAND WAY	BRENTWOOD	TN	37027	EPIC CONSULTING	$4,716,710
INTERNAL MEDICINE ASSOCIATION OF SE
225 PHYSCIANS PARK 400	POPLAR BLUFF	MO	63901	PHYSICIAN SERV	$4,533,481

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	213	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,363,955	RelatedOrganizationsAmt
All Other Contributions	$3,134	AllOtherContributionsAmt
Total Contributions	$1,367,089	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	BusinessBusinessCd	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	$445,862,328	$445,862,328
PHARMACY	$10,598,491		446110	$10,598,491
LAB FEES	$3,427,657		621500	$3,427,657
FITNESS CENTER	$2,350,292	$2,350,292
WELLNESS PROGRAMS	$856,973	$856,973

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$733,884	TotalRevenueColumnAmt
Related Or Exempt Func Income	$620,773	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$113,111	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$463,829,625	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,428,532	TotalRevenueColumnAmt
Related Or Exempt Func Income	$6,270,398	RelatedOrExemptFuncIncomeAmt
Exclusion	$1,158,134	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$696,491	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$696,491	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$696,491	TotalRevenueColumnAmt
Exclusion	$696,491	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$140,846,426	SecuritiesAmt
Other	$33,200	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$130,543,025	SecuritiesAmt
Other	$552,882	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$10,303,401	SecuritiesAmt
Other	-$519,682	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,783,719	TotalRevenueColumnAmt
Related Or Exempt Func Income	$9,783,719	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA SALES	$1,239,022	$1,239,022
ELECTRONIC HEALTH RECORDS	$1,193,781	$1,193,781
MEDICAL RECORDS	$145,230	$145,230

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$60,503	TotalRevenueColumnAmt
Exclusion	$60,503	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,638,536	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$485,743,992	TotalRevenueColumnAmt
Related Or Exempt Func Income	$465,744,483	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$14,139,259	UnrelatedBusinessRevenueAmt
Exclusion	$4,493,161	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,993,966	TotalAmt
Program Services	$4,993,966	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$413,451	TotalAmt
Program Services	$413,451	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$177,565,537	TotalAmt
Program Services	$177,565,537	ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,119,182	TotalAmt
Program Services	$5,119,182	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$21,052,022	TotalAmt
Program Services	$21,052,022	ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$11,164,919	TotalAmt
Program Services	$11,164,919	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$534,021	TotalAmt
Program Services	$534,021	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$90,418	TotalAmt
Program Services	$90,418	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$10,917,112	TotalAmt
Program Services	$10,917,112	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$8,531,055	TotalAmt
Program Services	$8,531,055	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$44,832,573	TotalAmt
Program Services	$44,832,573	ProgramServicesAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$11,517,352	TotalAmt
Program Services	$11,517,352	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,295,067	TotalAmt
Program Services	$4,295,067	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$556,075	TotalAmt
Program Services	$556,075	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$6,694,808	TotalAmt
Program Services	$6,694,808	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$35,916,577	TotalAmt
Program Services	$35,916,577	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,860,463	TotalAmt
Program Services	$2,860,463	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
MEDICAL SUPPLIES	$39,829,191	$39,829,191
DRUGS	$33,144,821	$33,144,821
FRA TAX	$20,263,488	$20,263,488
EQUIP. RENTAL & MAIN	$8,361,562	$8,361,562

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$11,787,205	TotalAmt
Program Services	$11,787,205	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$460,440,865	TotalAmt
Program Services	$460,440,865	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$55,738,120	BOYAmt
EOY	$43,421,665	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$11,015,427	BOYAmt
EOY	$23,012,308	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$66,581,295	BOYAmt
EOY	$63,608,065	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$497,669	BOYAmt
EOY	$508,922	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$11,180,815	BOYAmt
EOY	$10,787,574	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$8,439,963	BOYAmt
EOY	$15,835,177	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$602,722,420	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$263,748,076	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$348,688,901	BOYAmt
EOY	$338,974,344	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$361,452,979	BOYAmt
EOY	$399,391,130	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,615,114	BOYAmt
EOY	$8,855,386	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,176,875	BOYAmt
EOY	$2,285,308	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$875,387,158	BOYAmt
EOY	$906,679,879	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$86,810,262	BOYAmt
EOY	$79,368,923	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$193,391,331	BOYAmt
EOY	$188,790,866	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$280,201,593	BOYAmt
EOY	$268,159,789	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$595,185,565	BOYAmt
EOY	$638,520,090	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$595,185,565	BOYAmt
EOY	$638,520,090	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$875,387,158	BOYAmt
EOY	$906,679,879	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$25,303,127	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$22,845,485	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$4,814,087	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)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	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	$245,826,504	OtherCostOrOtherBasisAmt
Depreciation	$87,135,006	DepreciationAmt
Book Value	$158,691,498	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$333,248,079	OtherCostOrOtherBasisAmt
Depreciation	$169,471,358	DepreciationAmt
Book Value	$163,776,721	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,260,887	OtherCostOrOtherBasisAmt
Depreciation	$7,141,712	DepreciationAmt
Book Value	$8,119,175	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$338,974,344	TotalBookValueLandBuildingsAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$508,697,910	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$22,845,485	NetUnrealizedGainsInvstAmt
Other Revenue	$108,433	OtherRevenueAmt
Revenue Not Reported	$22,953,918	RevenueNotReportedAmt
Revenue Subtotal	$485,743,992	RevenueSubtotalAmt
Total Revenue Per Form990	$485,743,992	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$465,363,385	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$4,922,520	OtherExpensesIncludedAmt
Expenses Not Reported	$4,922,520	ExpensesNotReportedAmt
Expenses Subtotal	$460,440,865	ExpensesSubtotalAmt
Total Expenses Per Form990	$460,440,865	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PAGE 3, PART X	THERE WERE NO UNCERTAIN TAX BENEFITS IDENTIFIED AND RECORDED AS A LIABILITY AT JUNE 30, 2017 OR 2016.
SCHEDULE D, PAGE 4, PART XI, LINE 2D	CHANGE IN INTEREST IN NET ASSETS OF SFF 108,433
SCHEDULE D, PAGE 4, PART XII, LINE 2D	LOSS ON EXTINGUISHMENT OF DEBT 4,922,520
SCHEDULE D, PAGE 4, PART XIII	THE DIFFERENCE BETWEEN THE REVENUES AND THE NET ASSETS ON THE AUDITED FINANCIAL STATEMENTS AND THOSE REPORTED ON THE 990 REPRESENTS AN INCREASE IN AUXILIARY FUNDS OF 71,735 AND AUXILIARY CASH OF 125,876.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
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	$26,303,397	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,858,868	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,444,529	NetCommunityBenefitExpnsAmt
Total Expense	0.04870	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$91,142,046	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$59,426,067	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,715,979	NetCommunityBenefitExpnsAmt
Total Expense	0.06890	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$117,445,443	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$63,284,935	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$54,160,508	NetCommunityBenefitExpnsAmt
Total Expense	0.11760	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,177,189	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,177,189	NetCommunityBenefitExpnsAmt
Total Expense	0.00470	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,964,315	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,964,315	NetCommunityBenefitExpnsAmt
Total Expense	0.00640	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,530,359	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,777,030	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,753,329	NetCommunityBenefitExpnsAmt
Total Expense	0.01680	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,002,074	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,002,074	NetCommunityBenefitExpnsAmt
Total Expense	0.00220	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,673,937	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,777,030	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,896,907	NetCommunityBenefitExpnsAmt
Total Expense	0.03020	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$136,119,380	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$68,061,965	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$68,057,415	NetCommunityBenefitExpnsAmt
Total Expense	0.14780	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,376	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,376	NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,584	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$21,584	NetCommunityBenefitExpnsAmt

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,973	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,973	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,991	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$31,991	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$573,547	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$573,547	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$642,471	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$642,471	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$6,264,879	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,993,484	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$152,625,188	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$207,251,259	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$54,626,071	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	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	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
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	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 (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.SFMC.NET	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
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	200.000000000000	FPGFamilyIncmLmtFreeCarePct
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	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 (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
Other Actions Taken	Yes (X)	OtherActionsTakenInd
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 (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FACILITY 1, SAINT FRANCIS MEDICAL CENTER - PART V, LINE 3J	THE IMPACT OF ANY ACTIONS TAKEN TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE HOSPITAL FACILITY'S PRIOR CHNA.
FACILITY 1, SAINT FRANCIS MEDICAL CENTER - PART V, LINE 5	-SECTION B. FACILITY POLICIES AND PRACTICES INDIVIDUALS REPRESENTING THE BROAD 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 GROUPS FOUR 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? 161 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. FACILITY 1, SAINT FRANCIS MEDICAL CENTER - PART V, LINE 6A -SECTION B. FACILITY POLICIES AND PROCEDURES SAINT FRANCIS MEDICAL CENTER WAS THE ONLY ENTITY CONDUCTING THIS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THERE WAS A COOPERATION ON THE FOCUS GROUP WITH MISSOURI DELTA MEDICAL CENTER IN SIKESTON, MISSOURI.
FACILITY 1, SAINT FRANCIS MEDICAL CENTER - PART V, LINE 7D	-SECTION B. FACILITY POLICIES AND PROCEDURES 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. CHNA WAS SHARED WITH SOUTHEAST MISSOURI STATE UNIVERSITY, MISSOURI DELTA MEDICAL CENTER AND FERGUSON MEDICAL GROUP IN SIKESTON, MISSOURI. HTTPS://WWW.SFMC.NET/CHNA
FACILITY 1, SAINT FRANCIS MEDICAL CENTER - PART V, LINE 11	-SECTION B. FACILITY POLICIES AND PRACTICES 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 2016-2019 CHNA IMPLEMENTATION PLAN FOR THE FOLLOWING REASONS: 1. CONSIDERABLE RESOURCES ARE ALREADY ALLOCATED TO ADDRESS THE OTHER TOP-PRIORITY HEALTH NEEDS IDENTIFIED BY THE 2016 CHNA; 2. SOUTHEASTHEALTH, THE OTHER COMMUNITY HOSPITAL IN CAPE GIRARDEAU, ALREADY OFFERS INPATIENT PSYCHIATRIC TREATMENT, AND DUPLICATION OF SUCH SERVICES IN THE SAME COMMUNITY IS NOT THE BEST USE OF SFMC RESOURCES; 3. THE SIGNIFICANT RESOURCE REQUIREMENTS THAT WOULD BE NECESSARY FOR SAINT FRANCIS HEALTHCARE SYSTEM TO DEVELOP ITS OWN OUTPATIENT SUBSTANCE ABUSE AND/OR MENTAL HEALTH TREATMENT PROGRAMS FROM THE GROUND UP IS NOT FEASIBLE AT THIS TIME. SAINT FRANCIS WILL INSTEAD CONTINUE TO WORK WITH OTHER COMMUNITY PARTNERS THAT OFFER SUCH SERVICE IN THE COMMUNITY BY MAKING APPROPRIATE PATIENT REFERRALS. 4. SAINT FRANCIS RECENTLY ACQUIRED A MULTI-SPECIALTY CLINIC IN POPLAR BLUFF, MISSOURI, WHICH EMPLOYS A PSYCHIATRIST AND MENTAL HEALTH PROVIDERS. ALTHOUGH MENTAL HEALTH IS NOT BEING ADDRESSED CURRENTLY, FUTURE PLANS COULD INCLUDE MENTAL HEALTH OUTREACH TO NEARBY STODDARD COUNTY, MISSOURI.
FACILITY 1, SAINT FRANCIS MEDICAL CENTER - PART V, 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.
FACILITY 1, SAINT FRANCIS MEDICAL CENTER - PART V, 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.
FACILITY 1, SAINT FRANCIS MEDICAL CENTER - PART V, 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 NEED THE INABILITY TO PAY FOR MEDICAL SERVICES.

Field	Value	IRS element (for citing)
Facility	32	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (32 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
CAPE CARDIOLOGY GROUP
211 SAINT FRANCIS DRIVE SUITE 15	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
KNEIBERT CLINIC
686 LESTER STREET	POPLAR BLUFF	MO	63901	PHYSICIAN PRACTICE
PHYSICIANS PARK PRIMARY CARE
225 PHYSICIANS PARK DRIVE SUITE 40	POPLAR BLUFF	MO	63901	PHYSICIAN PRACTICE
CAPE CARE FOR WOMEN
150 S MT AUBURN ROAD	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
CAPE GASTROENTEROLGY SPECIALISTS
28 S MOUNT AUBURN RD	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
CAPE PHYSICIAN ASSOCIATES
3250 GORDONVILLE ROAD	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
CAPE SPINE AND NEUROSURGERY
150 S MT AUBURN ROAD	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
FARMINGTON PHYSICIAN ASSOICATES
515 MAPLE VALLEY DRIVE	FARMINGTON	MO	63640	PHYSICIAN PRACTICE
CAPE ENT GROUP
150 S MT AUBURN ROAD	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
SIKESTON RADIATION ONCOLOGY
1124 N MAIN STREET	SIKESTON	MO	63801	PHYSICIAN PRACTICE
CAPE THORACIC & CARDIOVASCULAR SURG
3250 GORDONVILLE ROAD	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
CAPE MEDICAL ONCOLOGY
211 SAINT FRANCIS DR	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
CAPE PRIMARY CARE
1702 N KINGSHIGHWAY	CAPE GIRARDEAU	MO	63701	PHYSICIAN PRACTICE
PIEDMONT PHYSICIAN ASSOCIATES
RT 4 BOX 4515	PIEDMONT	MO	63957	PHYSICIAN PRACTICE
CAPE NEUROLOGY SPECIALISTS
3004 GORDONVILLE ROAD	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
IMMEDIATE CONVENIENT CARE - CAPE
1702 N KINGSHIGHWAY	CAPE GIRARDEAU	MO	63701	PHYSICIAN PRACTICE
HOSPICE
14 C DOCTORS PARK	CAPE GIRARDEAU	MO	63703	HOSPICE
CAPE NEUROSURGICAL ASSOCIATES
150 S MOUNT AUBURN ROAD SUITE 320	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
CAPE PEDIATRIC GROUP
35 DOCTORS PARK	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
CAPE PULMONOLOGY AND SLEEP MEDICINE
24 S MT AUBURN ROAD	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
JACKSON FAMILY CARE
545 BROADRIDGE DRIVE	JACKSON	MO	63755	PHYSICIAN PRACTICE
POPLAR BLUFF NEUROLOGY SPECIALISTS
2210 BARRON ROAD SUITE 112	POPLAR BLUFF	MO	63901	PHYSICIAN PRACTICE
SAINT FRANCIS HOME HEALTH
14 DOCTORS PARK	CAPE GIRARDEAU	MO	63703	HOME HEALTH
CAPE DIABETES & ENDOCRINOLOGY
211 SAINT FRANCIS DRIVE	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
FITNESS PLUS
150 S MT AUBURN ROAD	CAPE GIRARDEAU	MO	63703	FITNESS CENTER
SAINT FRANCIS OUTPATIENT CENTER
1212 SAINT FRANCIS DRIVE	DEXTER	MO	63841	PHYSICIAN PRACTICE
JACKSON PHYSCIAN ASSOCIATES
2130 E JACKSON BLVD	JACKSON	MO	63755	PHYSICIAN PRACTICE
CAPE GYNECOLOGIC ONCOLOGY
211 SAINT FRANCIS DRIVE	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
CHARLESTON FAMILY CARE
400 S MAIN STREET	CHARLESTON	MO	63834	PHYSICIAN PRACTICE
FITNESS PLUSS - DEXTER
1212 SAINT FRANCIS DRIVE	DEXTER	MO	63841	FITNESS CENTER
SAINT FRANCIS OUTPATIENT REHAB
150 S MT AUBURN ROAD	CAPE GIRARDEAU	MO	63703	OUTPATIENT REHAB
SIKESTON NEUROLOGY SPECIALISTS
807 N MAIN STREET	SIKESTON	MO	63801	PHYSICIAN PRACTICE

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE	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 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION	COSTS FOR SUBSIDIZED HEALTH SERVICES INCLUDE COSTS ASSOCIATED WITH PROVIDING NEONATOLOGY, TRAUMA, AND HOSPITALIST PHYSICIAN CLINICAL SERVICES WHERE OPERATIONS RESULT IN LOSSES. TOTAL EXPENSES IN THE AMOUNT OF 12,530,359 ARE INCLUDED.
PART I, LINE 7, COLUMN (F) - EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE	BAD DEBTS WERE NOT EXCLUDED FROM THE CALCULATION IN COLUMN F.
PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION	A COST-TO-CHARGE RATIO WAS USED IN ACCORDANCE WITH THE CALCULATION IN WORKSHEET 2, "RATIO OF PATIENT CARE COST TO CHARGES."
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 - BAD DEBT EXPENSE METHODOLOGY	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 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE	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 ASSISTANCE POLICY. THE COST TO CHARGE RATIO WAS THEN APPLIED TO CONVERT TO COST. THE MEDICAL CENTER ESTIMATES THAT 1,993,484 AT COST IS FINANCIAL ASSISTANCE ELIGIBLE AND IS INCLUDED IN BAD DEBT EXPENSE.
BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS	THE FOLLOWING IS TEXT FROM FOOTNOTE B OF THE AUDITED FINANCIAL STATEMENTS FOR SAINT FRANCIS MEDICAL CENTER FOR THE YEAR ENDED JUNE 30, 2017: 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 OPERATIONS AS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANY OF THOSE PATIENTS ARE UNINSURED OR UNDERINSURED, BUT DID NOT APPLY FOR OR QUALIFY FOR CHARITY CARE. DURING THE YEAR ENDED JUNE 30, 2017, THE MEDICAL CENTER REPORTED BAD DEBT EXPENSE; AT COST, OF 6,265,000.
PART III, LINE 8 - MEDICARE EXPLANATION	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 - COLLECTION PRACTICES EXPLANATION	IF PATIENT EXPRESSES FINANCIAL INABILITY TO PAY, THE REPRESENTATIVE OF THE MEDICAL CENTER WILL OFFER AN 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 REMAINING BALANCES. IF DENIED THE BUSINESS OFFICE WILL CONTACT THE PATIENT TO MAKE PAYMENT ARRANGEMENTS.
PART VI, LINE 2 - NEEDS ASSESSMENT	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 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	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 - COMMUNITY INFORMATION	SAINT FRANCIS MEDICAL CENTER IS A LEADING TERTIARY CARE PROVIDER FOR A PORTION OF THE FIVE-STATE REGION OF MISSOURI, ARKANSAS, ILLINOIS, KENTUCKY AND TENNESSEE AND OFFERS SERVICES TO MORE THAN 650,000 PEOPLE. PRIMARY SERVICE AREA CONSISTS OF CAPE GIRARDEAU COUNTY WITH A POPULATION OF 78,913. ACCORDING TO THE MISSOURI OFFICE OF ADMINISTRATION, BUDGET AND PLANNING, CAPE GIRARDEAU COUNTY'S POPULATION IS EXPECTED TO INCREASE TO 84,612 BY 2030. SECONDARY SERVICE AREA HAS A TOTAL POPULATION OF ALMOST 173,595 ACCORDING TO THE UNITED STATES CENSUS BUREAU 2016 STATISTICS AND INCLUDES THE COUNTIES OF ALEXANDER (6,478), PULASKI (5,619), JOHNSON (12,902) AND UNION (17,212) IN ILLINOIS; AND BOLLINGER (12,052), MISSISSIPPI (13,799), NEW MADRID (17,915), PERRY (19,285), SCOTT (38,745) AND STODDARD (29,588) IN MISSOURI. TERTIARY SERVICE AREA HAS A TOTAL POPULATION OF MORE THAN 396,000 AND INCLUDES THE COUNTIES OF BUTLER (42,739), CARTER (6,168), DUNKLIN (30,535), IRON (10,022), MADISON (12,443), PEMISCOT (17,073), REYNOLDS (6,455), RIPLEY (13,817), ST. FRANCOIS (66,627), STE. GENEVIEVE (18,030) AND WAYNE (13,139) IN MISSOURI; AND JACKSON (58,870), RANDOLPH (32,621) AND WILLIAMSON (67,560) IN ILLINOIS. THE SOUTHEAST REGION OF MISSOURI IS GROWING SLOWLY AND HAS A HIGHER THAN AVERAGE PERCENTAGE OF RETIREE-AGED PEOPLE. OVER THE NEXT FIVE YEARS, THE POPULATION BETWEEN AGES 55 TO 75 IS PROJECTED TO HAVE THE LARGEST PERCENT GROWTH. CURRENTLY, THE LARGEST POPULATION AGE GROUP IS AGES 45-54. THIS REGION IS 88.7 PERCENT CAUCASIAN, 7.1 PERCENT BLACK AND 2 PERCENT HISPANIC. TOTAL PERSONAL INCOME FOR CAPE GIRARDEAU COUNTY FOR 2016 WAS 3,254,791,000 OR 41,245 PER CAPITA. TOTAL PERSONAL INCOME FOR THE SOUTHEAST REGION WAS 12.8 BILLION WITH AN AVERAGE PER CAPITA OF 35,167. OF THE ENTIRE SOUTHEAST REGION POPULATION AGE 25 AND OLDER, 13.5 PERCENT DID NOT OBTAIN A HIGH SCHOOL DIPLOMA. 79.5 PERCENT GRADUATED FROM HIGH SCHOOL, 17.3 PERCENT HAVE RECEIVED A COLLEGE DEGREE AND 6.5 PERCENT HAVE COMPLETED A GRADUATE DEGREE. ACCORDING TO EMPLOYMENT STATISTICS IN OCTOBER 2016, CAPE GIRARDEAU COUNTY HAD AN UNEMPLOYMENT RATE OF 4.1 PERCENT. THE SOUTHEAST REGION UNEMPLOYMENT RATE WAS 5.2 PERCENT. STATISTICS COURTESY OF THE MISSOURI ECONOMIC RESEARCH AND INFORMATION CENTER AND U.S. CENSUS BUREAU.
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH	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 OPERATIONS 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 - AFFILIATED HEALTH CARE SYSTEM	SAINT FRANCIS HEALTHCARE SYSTEM, INC. IS A HOLDING COMPANY WHICH OWNS SAINT FRANCIS MEDICAL CENTER. SAINT FRANCIS MEDICAL CENTER OPERATES A 308-BED ACUTE CARE HOSPITAL LOCATED IN CAPE GIRARDEAU, MISSOURI. ADMITTING PHYSICIANS ARE PRIMARILY PRACTITIONERS IN THE LOCAL AREA. SAINT FRANCIS MEDICAL CENTER WAS ORGANIZED BY SAINT FRANCIS HEALTHCARE SYSTEM. SAINT FRANCIS HEALTH DEVELOPMENT SERVICES, INC. FORMED IN 2002, OWNS A 51% INTEREST IN PHYSICIANS ALLIANCE SURGERY CENTER, LLC, A 30% INTEREST IN POPLAR BLUFF MEDICAL PARTNERS, LLC, A 30% INTEREST IN LANDMARK HOSPITAL OF CAPE GIRARDEAU, LLC AND A 30% INTEREST IN AFC CLINIC 001, LLC WHICH OPERATES A DOCTORS EXPRESS URGENT CARE CENTER.
PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT	MISSOURI

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Travel For Companions	Yes (X)	TravelForCompanionsInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	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	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	Yes (true)	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 (16 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt
STEVEN C BJELICH
PRESIDENT & CEO	$983,730	$172,900	$134,177	$13,250	$19,951	$1,324,008
WILLIAM A BALSANO
VP OF FINANCE	$493,424	$98,211	$82,705	$13,250	$9,391	$696,981
MARYANN REESE
EXECUTIVE VP / COO	$471,241	$68,250	$54,592	$9,192	$10,318	$613,593
MARILYN K CURTIS
VP OF PROF. SERVICE	$320,327	$136,425	$30,845	$13,250	$19,549	$520,396
JEANNETTE K FADLER
VP OF PATIENT CARE	$320,819	$69,748	$39,257	$13,250	$19,549	$462,623
THOMAS S DIEMER MD
VP OF QUALITY	$312,682	$31,850	$44,809	$13,250	$25,896	$428,487
STEVEN A OGBURN
VP OF AMBULATORY SVC	$283,325	$23,888	$26,901	$13,250	$26,265	$373,629
TERI KREITZER
VP OF HR	$210,873	$20,930	$26,438	$11,812	$9,362	$279,415
GERRY SALTER
VP OF PROF SERVICES	$214,479	$20,475	$22,156	$11,501	$26,223	$294,834
BARBARA THOMPSON
VP OF MARKETING
MICHAEL FREEMANMD
GASTRONENTEROLOGIST	$1,110,395		$45,564	$13,250	$26,265	$1,195,474
BRANDON SCOTT DO
NEUROSURGEON	$687,527	$355,475	$36,420	$13,250	$10,133	$1,102,805
KAYWAN GAMADIA DO
NEUROSURGEON	$730,871	$53,612	$540	$5,300	$23,527	$813,850
EDWARD BENDERMD THORACIC AND
CARDIOVASCULAR SURGE	$722,221		$38,660	$13,250	$18,863	$792,994
CLIFFORD TALBERT JR MD
CARDIOLOGIST	$712,149		$42,074	$13,250	$17,237	$784,710
JAMES A SCHELL MD
VP MEDICAL AFFAIRS	$357,705		$42,000		$13,746	$413,451

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 1A	EXECUTIVE AND BOARD MEMBERS RECEIVE TRAVEL FOR THEIR SPOUSES. SPOUSAL TRAVEL IS ADDED TO W-2'S FOR EXCUTIVES AND 1099'S ARE ISSUED TO BOARD MEMBERS. THE CEO RECEIVES COUNTRY CLUB DUES, WHICH IS INCLUDED ON THE W-2. SFMC WILL OCCASIONALLY CHARTER A FLIGHT FOR BUSINESS PURPOSES ONLY.
SCHEDULE J, PAGE 1, PART I, LINE 4	MARYANN REESE 0 63,808 0 STEVEN A. OGBURN 0 21,081 0 TERI KREITZER 0 29,374 0 GERRY SALTER 0 26,222 0 JAMES A. SCHELL, MD 399,705 0 0
SCHEDULE J, PAGE 1, PART I, LINE 6A	ALL EXECUTIVE BONUSES ARE BASED ON FINANCIAL PERFORMANCE.
SCHEDULE J, PART III	BARBARA THOMPSON, VP OF MARKETING IS NOT AN EMPLOYEE OF SAINT FRANCIS MEDICAL CENTER. SHE IS THE OWNER OF THE ROBERTS GROUP WHO PROVIDES ADVERTISING AND MARKETING SERVICES TO THE MEDICAL CENTER. HER COMPENSATION IS PAID BY THE ROBERTS GROUP.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	Business Name Line2IssuerName/BusinessNameLine2Txt
IND DEV AUTH OF CAPE GIRARDEAU
A	431193901	139404FJ1	2013-05-01	$40,290,000	EXTINGUISH/DEFEASE OUTSTANDING BONDS	false	false	false
IND DEV AUTH OF CAPE GIRARDEAU
B	431193901	139404FH5	2013-05-01	$131,833,295	CAPITAL EXPENDITURES	false	false	false
THE INDUSTRIAL DEVELOPMENT AUTHORIT
C	431193901	139404GB7	2016-11-16	$34,876,270	ADVANCED REFUNDING OF 2009 BONDS	false	false	false	OF THE COUNTY OF CAPE GIRARDEAU MO

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Refunding EscrowRefundingEscrowAmt
A	$2,145,000	$40,290,000	2013	Yes (true)	false	Yes (true)	Yes (true)
B	$2,465,000	$131,833,295	2015	Yes (true)	Yes (true)	false	Yes (true)	$58,695,000	$3,393,406	$1,380,910	$75,003,510
C		$34,876,270	2016	false	Yes (true)	Yes (true)	Yes (true)			$178,601		$34,697,669

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 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	false	false	false	false	false	false	false
B	false	false	false	false	false	false	false
C	false	false	false	false	false	false	false

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 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	false	Yes (true)	false	false	false	false
B	false	false	false	false	false	false	false	false	false
C	false	false	false	false	Yes (true)	false	false	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	false
B	false
C	false

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	STEVEN C BJELICH	PersonNm
Relationship With Org	PRESIDENT & CEO	RelationshipWithOrgTxt
Loan Purpose	PERSONAL LOAN	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$479,162	OriginalPrincipalAmt
Balance Due	$508,922	BalanceDueAmt
Default	false	DefaultInd
Board Or Committee Approval	Yes (true)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (true)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$508,922	TotalBalanceDueAmt

Grnt Asst Bnft Interested Prsn GrntAsstBnftInterestedPrsnGrp (3 entries)

Relationship With OrgRelationshipWithOrgTxt	Cash GrantCashGrantAmt	Type Of AssistanceTypeOfAssistanceTxt
KEVIN GOVERO
BOARD OF DIRECTORS	$1,168	DISCOUNTED HEALTHCARE
PATRICIA RAY
BOARD OF DIRECTORS	$3,377	DISCOUNTED HEALTHCARE
CLYDE NENNINGER
BOARD OF DIRECTORS	$227	DISCOUNTED HEALTHCARE

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
BTHOMPSON OWNS THE ROBERTS GROUP
VP OF MARKETING	$8,057,630	ADVERTISING FEES	false
P RAYS HUSBAND OWNER OF CNA
DIRECTOR	$1,160,118	PAID CNA UNDER PSA	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART V	FormAndLineReferenceDesc
Explanation	BARBARA THOMPSON IS THE VP OF MARKETING AT SAINT FRANCIS MEDICAL CENTER. SHE IS ALSO THE OWNER OF THE ROBERTS GROUP, WHICH PROVIDES MARKETING AND ADVERTISING SERVICES FOR SFMC.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSION	SAINT FRANCIS MEDICAL CENTER IS A 308-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.
FORM 990, PAGE 2, PART III, LINE 4A	-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 12,649 INPATIENTS, 43,806 EMERGENCY PATIENTS AND 163,326 OUTPATIENTS DURING THE FISCAL YEAR (FY) ENDING JUNE 30, 2017. DURING FY 2017, SFMC HAD A TOTAL OF 59,747 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 86.3 MILLION IN FY 2017. 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. TOTAL ATTENDANCE AT THESE ACTIVITIES EXCEEDED 13,900 DURING FY 2017. -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 193,974 IN FY 2017. -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 2017 SFMC VOLUNTEERS CONTRIBUTED APPROXIMATELY 42,811 HOURS OF SERVICE TO OUR PATIENTS, THEIR FAMILIES AND THE COMMUNITY. THE VALUE OF THIS CONTRIBUTION IS ESTIMATED AT OVER 327,000 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 2017 SFMC PROVIDED 411 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 51,614.
FORM 990, PAGE 6, PART VI, LINE 2	SAINT FRANCIS MEDICAL CENTER = SFMC SAINTFRANCISHEALTHDEVELOPMENT=SFHD SAINTFRANCISHEALTHCARESYS=SFHS BJELICH-OFFICERSFMC&SFHS/DIR SFHD D.KAVERMAN-DIRECT OF SFMC&SFHD&SFHS BUSINESS RELATIONSHIP BJELICH-OFFICERSFMC&SFHS / DIR SFHD K. GOVERO-DIRECT OF SFMC&SFHD&SFHS BUSINESS RELATIONSHIP BJELICH-OFFICERSFMC&SFHS / DIR SFHD P. RAY-DIRECT OF SFMC & SFHS BUSINESS RELATIONSHIP BJELICH-OFFICERSFMC&SFHS / DIR SFHD J. BOLLINGER-DIRECT OF SFMC & SFHS BUSINESS RELATIONSHIP BJELICH-OFFICERSFMC&SFHS / DIR SFHD S. DIRNBERGER-DIRECT OF SFMC & SFHS BUSINESS RELATIONSHIP K.GOVERO-DIRECTOR OF SFMC,SFHS&SFHD D.KAVERMAN-DIRECT OF SFMC&SFHD&SFHS BUSINESS RELATIONSHIP K.GOVERO-DIRECTOR OF SFMC,SFHS&SFHD P. RAY-DIRECT OF SFMC & SFHS BUSINESS RELATIONSHIP K.GOVERO-DIRECTOR OF SFMC,SFHS&SFHD J. BOLLINGER-DIRECT OF SFMC & SFHS BUSINESS RELATIONSHIP K.GOVERO-DIRECTOR OF SFMC,SFHS&SFHD S. DIRNBERGER-DIRECT OF SFMC & SFHS BUSINESS RELATIONSHIP S. DIRNBERGER-DIRECT OF SFMC & SFHS P. RAY-DIRECT OF SFMC & SFHS BUSINESS RELATIONSHIP J. BOLLINGER-DIRECT OF SFMC & SFHS P. RAY-DIRECT OF SFMC & SFHS BUSINESS RELATIONSHIP J. BOLLINGER-DIRECT OF SFMC SFHS S. DIRNBERGER-DIRECT OF SFMC & SFHS BUSINESS RELATIONSHIP
FORM 990, PAGE 6, PART VI, LINE 3	THE ROBERTS GROUP PROVIDES MARKETING AND ADVERTISING SERVICES FOR SAINT FRANCIS MEDICAL CENTER. BARBARA THOMPSON IS THE OWNER OF THE ROBERTS GROUP AND ALSO THE VICE PRESIDENT OF MARKETING AT SAINT FRANCIS MEDICAL CENTER. BARBARA THOMPSON IS NOT AN EMPLOYEE OF THE MEDICAL CENTER AND IS THEREFORE NOT PAID A DIRECT SALARY FROM THE MEDICAL CENTER.
FORM 990, PAGE 6, PART VI, LINE 6	SAINT FRANCIS HEALTHCARE SYSTEM IS THE SOLE MEMBER OF THE SAINT FRANCIS MEDICAL CENTER.
FORM 990, PAGE 6, PART VI, LINE 7A	SAINT FRANCIS HEALTHCARE SYSTEM, INC. 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, PAGE 6, PART VI, LINE 7B	DECISIONS ARE SUBJECT TO THE BISHOP'S APPROVAL.
FORM 990, PAGE 6, PART VI, 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, PAGE 6, PART VI, 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, PAGE 6, PART VI, LINE 15A	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 VP OF FINANCE TO IMPLEMENT.
FORM 990, PAGE 6, PART VI, LINE 15B	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, PAGE 6, PART VI, 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 108,433 LOSS ON EXTINGUISHMENT OF DEBT -4,922,520 TOTAL -4,814,087

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	MEDICAL PARTNERS OF CAPE GIRARDEAU	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. PRAC	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	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
SAINT FRANCIS HEALTHCARE SYSTEM
211 SAINT FRANCIS DRIVE	CAPE GIRARDEAU	MO	63703	430662499	HOLDING CO	MO	501C3	12B	NA	false
SAINT FRANCIS FOUNDATION
211 SAINT FRANCIS DRIVE	CAPE GIRARDEAU	MO	63703	431111276	FUND DEV.	MO	501C3	12B	NA	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	SAINT FRANCIS HEALTH DEVELOP SRVC	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 CO	PrimaryActivitiesTxt
Legal Domicile State	MO	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Entity Type	C CORP	EntityTypeTxt
Controlled Organization	false	ControlledOrganizationInd

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	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	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	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	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	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd