2017-11-14T17:22:06-06:00 2016-12-31 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2016-01-01 430654874 SOUTHEAST HOSPITAL % KRISTA BERRY SOUT 5733344822 1701 LACEY STREET CAPE GIRARDEAU MO 63701 STEVEN HAAS VICE PRESIDENT/CHIEF 5733344822 2017-10-14 true Brian D Todd P00422601 4178658701 167.68.126.162 43032920173185000014 2017-11-14 P 35B2FEF9FD89B74F90B63698513A1BB518488CA1 7481C238FC3ED1336C3827CC9EE40AED1E8819AA 2016 2017-02-10 21:41:12Z SOUTHEASTHEALTH KENNETH W BATEMAN 1701 LACEY STREET CAPE GIRARDEAU MO 63701 436168693 false X WWW.SEHEALTH.ORG X 1926 MO PROVIDER OF HEALTHCARE SERVICE WITH A MISSION TO MAKE A DIFFERENCE THROUGH A COMMITMENT TO EXCELLENCE IN HEALTH CARE. 23 19 2904 189 10131159 -57231 2339857 1816958 380804747 386083106 195445 361242 -138529 -279532 383201520 387981774 2321980 1811781 0 0 156184593 155697241 0 0 0 223527431 226191905 382034004 383700927 1167516 4280847 299785753 309751545 188218122 194270334 111567631 115481211 X TOGETHER WE MAKE A DIFFERENCE THROUGH OUR COMMITMENT TO EXCELLENCE IN HEALTH CARE. false true 333726119 1811781 386083106 SOUTHEASTHEALTH, THE REGION'S PREMIER HEALTHCARE SYSTEM IN SOUTHEAST MISSOURI, PROVIDES OUR PATIENTS WITH EXCELLENT CARE OF THE HIGHEST CLINICAL QUALITY, CLOSE TO HOME. WITHIN OUR NETWORK ARE MORE THAN 50 CARE LOCATIONS IN 14 COMMUNITIES, INCLUDING HOSPITALS, PRIMARY AND SPECIALTY CARE CLINICS, EXTENDING CARE FOR PATIENTS IN A FOUR-STATE AREA. SOUTHEASTHEALTH CAPE GIRARDEAU HOSPITAL IS A 263 LICENSED BED HOSPITAL AND IS ONE OF THE LARGEST GENERAL ACUTE CARE HOSPITALS BETWEEN ST. LOUIS AND MEMPHIS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 333726119 true true false true false false false false false true true false false false true false false true false false false false false false false false true true false true true true false false false false false true false false true false false false false false true true false false false true 216 0 true 2904 true true true false false false false false false false false false X 23 19 false false false false true true true true true false false true true true true true true true false false X KRISTA BERRY 5733344822 1701 LACEY ST CAPE GIRARDEAU MO 63701 X ROBERT NEFF HOSPITAL CHAIRMAN 2.0 1.0 X X 0 0 0 FRANK KINDER HOSPITAL VICE CHAIRMAN 2.0 1.0 X X 0 0 0 JAY KNUDTSON HOSP SECRETARY/REG DIRECTOR 2.0 3.0 X X 0 0 0 STANLEY CRADER HOSPITAL TREASURER 2.0 1.0 X X 0 0 0 KENNETH BATEMAN PRESIDENT/CEO 40.0 3.0 X X 569685 0 143662 JAMES DUFEK PHD HOSPITAL DIRECTOR 2.0 1.0 X 0 0 0 KEVIN FORD HOSPITAL DIRECTOR 2.0 1.0 X 0 0 0 STEVEN GREEN HOSPITAL DIRECTOR BEGIN 7/16 2.0 1.0 X 0 0 0 CHRISTOPHER HUTSON HOSPITAL DIRECTOR 2.0 1.0 X 0 0 0 MICHAEL KOHLFELD HOSPITAL DIRECTOR 2.0 1.0 X 0 0 0 CHARLES KRUSE HOSPITAL DIRECTOR 2.0 1.0 X 0 0 0 BENJAMIN LEWIS HOSPITAL DIRECTOR 2.0 1.0 X 0 0 0 CHRISTINE MACKEY-ROSS HOSPITAL DIRECTOR 2.0 1.0 X 0 0 0 GABRIEL SOTO MD HOSPITAL DIRECTOR/CARDIOLOGIST 40.0 1.0 X 899224 0 41665 ALBERT SPRADLING III HOSPITAL DIRECTOR 2.0 1.0 X 0 0 0 BURL STAMP HOSPITAL DIRECTOR 2.0 1.0 X 0 0 0 JOHN M THOMPSON HOSP DIR END 7/16,REG DIRECTOR 2.0 1.0 X 0 0 0 GREG MATHIS REGIONAL CHAIRMAN 2.0 3.0 X 0 0 0 BRIAN ROBISON REGIONAL VICE CHAIRMAN 2.0 3.0 X 0 0 0 MICHELLE AYCOCK REGIONAL SECRETARY/TREASURER 2.0 3.0 X 0 0 0 MARK AVERY REGIONAL DIRECTOR BEGIN 6/16 2.0 1.0 X 0 0 0 CLAY CROSSON REGIONAL DIRECTOR 2.0 3.0 X 0 0 0 STEVE MCPHEETERS REGIONAL DIRECTOR 2.0 3.0 X 0 0 0 LLOYD SMITH REGIONAL DIRECTOR END 4/16 2.0 3.0 X 0 0 0 STEVEN J HAAS VICE PRESIDENT & CFO BEG 6/16 40.0 1.0 X 163830 0 18745 D MATT SHOEMAKER DO VP AND CMO 40.0 0.0 X 362921 0 43206 JUDY ASLIN CHIEF NURSING OFFICER 40.0 0.0 X 232818 0 61018 DANIEL L BERRY VP/GENERAL COUNSEL 40.0 0.0 X 211584 0 41282 MICHAEL L NICHOLS VICE PRESIDENT & CIO 40.0 0.0 X 260171 0 29058 JANET L RIGDON EXEC DIRECTOR PERIOP & CV SERV 40.0 0.0 X 192192 0 20812 FRANCES ERLACKER EXEC DIRECTOR REHAB & FITNESS 40.0 0.0 X 185805 0 24319 KATHRYN S VICKERY VP-ANCILLARY SERVICES 40.0 0.0 X 184940 0 28967 ERIN R PFEIFER VP HR AND DEVELOPMENT 40.0 0.0 X 173226 0 34999 KENNETH R TIFFT EXEC DIRECTOR SUPPLY CHAIN 40.0 0.0 X 169189 0 32970 KRISTA B BERRY SYSTEM CONTROLLER 40.0 0.0 X 155652 0 30296 SHARON L STINSON EXEC DIRECTOR PROD & NURSING 40.0 0.0 X 152947 0 24761 PAUL ROBISON CV SURGEON 40.0 0.0 X 1143255 0 42075 CHRISTOPHER B KELLER GASTROENTEROLOGIST 40.0 0.0 X 1008360 0 41082 DAVID LAW CARDIOLOGIST 40.0 0.0 X 870395 0 41515 CHIZOR J IWUCHUKWU CARDIOLOGIST 40.0 0.0 X 821391 0 44331 KENNETH W RETTER CARDIOLOGIST 40.0 0.0 X 812842 0 41330 JAMES P LIMBAUGH EXECUTIVE VP 0.0 0.0 X 186002 0 0 PAULA HARRIS VP REGIONAL OPERATIONS 0.0 0.0 X 187240 0 7987 LINCOLN SCOTT VP HR & DEVELOPMENT 0.0 0.0 X 112458 0 5958 9056127 0 800038 218 true true false HURON CONSULTING SERVICES LLC CHICAGO IL 606895330 CONSULTING 2587522 MERAMEC EMERGENCY PHYSICIANS DALLAS TX 75267 PHYSICIAN COVERAGE 1031553 AMERICAN REALTY CAPITAL TRUST DRESHER PA 19025 RENT 835223 BKD LLP SPRINGFIELD MO 65801 AUDIT/TAX/CONSULTING 628857 ADVANCED HEALTH CARE POPLAR BLUFF MO 63901 RENT 587422 40 1801377 15581 1816958 NET PATIENT SERVICE REVENUE 900099 361158909 361158909 PHARMACY REVENUE 446110 7495260 7495260 TUITION REVENUE 611600 2778235 2778235 CAFETERIA REVENUE 722514 841766 841766 LAB REVENUE 621500 1847459 1847459 11961477 11173037 788440 386083106 443561 443561 0 0 790856 742917 47939 0 47939 47939 47327209 34474 47306390 137612 20819 -103138 -82319 -82319 0 0 0 0 0 0 0 0 0 LOSS ON BOND REFUNDING 900099 -327471 -327471 -327471 387981774 375951947 10131159 81710 0 1811781 1811781 0 0 4468635 2220379 2248256 958548 458903 499645 122535345 100039015 22496330 5328471 4431796 896675 13274213 10811030 2463183 9132029 7353464 1778565 0 692887 692887 728836 728836 0 0 1500 1500 27214612 21914262 5300350 2508606 2020027 488579 10507872 8456049 2051823 8874440 7146044 1728396 0 3992386 3214824 777562 391775 315472 76303 0 673361 542216 131145 6783227 5462118 1321109 0 26288456 21168485 5119971 2631509 2118993 512516 MEDICAL SUPPLIES & DRUGS 70283633 70283633 BAD DEBT 46468694 46468694 PROVIDER TAX 15808079 15808079 LICENSES, DUES, SUBSCRIPTIONS 1481498 1192959 288539 860534 487896 372638 383700927 333726119 49974808 0 31696992 1619841 40496181 71496766 0 0 39472730 37131259 0 102297 0 0 1391170 739072 7748719 7645208 4323252 4029398 377709450 231938779 165699395 145770671 0 22886376 0 0 4558311 4580342 56122 9109548 4342881 4640767 299785753 309751545 40849542 34100927 0 0 0 8377 121021236 128106789 0 0 0 0 8290975 14959664 0 0 18056369 17094577 188218122 194270334 X 107009319 110900869 3346708 3365297 1211604 1215045 111567631 115481211 299785753 309751545 X 4280847 19204 -386471 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 28470 28470 false SCHEDULE C, PART II-B, LINE 1I OTHER LOBBYING ACTIVITIES: THE ORGANIZATION IS A MEMBER OF THE MISSOURI HOSPITAL ASSOCIATION, OF WHICH THE FOLLOWING PORTION OF DUES IS ATTRIBUTABLE TO LOBBYING: MISSOURI HOSPITAL ASSOCIATION - 36% OF $56,450 OR $20,322. AMERICAN HEART ASSOCIATION - 21.78% OF $37,412 OR $8,148. 212587 10911 17564 1822 239240 217070 -2722 1761 212587 169894 49646 1895 3382 983 217070 150396 19498 169894 148407 1989 150396 1.00000 false false 17698441 17698441 131097351 65500516 65596835 315930 218086051 162219379 56182602 10511677 4218884 6292793 145770671 0 DUE TO 3RD PARTY 17094577 17094577 348759021 19204 -39907667 -39888463 388647484 -665710 -665710 387981774 345961256 11247123 11247123 334714133 48986794 48986794 383700927 SCHEDULE D, PART V, LINE 4 INTENDED USE OF ENDOWMENT FUNDS: ENDOWMENT FUNDS ARE USED TO PROVIDE SCHOLARSHIPS FOR NURSING STUDENTS. SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12: $ 9,487,628 SOUTHEAST HEALTH CENTER OF RIPLEY COUNTY REVENUES (46,723,326) BAD DEBT EXPENSE ( 1,791,781) GRANT EXPENSE ( 471,687) LOSS ON DISCONTINUED OPERATIONS ( 408,501) TRANSFERS -------------- $ (39,907,667) SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ ( 742,917) RENTAL EXPENSES 77,207 INVESTMENT INCOME INCLUDED IN EXPENSES -------------- $ ( 665,710) SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25: $ 10,581,413 SOUTHEAST HEALTH CENTER OF RIPLEY COUNTY EXPENSES 742,917 RENTAL EXPENSES ( 77,207) INVESTMENT INCOME INCLUDED IN EXPENSES ------------ $ 11,247,123 SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 46,723,326 BAD DEBT EXPENSE 1,791,781 GRANT EXPENSE 471,687 LOSS ON DISCONTINUED OPERATIONS -------------- $ 48,986,794 true true true X true X true false true true 3690032 3690032 0.01090 48224926 43745297 4479629 0.01330 51914958 43745297 8169661 0.02420 3245989 2825887 420102 0.00120 11335983 7311302 4024680 0.01200 1811781 1801821 9960 16393753 11939010 4454742 0.01320 68308711 55684307 12624403 0.03740 false 46468694 8064910 92831125 105851535 -13020410 X true true 3 1 SOUTHEAST HEALTH 1701 LACEY STREET CAPE GIRARDEAU MO 63701 WWW.SEHEALTH.ORG 80 X X X X 2 SOUTHEAST HEALTH OF STODDARD COUNTY 1200 NORTH ONE MILE ROAD DEXTER MO 63841 WWW.SEHEALTH.ORG 526 X X X 3 SOUTHEASTHEALTH CENTER OF REYNOLDS 100 OLD HIGHWAY 121 ELLINGTON MO 63638 WWW.SEHEALTH.ORG 525 X X X X SOUTHEAST HEALTH 1 false false true X X X X X X X X X 16 true true false true X WWW.SEHEALTH.ORG/ABOUT/COMMUNITY-HEALTH X X true 16 true WWW.SEHEALTH.ORG/ABOUT/COMMUNITY-HEALTH false true X 200. 300. X X X X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X true X false X X X X true X false false SOUTHEAST HEALTH OF STODDARD COUNTY 2 false false true X X X X X X X X X 16 true true false true X WWW.SEHEALTH.ORG/ABOUT/COMMUNITY-HEALTH X X true 16 true WWW.SEHEALTH.ORG/ABOUT/COMMUNITY-HEALTH false true X 200. 300. X X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X true X false X X X X true X false false SOUTHEASTHEALTH CENTER OF REYNOLDS 3 false false true X X X X X X X X X 16 true true false true X WWW.SEHEALTH.ORG/ABOUT/COMMUNITY-HEALTH X true 16 true WWW.SEHEALTH.ORG/ABOUT/COMMUNITY-HEALTH false true X 200. 300. X X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X true X false X X X X true X false false A, 1 - SOUTHEAST HEALTH - SCHEDULE H, PART V, SECTION B, LINE 5 COMMUNITY INPUT: EFFORTS WERE MADE TO INCLUDE AT-RISK, TARGETED POPULATIONS AND PRINCIPLE SPECIALTY AREAS THAT ARE SERVED BY THE HOSPITAL AND PRESENT WITHIN THE COMMUNITY, SUCH AS THE MEDICALLY UNDERSERVED, LOW INCOME PERSONS, MINORITY GROUPS, AND THOSE WITH CHRONIC DISEASE NEEDS. TO TAKE INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE COMMUNITY, A FOCUS GROUP AND ONLINE SURVEYS WERE CONDUCTED AS PRIMARY RESEARCH. FOCUS GROUP: A GROUP SURVEY IN THE FORM OF A FOCUS GROUP WAS CONDUCTED. A FOCUS GROUP IS DEFINED AS PEOPLE WHO POSSESS CERTAIN SIMILAR CHARACTERISTICS THAT ARE ASSEMBLED AS A GROUP TO PARTICIPATE IN A FOCUSED DISCUSSION TO HELP UNDERSTAND THE TOPIC OF INTEREST. THE QUESTIONS ASKED AT THE FOCUS GROUP ARE LISTED BELOW. A LIST OF ORGANIZATIONS THE PARTICIPANTS REPRESENTED IS ALSO PROVIDED BELOW. DATA WAS COLLECTED FROM THE FOCUS GROUP PRIMARILY THROUGH NOTE-TAKING. THE QUESTIONS ASKED IN THE FOCUS GROUP ARE LISTED BELOW: 1. HOW WOULD YOU DESCRIBE THE HEALTH OF OUR COMMUNITY? 2. WHAT DO YOU THINK AFFECTS PEOPLES HEALTH CARE? 3. WHAT DO YOU PERCEIVE AS THE MOST IMPORTANT PROBLEMS FACING THE COMMUNITY IN THE HEALTH CARE SERVICES AREA, INCLUDING THE FUTURE OF COMMUNITY HEALTH SERVICES? HOW SHOULD THEY BE SOLVED? 4. WHAT IS YOUR PERCEPTION OF THE LOCAL PHYSICIANS IN THE COMMUNITY IN TERMS OF NUMBERS, QUALITY OF CARE, SPECIALTIES, AND SO ON? 5. WHAT IS YOUR PERCEPTION OF OTHER COMMUNITY HEALTH CARE SERVICES: HOW THEY FUNCTION, WHETHER THEY ARE ADEQUATE, OF HIGH QUALITY? 6. TO WHAT EXTENT DOES THE COMMUNITY PARTICIPATE IN COMMUNITY COALITIONS AND PARTNERSHIPS (E.G., FOOD POLICY COUNCIL, TOBACCO-FREE PARTNERSHIP, NEIGHBORHOOD SAFETY COALITION, ETC.) TO ADDRESS CHRONIC DISEASES AND ASSOCIATED RISK FACTORS? 7. TO WHAT EXTENT DOES THE COMMUNITY PARTICIPATE IN THE PUBLIC POLICY PROCESS TO HIGHLIGHT THE NEED FOR COMMUNITY CHANGES TO PREVENT AND REDUCE CHRONIC DISEASE RISK FACTORS (E.G., POOR NUTRITION, PHYSICAL INACTIVITY, TOBACCO USE AND EXPOSURE)? THE INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE SERVICE AREA INCLUDED INVOLVING PEOPLE FROM THE FOLLOWING ORGANIZATIONS WHEN PRIMARY RESEARCH WAS CONDUCTED: -COMMUNITY CARING COUNCIL -SOUTHEAST MISSOURI STATE UNIVERSITY -MISSOURI DEPARTMENT OF HEALTH AND SENIOR SERVICES -CROSS TRAILS MEDICAL CENTER -JACKSON R-2 SCHOOL DISTRICT -CITY OF CAPE GIRARDEAU PARKS AND RECREATION -EPIC COALITION (EARLY PREVENTION IMPACTS COMMUNITY) -SAINT FRANCIS MEDICAL CENTER -CAPE GIRARDEAU COUNTY PUBLIC HEALTH CENTER -FIRST MIDWEST BANK SURVEY: AN ONLINE SURVEY WAS DISTRIBUTED TO MEMBERS OF THE HEALTHY COMMUNITIES COALITION IN CAPE GIRARDEAU COUNTY. NINE COMPLETED RESPONSES WERE RECEIVED, REPRESENTING THE PERSPECTIVES OF INDIVIDUALS AND/OR AGENCIES INVOLVED WITH HEALTHCARE IN MULTIPLE ROLES. RESPONDENTS ADDRESSED QUESTIONS RELATED TO: UNMET NEEDS IN THE COMMUNITY, CHALLENGES FACING LOCAL HEALTHCARE RESOURCES, INCLUDING SOUTHEASTHEALTH, AND OPPORTUNITIES FOR SOUTHEASTHEALTH TO BETTER SERVE THE COMMUNITY. A, 1 - SOUTHEAST HEALTH - SCHEDULE H, PART V, SECTION B, LINE 6A CHNA CONDUCTED WITH OTHER HOSPITALS: THE CHNA PROCESS WAS CONDUCTED WITH SOUTHEASTHEALTHS REGIONAL HOSPITAL FACILITIES. A, 1 - SOUTHEAST HEALTH - SCHEDULE H, PART V, SECTION B, LINE 7D OTHER METHODS OF AVAILABILITY OF THE CHNA: IN ADDITION TO THE HOSPITALS WEBSITE (SEHEALTH.ORG), THE RESULTS WERE SHARED WITH THE CAPE GIRARDEAU COUNTY HEALTHY COMMUNITIES COALITION AND THE STODDARD COUNTY HEALTHY COALITION GROUP. A, 1 - SOUTHEAST HEALTH - SCHEDULE H, PART V, SECTION B, LINE 11 ADDRESSING SIGNIFICANT NEEDS: THESE WERE THE TOP 6 PRIORITY HEALTH NEEDS (AND ASSOCIATED BEHAVIORAL NEEDS) THAT WERE DETERMINED FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT: -CANCER (SMOKING, COLON CANCER) -OBESITY (DIET AND EXERCISE) -CHRONIC DISEASE *STROKE *HEART DISEASE *DIABETES (DIET AND EXERCISE) *CHRONIC RESPIRATORY DISEASE (SMOKING) -SUBSTANCE ABUSE/MENTAL HEALTH (DRUG AND ALCOHOL, ANXIETY AND DEPRESSION) -HEALTH CARE AFFORDABILITY (UNINSURED/UNDERINSURED) -PRE-CONCEPTUAL AND PERINATAL HEALTH NEEDS BEING ADDRESSED AND HOW: THE HOSPITAL ALREADY HAS PROGRAMS AND SERVICES IN PLACE TO MEET THE NEEDS OF THE CHRONIC DISEASES LISTED ALONG WITH CANCER. THE ORGANIZATION HAS ALSO BEEN WORKING ON LOWERING THE COST OF HEALTHCARE TO MAKE IT MORE AFFORDABLE AND BY PROVIDING MORE SERVICES IN THE REGION TO MAKE HEALTHCARE SERVICES MORE ACCESSIBLE. SUBSTANCE ABUSE AND MENTAL HEALTH WILL BE ADDRESSED WITH THE EXPANSION OF OUTPATIENT CLINICS IN CAPE GIRARDEAU AND DEXTER AS WELL AS OPENING A LARGE COMPREHENSIVE FACILITY IN CAPE GIRARDEAU. PRE-CONCEPTION/PERINATAL HEALTH WILL BE ADDRESSED BY RESIDENTS HAVING GREATER ACCESS TO PRIMARY CARE. A, 1 - SOUTHEAST HEALTH - SCHEDULE H, PART V, SECTION B, LINE 13H ADDITIONAL CRITERIA USED IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE OTHER THAN INCOME AND ASSETS ALREADY SPECIFIED INCLUDE: - ELIGIBILITY FOR MEDICAID A, 1 - SOUTHEAST HEALTH - SCHEDULE H, PART V, SECTION B, LINES 16A-16C FAP AVAILABILITY: THE FULL WEBSITE ADDRESS FOR LINES 16A-16C IS AS FOLLOWS: HTTPS://WWW.SEHEALTH.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE A, 2 - STODDARD COUNTY - SCHEDULE H, PART V, SECTION B, LINE 5 COMMUNITY INPUT: EFFORTS WERE MADE TO INCLUDE AT-RISK, TARGETED POPULATIONS AND PRINCIPLE SPECIALTY AREAS THAT ARE SERVED BY THE HOSPITAL AND PRESENT WITHIN THE COMMUNITY, SUCH AS THE MEDICALLY UNDERSERVED, LOW INCOME PERSONS, MINORITY GROUPS, AND THOSE WITH CHRONIC DISEASE NEEDS. TO TAKE INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE COMMUNITY, A FOCUS GROUP AND ONLINE SURVEYS WERE CONDUCTED AS PRIMARY RESEARCH. FOCUS GROUP: A GROUP SURVEY IN THE FORM OF A FOCUS GROUP WAS CONDUCTED. A FOCUS GROUP IS DEFINED AS PEOPLE WHO POSSESS CERTAIN SIMILAR CHARACTERISTICS THAT ARE ASSEMBLED AS A GROUP TO PARTICIPATE IN A FOCUSED DISCUSSION TO HELP UNDERSTAND THE TOPIC OF INTEREST. THE QUESTIONS ASKED AT THE FOCUS GROUP ARE LISTED BELOW. A LIST OF ORGANIZATIONS THE PARTICIPANTS REPRESENTED IS ALSO PROVIDED BELOW. DATA WAS COLLECTED FROM THE FOCUS GROUP PRIMARILY THROUGH NOTE-TAKING. THE QUESTIONS ASKED IN THE FOCUS GROUP ARE LISTED BELOW: 1. HOW WOULD YOU DESCRIBE THE HEALTH OF OUR COMMUNITY? 2. WHAT DO YOU THINK AFFECTS PEOPLES HEALTH CARE? 3. WHAT DO YOU PERCEIVE AS THE MOST IMPORTANT PROBLEMS FACING THE COMMUNITY IN THE HEALTH CARE SERVICES AREA, INCLUDING THE FUTURE OF COMMUNITY HEALTH SERVICES? HOW SHOULD THEY BE SOLVED? 4. WHAT IS YOUR PERCEPTION OF THE LOCAL PHYSICIANS IN THE COMMUNITY IN TERMS OF NUMBERS, QUALITY OF CARE, SPECIALTIES, AND SO ON? 5. WHAT IS YOUR PERCEPTION OF OTHER COMMUNITY HEALTH CARE SERVICES: HOW THEY FUNCTION, WHETHER THEY ARE ADEQUATE, OF HIGH QUALITY? 6. TO WHAT EXTENT DOES THE COMMUNITY PARTICIPATE IN COMMUNITY COALITIONS AND PARTNERSHIPS (E.G., FOOD POLICY COUNCIL, TOBACCO-FREE PARTNERSHIP, NEIGHBORHOOD SAFETY COALITION, ETC.) TO ADDRESS CHRONIC DISEASES AND ASSOCIATED RISK FACTORS? 7. TO WHAT EXTENT DOES THE COMMUNITY PARTICIPATE IN THE PUBLIC POLICY PROCESS TO HIGHLIGHT THE NEED FOR COMMUNITY CHANGES TO PREVENT AND REDUCE CHRONIC DISEASE RISK FACTORS (E.G., POOR NUTRITION, PHYSICAL INACTIVITY, TOBACCO USE AND EXPOSURE)? THE INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE SERVICE AREA INCLUDED INVOLVING PEOPLE FROM THE FOLLOWING ORGANIZATIONS WHEN PRIMARY RESEARCH WAS CONDUCTED: -DEXTER CHAMBER OF COMMERCE -STODDARD COUNTY PUBLIC HEALTH CENTER -REGIONAL HEALTHCARE FOUNDATION -STODDARD COUNTY AMBULANCE DISTRICT -STODDARD COUNTY 911 SERVICES -STODDARD COUNTY PUBLIC ADMINISTRATION OFFICE -STODDARD COUNTY COMMISSIONER AND CLERK SURVEY: AN ONLINE SURVEY WAS DISTRIBUTED TO MEMBERS OF THE HEALTHY COMMUNITIES COALITION IN CAPE GIRARDEAU COUNTY. NINE COMPLETED RESPONSES WERE RECEIVED, REPRESENTING THE PERSPECTIVES OF INDIVIDUALS AND/OR AGENCIES INVOLVED WITH HEALTHCARE IN MULTIPLE ROLES. RESPONDENTS ADDRESSED QUESTIONS RELATED TO: UNMET NEEDS IN THE COMMUNITY, CHALLENGES FACING LOCAL HEALTHCARE RESOURCES, INCLUDING SOUTHEASTHEALTH, AND OPPORTUNITIES FOR SOUTHEASTHEALTH TO BETTER SERVE THE COMMUNITY. A, 2 - STODDARD COUNTY - SCHEDULE H, PART V, SECTION B, LINE 6A CHNA CONDUCTED WITH OTHER HOSPITALS: THE CHNA PROCESS WAS CONDUCTED WITH SOUTHEASTHEALTH AND SOUTHEASTHEALTHS REGIONAL HOSPITAL FACILITIES. A, 2 - STODDARD COUNTY - SCHEDULE H, PART V, SECTION B, LINE 7D OTHER METHODS OF AVAILABILITY OF THE CHNA: IN ADDITION TO THE HOSPITALS WEBSITE (SEHEALTH.ORG), THE RESULTS WERE SHARED WITH THE STODDARD COUNTY HEALTHY COALITION GROUP. A, 2 - STODDARD COUNTY - SCHEDULE H, PART V, SECTION B, LINE 11 ADDRESSING SIGNIFICANT NEEDS: THESE WERE THE TOP 6 PRIORITY HEALTH NEEDS (AND ASSOCIATED BEHAVIORAL NEEDS) THAT WERE DETERMINED FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT: -CANCER (SMOKING, COLON CANCER) -OBESITY (DIET AND EXERCISE) -CHRONIC DISEASE *STROKE *HEART DISEASE *DIABETES (DIET AND EXERCISE) *CHRONIC RESPIRATORY DISEASE (SMOKING) -SUBSTANCE ABUSE/MENTAL HEALTH (DRUG AND ALCOHOL, ANXIETY AND DEPRESSION) -HEALTH CARE AFFORDABILITY (UNINSURED/UNDERINSURED) -PRE-CONCEPTUAL AND PERINATAL HEALTH NEEDS BEING ADDRESSED AND HOW: THE HOSPITAL ALREADY HAS PROGRAMS AND SERVICES IN PLACE TO MEET THE NEEDS OF THE CHRONIC DISEASES LISTED ALONG WITH CANCER. THE ORGANIZATION HAS ALSO BEEN WORKING ON LOWERING THE COST OF HEALTHCARE TO MAKE IT MORE AFFORDABLE AND BY PROVIDING MORE SERVICES IN THE REGION TO MAKE HEALTHCARE SERVICES MORE ACCESSIBLE. SUBSTANCE ABUSE AND MENTAL HEALTH WILL BE ADDRESSED WITH THE EXPANSION OF OUTPATIENT CLINICS IN CAPE GIRARDEAU AND DEXTER AS WELL AS OPENING A LARGE COMPREHENSIVE FACILITY IN CAPE GIRARDEAU. PRE-CONCEPTION/PERINATAL HEALTH WILL BE ADDRESSED BY RESIDENTS HAVING GREATER ACCESS TO PRIMARY CARE. A, 2 - STODDARD COUNTY - SCHEDULE H, PART V, SECTION B, LINE 13H ADDITIONAL CRITERIA USED IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE OTHER THAN INCOME AND ASSETS ALREADY SPECIFIED INCLUDE: -ELIGIBILITY FOR MEDICAID A, 2 - STODDARD COUNTY - SCHEDULE H, PART V, SECTION B, LINES 16A-16C FAP AVAILABILITY: THE FULL WEBSITE ADDRESS FOR LINES 16A-16C IS AS FOLLOWS: HTTPS://WWW.SEHEALTH.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE A, 3 - REYNOLDS COUNTY - SCHEDULE H, PART V, SECTION B, LINE 5 COMMUNITY INPUT: EFFORTS WERE MADE TO INCLUDE AT-RISK, TARGETED POPULATIONS AND PRINCIPLE SPECIALTY AREAS THAT ARE SERVED BY THE HOSPITAL AND PRESENT WITHIN THE COMMUNITY, SUCH AS THE MEDICALLY UNDERSERVED, LOW INCOME PERSONS, MINORITY GROUPS, AND THOSE WITH CHRONIC DISEASE NEEDS. TO TAKE INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE COMMUNITY, A FOCUS GROUP AND ONLINE SURVEYS WERE CONDUCTED AS PRIMARY RESEARCH. FOCUS GROUP: A GROUP SURVEY IN THE FORM OF A FOCUS GROUP WAS CONDUCTED. A FOCUS GROUP IS DEFINED AS PEOPLE WHO POSSESS CERTAIN SIMILAR CHARACTERISTICS THAT ARE ASSEMBLED AS A GROUP TO PARTICIPATE IN A FOCUSED DISCUSSION TO HELP UNDERSTAND THE TOPIC OF INTEREST. THE QUESTIONS ASKED AT THE FOCUS GROUP ARE LISTED BELOW. A LIST OF ORGANIZATIONS THE PARTICIPANTS REPRESENTED IS ALSO PROVIDED BELOW. DATA WAS COLLECTED FROM THE FOCUS GROUP PRIMARILY THROUGH NOTE-TAKING. THE QUESTIONS ASKED IN THE FOCUS GROUP ARE LISTED BELOW: 1. HOW WOULD YOU DESCRIBE THE HEALTH OF OUR COMMUNITY? 2. WHAT DO YOU THINK AFFECTS PEOPLES HEALTH CARE? 3. WHAT DO YOU PERCEIVE AS THE MOST IMPORTANT PROBLEMS FACING THE COMMUNITY IN THE HEALTH CARE SERVICES AREA, INCLUDING THE FUTURE OF COMMUNITY HEALTH SERVICES? HOW SHOULD THEY BE SOLVED? 4. WHAT IS YOUR PERCEPTION OF THE LOCAL PHYSICIANS IN THE COMMUNITY IN TERMS OF NUMBERS, QUALITY OF CARE, SPECIALTIES, AND SO ON? 5. WHAT IS YOUR PERCEPTION OF OTHER COMMUNITY HEALTH CARE SERVICES: HOW THEY FUNCTION, WHETHER THEY ARE ADEQUATE, OF HIGH QUALITY? 6. TO WHAT EXTENT DOES THE COMMUNITY PARTICIPATE IN COMMUNITY COALITIONS AND PARTNERSHIPS (E.G., FOOD POLICY COUNCIL, TOBACCO-FREE PARTNERSHIP, NEIGHBORHOOD SAFETY COALITION, ETC.) TO ADDRESS CHRONIC DISEASES AND ASSOCIATED RISK FACTORS? 7. TO WHAT EXTENT DOES THE COMMUNITY PARTICIPATE IN THE PUBLIC POLICY PROCESS TO HIGHLIGHT THE NEED FOR COMMUNITY CHANGES TO PREVENT AND REDUCE CHRONIC DISEASE RISK FACTORS (E.G., POOR NUTRITION, PHYSICAL INACTIVITY, TOBACCO USE AND EXPOSURE)? THE INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE SERVICE AREA INCLUDED INVOLVING PEOPLE FROM THE FOLLOWING ORGANIZATIONS WHEN PRIMARY RESEARCH WAS CONDUCTED: -REYNOLDS COUNTY PUBLIC HEALTH CENTER -ELLINGTION NUTRITION CENTER -SOUTHEAST HEALTH CENTER OF REYNOLDS COUNTY -WHOLE HEALTH OUTREACH -REYNOLDS COUNTY SHERIFF'S OFFICE -ELLINGTON VOLUNTARY FIRE DEPARTMENT SURVEY: AN ONLINE SURVEY WAS DISTRIBUTED TO MEMBERS OF THE HEALTHY COMMUNITIES COALITION IN CAPE GIRARDEAU COUNTY. NINE COMPLETED RESPONSES WERE RECEIVED, REPRESENTING THE PERSPECTIVES OF INDIVIDUALS AND/OR AGENCIES INVOLVED WITH HEALTHCARE IN MULTIPLE ROLES. RESPONDENTS ADDRESSED QUESTIONS RELATED TO: UNMET NEEDS IN THE COMMUNITY, CHALLENGES FACING LOCAL HEALTHCARE RESOURCES, INCLUDING SOUTHEASTHEALTH, AND OPPORTUNITIES FOR SOUTHEASTHEALTH TO BETTER SERVE THE COMMUNITY. INVOLVED WITH HEALTHCARE IN MULTIPLE ROLES. RESPONDENTS ADDRESSED QUESTIONS RELATED TO: UNMET NEEDS IN THE COMMUNITY, CHALLENGES FACING LOCAL HEALTHCARE RESOURCES, INCLUDING SOUTHEASTHEALTH, AND OPPORTUNITIES FOR SOUTHEASTHEALTH TO BETTER SERVE THE COMMUNITY. A, 3 - REYNOLDS COUNTY - SCHEDULE H, PART V, SECTION B, LINE 6A CHNA CONDUCTED WITH OTHER HOSPITALS: THE CHNA PROCESS WAS CONDUCTED WITH SOUTHEASTHEALTH AND SOUTHEASTHEALTHS REGIONAL HOSPITAL FACILITIES. A, 3 - REYNOLDS COUNTY - SCHEDULE H, PART V, SECTION B, LINE 11 ADDRESSING SIGNIFICANT NEEDS: THESE WERE THE TOP 6 PRIORITY HEALTH NEEDS (AND ASSOCIATED BEHAVIORAL NEEDS) THAT WERE DETERMINED FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT: -CANCER (SMOKING, COLON CANCER) -OBESITY (DIET AND EXERCISE) -CHRONIC DISEASE *STROKE *HEART DISEASE *DIABETES (DIET AND EXERCISE) *CHRONIC RESPIRATORY DISEASE (SMOKING) -SUBSTANCE ABUSE/MENTAL HEALTH (DRUG AND ALCOHOL, ANXIETY AND DEPRESSION) -HEALTH CARE AFFORDABILITY (UNINSURED/UNDERINSURED) -PRE-CONCEPTUAL AND PERINATAL HEALTH NEEDS BEING ADDRESSED AND HOW: THE HOSPITAL ALREADY HAS PROGRAMS AND SERVICES IN PLACE TO MEET THE NEEDS OF THE CHRONIC DISEASES LISTED ALONG WITH CANCER. THE ORGANIZATION HAS ALSO BEEN WORKING ON LOWERING THE COST OF HEALTHCARE TO MAKE IT MORE AFFORDABLE AND BY PROVIDING MORE SERVICES IN THE REGION TO MAKE HEALTHCARE SERVICES MORE ACCESSIBLE. SUBSTANCE ABUSE AND MENTAL HEALTH WILL BE ADDRESSED WITH THE EXPANSION OF OUTPATIENT CLINICS IN CAPE GIRARDEAU AND DEXTER AS WELL AS OPENING A LARGE COMPREHENSIVE FACILITY IN CAPE GIRARDEAU. PRE-CONCEPTION/PERINATAL HEALTH WILL BE ADDRESSED BY RESIDENTS HAVING GREATER ACCESS TO PRIMARY CARE. A, 3 - REYNOLDS COUNTY - SCHEDULE H, PART V, SECTION B, LINE 13H ADDITIONAL CRITERIA USED IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE OTHER THAN INCOME AND ASSETS ALREADY SPECIFIED INCLUDE: -ELIGIBILITY FOR MEDICAID A, 3 - REYNOLDS COUNTY - SCHEDULE H, PART V, SECTION B, LINES 16A-16C FAP AVAILABILITY: THE FULL WEBSITE ADDRESS FOR LINES 16A-16C IS AS FOLLOWS: HTTPS://WWW.SEHEALTH.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE 43 SOUTHEAST CANCER CENTER 789 S MT AUBURN RD CAPE GIRARDEAU MO 63703 OUTPATIENT MEDICAL SERVICES SOUTHEAST HEMATOLOGY-ONCOLOGY 789 MT AUBURN RD CAPE GIRARDEAU MO 63701 OUTPATIENT PHYSICIAN CLINIC WEST CAMPUS IMAGING 817 S MT AUBURN RD CAPE GIRARDEAU MO 63703 OUTPATIENT MEDICAL SERVICES HEALTHPOINT REHAB - CAPE 2126 INDEPENDENCE CAPE GIRARDEAU MO 63701 OUTPATIENT REHAB SERVICES HEALTHPOINT REHAB - JACKSON 410 WEST MAIN STREET DOOR B JACKSON MO 63755 OUTPATIENT REHAB SERVICES WOUND CARE & HYPERBARIC MEDICINE 310 S SILVER SPRINGS DR CAPE GIRARDEAU MO 63701 OUTPATIENT MEDICAL SERVICES DOCTORS PARK LAB 62 DOCTORS PARK CAPE GIRARDEAU MO 63703 OUTPATIENT LABORATORY SERVICES HOME HEALTH AND HOSPICE SERVICES 10 DOCTORS PARK CAPE GIRARDEAU MO 63703 HOME CARE SERVICES BREAST CARE & DIAGNOSTIC CENTER 60 DOCTORS PARK CAPE GIRARDEAU MO 63703 OUTPATIENT MEDICAL SERVICES GASTROENTEROLOGY SVCS OF SE MO HOSP 1723 BROADWAY SUITE 220 CAPE GIRARDEAU MO 63701 OUTPATIENT PHYSICIAN CLINIC SOUTHEAST PRIMARY CARE 817 SOUTH MT AUBURN ROAD CAPE GIRARDEAU MO 63703 RURAL HEALTH CLINIC HEALTHPOINT FITNESS - CAPE 2126 INDEPENDENCE CAPE GIRARDEAU MO 63701 FITNESS FACILITY PLAZA PHARMACY 1723 BROADWAY SUITE 110 CAPE GIRARDEAU MO 63701 RETAIL PHARMACY SOUTHEAST COLLEGE OF NURSING & HEALTH SC 2001 WILLIAM ST CAPE GIRARDEAU MO 63703 EDUCATIONAL FACILITY SOUTHEAST NEUROLOGY 1723 BROADWAY SUITE 310 CAPE GIRARDEAU MO 63701 OUTPATIENT PHYSICIAN CLINIC PRIMARY CARE - DECOURSEY 1723 BROADWAY SUITE 120 CAPE GIRARDEAU MO 63701 OUTPATIENT PHYSICIAN CLINIC SOUTHEAST PEDIATRICS 25 DOCTORS PARK CAPE GIRARDEAU MO 63703 RURAL HEALTH CLINIC ENDOCRINOLOGY SERVICES OF SE MO HOSPITAL 15 DOCTORS PARK CAPE GIRARDEAU MO 63703 OUTPATIENT PHYSICIAN CLINIC PULMONOLOGY SERVICES OF SE MO HOSPITAL 1723 BROADWAY SUITE 205 CAPE GIRARDEAU MO 63701 OUTPATIENT PHYSICIAN CLINIC PLAZA PHARMACY WEST 817 S MT AUBURN RD SUITE 130 CAPE GIRARDEAU MO 63703 RETAIL PHARMACY WEST CAMPUS LAB 817 S MT AUBURN RD CAPE GIRARDEAU MO 63703 OUTPATIENT LABORATORY SERVICES PHYSICAL MED & REHAB SVC OF SE MO HOSP 2126 INDEPENDENCE CAPE GIRARDEAU MO 63701 OUTPATIENT PHYSICIAN CLINIC OCCUPATIONAL MED SVC OF SE MO HOSP 2126 INDEPENDENCE CAPE GIRARDEAU MO 63701 OUTPATIENT PHYSICIAN CLINIC HEATLHPOINT FITNESS - JACKSON 410 WEST MAIN STREET CAPE GIRARDEAU MO 63755 FITNESS FACILITY SEMO STATE UNIVERSITY CAMPUS CLINIC 725 N PACIFIC CRISP HALL ROOM 101 CAPE GIRARDEAU MO 63701 OUTPATIENT CLINIC DIABETES CENTER OF SE MO HOSPITAL 15 DOCTORS PARK CAPE GIRARDEAU MO 63703 OUTPATIENT MEDICAL SERVICES FAMILY MEDICINE OF DEXTER 1200 N ONE MILE RD DEXTER MO 63841 RURAL HEALTH CLINIC BLOOMFIELD CLINIC 1003 STATE ROUTE 25 N BLOOMFIELD MO 63825 RURAL HEALTH CLINIC THE CLINIC AT WALMART 2025 W BUSINESS US HIGHWAY 60 DEXTER MO 63841 RURAL HEALTH CLINIC MALDEN CLINIC 500 N DOUGLAS ST MALDEN MO 63863 RURAL HEALTH CLINIC BERNIE CLINIC 810 N WALNUT ST BERNIE MO 63822 RURAL HEALTH CLINIC FAMILY MEDICINE OF POPLAR BLUFF 2002 KANELL BOULEVARD POPLAR BLUFF MO 63901 PHYSICIAN CLINIC HOME HEALTH OF DEXTER 1300 N ONE MILE ROAD SUITE 7 DEXTER MO 63841 HOSPITAL BASED HHA FAMILY MEDICINE OF ELLINGTON 350 EAST WALNUT ELLINGTON MO 63638 RURAL HEALTH CLINIC FAMILY MEDICINE OF VAN BUREN 1009 HIGHWAY BUSINESS 60 VAN BUREN MO 63965 RURAL HEALTH CLINIC ELLINGTON CLINIC 100 HIGHWAY 21 N ELLINGTON MO 63638 PHYSICIAN CLINIC SOUTHEASTHEALTH PHARMACY 2002 KANELL BOULEVARD SUITE 102 POPLAR BLUFF MO 63901 RETAIL PHARMACY SOUTHEASTHEALTH HOSPITAL HOLDINGS 2002 KANELL BOULEVARD POPLAR BLUFF MO 63901 HOLDING COMPANY SOUTHEAST CONVENIENT CARE 2432 EAST MAIN JACKSON MO 63755 OUTPATIENT PHYSICIAN CLINIC SOUTHEAST EAR NOSE & THROAT 1723 BROADWAY STE 205 CAPE GIRARDEAU MO 63701 OUTPATIENT PHYSICIAN CLINIC SOUTHEAST OBSTETRICSGYNECOLOGY 1111 N MT AUBURN RD CAPE GIRARDEAU MO 63701 OUTPATIENT PHYSICIAN CLINIC CARDIOVASCULAR CONSULTANTS 371 S BROADVIEW ST CAPE GIRARDEAU MO 63703 OUTPATIENT PHYSICIAN CLINIC DOCTORS PARK AT DEXTER 1300 N ONE MILE ROAD DEXTER MO 63841 RURAL HEALTH CLINIC SCHEDULE H, PART I, LINE 7, COLUMN F PERCENT OF TOTAL EXPENSE: TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25, OF THE FORM 990 WAS REDUCED BY BAD DEBT EXPENSE OF $46,468,694. SCHEDULE H, PART I, LINE 7G SUBSIDIZED SERVICES: THE ORGANIZATION HAS INCLUDED COSTS ASSOCIATED WITH RURAL HEALTH CENTERS (RHC) IN THE CALCULATION OF SUBSIDIZED SERVICES ON LINE 7G, WITH A NET SUBSIDY FROM RHCS OF $4,024,680. SOUTHEASTHEALTH PROVIDES PRIMARY CARE SERVICES TO THE SURROUNDING COMMUNITIES AT THE CENTERS. THESE SERVICES ARE PROVIDED IN RURAL AREAS WHERE THERE WOULD BE A SHORTAGE OF QUALITY MEDICAL CARE WITHOUT THE SERVICES AND CONTINUES TO PROVIDE THESE SERVICES AS A BENEFIT TO THE COMMUNITY DESPITE KNOWING THAT FINANCIAL SHORTFALLS WILL BE SUSTAINED. SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY: THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. IRS WORKSHEET 6 USED SPECIFIC COST TO CHARGE RATIO FOR EACH SERVICE. SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT EXPENSE: THE BAD DEBT EXPENSE LISTED ON LINE 2 IS THE BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, SECTION A, LINE 3 BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE: SOUTHEAST HOSPITAL ESTIMATES THAT APPROXIMATELY 17.4% OF THE PATIENT ACCOUNTS WRITTEN OFF TO BAD DEBTS MAY QUALIFY FOR CHARITY CARE OR OTHER ASSISTANCE BUT CHOSE NOT TO APPLY. THEREFORE, THE BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS DETERMINED USING 17.4% OF THE AMOUNT REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT EXPENSE FOOTNOTE: THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HEALTH SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HEALTH SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HEALTH SYSTEM RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SCHEDULE H, PART III, SECTION B, LINE 8 COMMUNITY BENEFIT: SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. SCHEDULE H, PART III, SECTION C, LINE 9B BILLING, CREDIT AND COLLECTION POLICY: THE BUSINESS OFFICE OF SOUTHEASTHEALTH WILL ASSIST ALL PATIENTS IN THE BILLING OF INSURANCE CLAIMS TO GOVERNMENTAL AGENCIES, COMMERCIAL INSURANCE CARRIERS AND OTHER THIRD PARTIES FOR THE PURPOSE OF INSURING PROMPT RECEIPT OF PATIENT OBLIGATIONS. SELF-PAY PATIENTS (PATIENTS WITHOUT HEALTH CARE INSURANCE) WILL BE COOPERATED WITH FULLY WHILE BEING ENCOURAGED TO SATISFY THEIR FINANCIAL OBLIGATIONS TO SOUTHEASTHEALTH ON A TIMELY BASIS. AN ATMOSPHERE OF MUTUAL UNDERSTANDING BETWEEN THE PATIENTS WE SERVE AND OURSELVES WILL BE MAINTAINED AT ALL TIMES. SOUTHEASTHEALTH WILL BILL PATIENTS OR THIRD PARTIES ONLY FOR SERVICES ACTUALLY PROVIDED TO PATIENTS AND WILL PROVIDE ASSISTANCE TO PATIENTS SEEKING TO UNDERSTAND THE COST RELATIVE TO THEIR CARE. STAFF WILL ALSO ATTEMPT TO RESOLVE QUESTIONS AND OBJECTIONS TO THE SATISFACTION OF THE PATIENT WHILE CONSIDERING THE INSTITUTIONS NEEDS. PROCEDURES 1. SELF-PAY PATIENTS ARE MAILED A STATEMENT FIVE DAYS AFTER BILLING HAS BEEN COMPLETED. 2. PATIENTS WITH INSURANCE ARE MAILED A STATEMENT ONE DAY AFTER INSURANCE PAYMENTS AND ADJUSTMENTS HAVE BEEN APPLIED TO THE ACCOUNT, LEAVING A BALANCE FOR THE PATIENT. 3. SOUTHEASTHEALTH OFFERS PATIENTS SEVERAL DIFFERENT PAYMENT OPTIONS TO SATISFY THEIR ACCOUNT: A. CASH/CHECK FOR THE FULL PAYMENT. B. MASTERCARD/VISA/DISCOVER/AMERICANEXPRESS C. SHORT-TERM MONTHLY INSTALLMENTS: A. BALANCES OF $500 TO $2500 MINIMUM OF $100/MONTH AND RE-EVALUATE IN 12 MONTHS. B. BALANCES OF $2501 TO $5000 MINIMUM OF $250/MONTH AND RE-EVALUATE IN 12 MONTHS. C. BALANCES OF $5001 AND OVER MINIMUM OF $300/MONTH AND RE-EVALUATE IN 12 MONTHS. D. FINANCIAL ASSISTANCE IS AVAILABLE. PATIENT STATEMENTS LIST WHERE TO CALL OR GO ONLINE TO GET THE APPLICATION. 4. THIRTY DAYS AFTER THE FIRST PATIENT STATEMENT IS MAILED, IF THE BALANCE IS NOT PAID IN FULL, THE BALANCE IS REFERRED TO OUR BILLING SERVICE. 5. FIVE DAYS AFTER RECEIPT OF THE BALANCE, THE BILLING SERVICE BEGINS A DILIGENT COURTESY CALL COMPAIGN. 6. FIVE DAYS LATER, THE BILLING SERVICE MAILS THEIR FIRST PATIENT STATEMENT, AND WILL CONTINUE TO MAIL A PATIENT STATEMENT EVERY THIRTY DAYS FOR AN ADDITIONAL TWO MONTHS. 7. IF PAYMENT OR SATISFACTORY PAYMENT ARRANGEMENTS, AS OUTLINED ABOVE, ARE NOT MADE WITHIN FOUR MONTHS FROM THE ORIGINAL PATIENT STATEMENT, THE ACCOUNT WILL PROCEED THROUGH A COLLECTION PROCESS AS FOLLOWS: A. PRIMARY COLLECTION AGENCY: A. DAY 1 PATIENT STATEMENT IS MAILED. B. DAY 10 BEGIN DILIGENT COURTESY CALL CAMPAIGN, CALLS MADE EVERY THREE DAYS. C. STATEMENTS AND COURTESY CALLS CONTINUE FOR SIX MONTHS. D. DAY 180 IF NO PAYMENTS OR PAYMENT ARRANGEMENTS ARE MADE, THEN ACCOUNTS ARE FORWARDED TO A SECONDARY COLLECTION AGENCY. B. SECONDARY COLLECTION AGENCY (REPORTS TO CREDIT BUREAU): A. DAY 1 PATIENT STATEMENT IS MAILED. B. DAY 10 BEGIN DILIGENT COURTESY CALL CAMPAIGN, CALLS MADE EVERY THREE DAYS. C. STATEMENTS AND COURTESY CALLS CONTINUE FOR TWELVE MONTHS. D. DAY 365 IF NO PAYMENTS OR PAYMENT ARRANGEMENTS ARE MADE, THEN ACCOUNTS ARE TURNED BACK OVER TO SOUTHEASTHEALTH FOR FURTHER COLLECTION REVIEW. 8. ANY ACCOUNT THAT BECOMES DELINQUENT MAY BE TURNED OVER TO AN ATTORNEY OR COLLECTION AGENCY. ANY ADDITIONAL COSTS INCURRED IN COLLECTING DELINQUENT BALANCES, SUCH AS ATTORNEY FEES AND COURT COSTS, WILL BE ADDED TO THE COLLECTION BALANCE. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT: FOLLOWING ARE WAYS IN WHICH SOUTHEAST HOSPITAL AND SOUTHEASTHEALTH CENTER OF STODDARD COUNTY ASSESSED THE NEEDS OF ITS COMMUNITY BEFORE, DURING AND AFTER THE FORMAL CHNA WAS COMPLETED: -DEFINED "COMMUNITY" AS OUR PRIMARY SERVICE AREA BASED ON PATIENT ORIGIN DATA -MADE CONTACT AND DISCUSSED CHNA (COMMUNITY HEALTH NEEDS ASSESSMENT) WITH COUNTY HEALTH COALITION -COLLECTED SECONDARY DATA -HELD A FOCUS GROUP TO COLLECT PRIMARY DATA THAT INCLUDED PEOPLE WITH SPECIAL KNOWLEDGE OF HEALTH ISSUES -ASSESSED ALL PRIMARY & SECONDARY DATA FOR THE SERVICE AREA -CREATED A COMPREHENSIVE LIST OF COMMUNITY HEALTH ISSUES, BEHAVIOR AND LIFESTYLE ISSUES CONTRIBUTING TO HEALTH, AND ENVIRONMENTAL & SOCIAL ISSUES RELATED TO HEALTH FOR THE SERVICE AREA -PRIORITIZED THE LIST BASED ON INPUT FROM THE COALITIONS, CONSISTENCY BETWEEN SECONDARY AND PRIMARY DATA, OUR ABILITY TO ADDRESS, AND THE POTENTIAL TO EFFECT CHANGE -CREATED LIST OF PRIORITIZED HEALTH NEEDS AND BEHAVIORS SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: PATIENT ACCOUNT STATEMENTS FOR SOUTHEASTHEALTH INCLUDE A STATEMENT THAT THE PATIENT MAY CONTACT THE ORGANIZATION WITH ANY QUESTIONS OR PAYMENT ISSUES REGARDING THEIR BILL. IF THE PATIENT COMMUNICATES THEIR INABILITY TO MAKE A PAYMENT, THE PATIENT IS INFORMED OF OPTIONS INCLUDING CHARITY CARE AND OTHER ASSISTANCE AND ARE PROVIDED AN EXPLANATION ON HOW TO APPLY FOR ASSISTANCE. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: SOUTHEASTHEALTH HAS A PRIMARY SERVICE AREA CONSISTING OF CAPE GIRARDEAU COUNTY, BOLLINGER COUNTY, SCOTT COUNTY AND STODDARD COUNTY ALL LOCATED IN SOUTHEAST MISSOURI. THE COMMUNITIES ARE DESCRIBED BELOW: -CAPE GIRARDEAU COUNTY IS LOCATED IN SOUTHEAST MISSOURI ALONG THE MISSISSIPPI RIVER *THE POPULATION OF THE COUNTY IS CURRENTLY 76,997 *WHITES COMPRISE 88.7% AND AFRICAN-AMERICANS REPRESENT 7% OF THE TOTAL POPULATION *THE COUNTY HAS A HIGHER PERCENTAGE OF THE YOUNGER POPULATION, AGES 15 - 24 THAN AVERAGE FOR THE STATE OF MISSOURI *88% OF CAPE GIRARDEAU COUNTY RESIDENTS 25 YEARS AND OVER HAVE GRADUATED FROM HIGH SCHOOL, WITH 33% GOING ON TO RECEIVE A POST-SECONDARY DEGREE *THE UNEMPLOYMENT RATE WAS 5.8% IN 2016, WHICH IS SLIGHTLY HIGHER THAN MISSOURI'S 5.0% *CAPE GIRARDEAU COUNTY HAS 17% OF RESIDENTS IN POVERTY, WITH 18% ELIGIBLE FOR FOOD STAMPS, AND 13.2% UNINSURED -BOLLINGER COUNTY IS LOCATED IN SOUTHEAST MISSOURI *HAS A MOSTLY RURAL POPULATION OF 12,403 *WHITES COMPRISE 97.9% OF THE TOTAL POPULATION *THE COUNTY HAS A HIGHER PERCENTAGE OF THE OLDER POPULATION, AGES 45 - 74 THAN DOES THE STATE OF MISSOURI *80% OF BOLLINGER COUNTY RESIDENTS 25 YEARS AND OVER HAVE GRADUATED FROM HIGH SCHOOL, WITH ONLY 15.4% GOING ON TO RECEIVE A POST-SECONDARY DEGREE *THE UNEMPLOYMENT RATE WAS 4.5% IN 2016, WHICH IS SLIGHTLY LOWER THAN MISSOURI'S 5.0% *BOLLINGER COUNTY HAS 20.1% OF RESIDENTS IN POVERTY, WITH 25% ELIGIBLE FOR FOOD STAMPS, AND 18.3% UNINSURED -SCOTT COUNTY IS LOCATED IN SOUTHEAST MISSOURI ALONG THE MISSISSIPPI RIVER *THE POPULATION OF THE COUNTY IS CURRENTLY 40,797 *WHITES COMPRISE 85.7% AND AFRICAN-AMERICANS COMPRISE 11.4% OFTHE TOTAL POPULATION *THE COUNTY HAS A HIGHER PERCENTAGE OF THE YOUNGEST POPULATION, AGES 0 - 14 AND THE OLDER POPULATION, AGES 65 - 74 THAN DOES THE STATE OF MISSOURI *80.5% OF SCOTT COUNTY RESIDENTS 25 YEARS AND OVER HAVE GRADUATED FROM HIGH SCHOOL, WITH 18% GOING ON TO RECEIVE A POST-SECONDARY DEGREE *THE UNEMPLOYMENT RATE WAS 5.8% IN 2016, WHICH IS SLIGHTLY HIGHER THAN MISSOURI'S 5.0% *SCOTT COUNTY HAS 20.9% OF RESIDENTS IN POVERTY, WITH 24% ELIGIBLE FOR FOOD STAMPS, AND 14.6% UNINSURED -STODDARD COUNTY IS LOCATED IN SOUTHEAST MISSOURI *HAS A MOSTLY RURAL POPULATION OF 29,504 *WHITES COMPRISE 97.3% OF THE TOTAL POPULATION *THE COUNTY HAS A HIGHER PERCENTAGE OF THE OLDER POPULATION, AGE 65+ THAN DOES THE STATE OF MISSOURI *NEARLY 80% OF STODDARD COUNTY RESIDENTS 25 YEARS AND OVER HAVE GRADUATED FROM HIGH SCHOOL, WITH 20% GOING ON TO RECEIVE A POST-SECONDARY DEGREE *THE UNEMPLOYMENT RATE WAS 7.4% IN 2016, WHICH IS CONSIDERABLY HIGHER THAN MISSOURI'S 5.0% *STODDARD COUNTY HAS 19% OF RESIDENTS IN POVERTY, WITH 27% ELIGIBLE FOR FOOD STAMPS, AND 16.9% UNINSURED SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: SOUTHEASTHEALTH PROVIDES A VARIETY OF PROGRAMS DESIGNED TO IMPROVE COMMUNITY HEALTH INCLUDING: WEIGHT LOSS AND WEIGHT MANAGEMENT PROGRAMS, A SMOKING CESSATION CLASS, AND DIABETES MANAGEMENT PROGRAMS. SOUTHEASTHEALTH IS THE ONLY PROVIDER IN THE AREA PARTICIPATING IN THE NURSE/FAMILY PARTNERSHIP PROGRAM WHEREBY NURSES ARE ASSIGNED AS HEALTH COUNSELORS TO TEENAGE MOTHERS AND ADVISE THEM ON NUTRITION, PRE-NATAL CARE AND CHILDREN'S HEALTH ISSUES. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: SOUTHEAST HOSPITAL, D/B/A SOUTHEASTHEALTH (THE HEALTH SYSTEM), PRIMARILY EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT, EMERGENCY CARE AND PHYSICIAN SERVICES TO PATIENTS IN THE CAPE GIRARDEAU AND THE SURROUNDING SOUTHEAST MISSOURI AREA. SOUTHEAST HOSPITAL IS LOCATED IN CAPE GIRARDEAU, MISSOURI, AND HAS MULTIPLE CAMPUSES AND FACILITIES, SUCH AS HEALTHPOINT FITNESS, SOUTHEAST HOME HEALTH, SOUTHEAST HOSPICE, SOUTHEAST MEDICAL PLAZA, SOUTHEAST CANCER CENTER AND VARIOUS OUTPATIENT CLINICS. SOUTHEASTHEALTH OF RIPLEY COUNTY, D/B/A SOUTHEASTHEALTH CENTER OF RIPLEY COUNTY, AND STODDARD COUNTY ARE COLLECTIVELY REFERRED TO AS SOUTHEASTHEALTH REGIONAL SYSTEM. THE SOUTHEASTHEALTH REGIONAL SYSTEM EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT, EMERGENCY CARE, PHYSICIAN SERVICES AND RETAIL PHARMACY OPERATIONS IN DEXTER, MISSOURI; DONIPHAN, MISSOURI; AND THEIR SURROUNDING AREAS. SOUTHEASTHEALTH SERVIR, OPERATED BY SOUTHEASTHEALTH HOSPITAL, PROVIDES SOFTWARE SUPPORT FOR THE HOSPITAL'S REVENUE CYCLE. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: MISSOURI true LAB SCHOLARSHIP 2 20000 FEDERAL STUDENT LOANS 235 1395697 PELL GRANTS 132 396084 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS: THE PROCEDURES IN PLACE TO MONITOR THE FEDERAL STUDENT LOANS AND PELL GRANTS ARE VIRTUALLY THE SAME AND ARE AS FOLLOWS: THESE LOANS AND GRANTS ARE ADMINISTERED BY SOUTHEAST HEALTH COLLEGE OF NURSING TO THEIR STUDENTS 1. FILE THE FAFSA (FREE APPLICATION FOR FEDERAL STUDENT AID) 2. REVIEW THEIR SAR (STUDENT AID REPORT) FOR CORRECTIONS. 3. INSTITUTION RECEIVES AN ISIR (INSTITUTIONAL STUDENT INFORMATION RECORD) AND REVIEWS 4. IF STUDENT IS SELECTED FOR VERIFICATION, THE STUDENT MUST SUBMIT DOCUMENTS TO VERIFY FAFSA DATA. THIS CAN INCLUDE WORKSHEETS, TAX TRANSCRIPTS, W-2S OR OTHER DOCUMENTATION AS NEEDED. 5. STUDENT IS THEN ASSIGNED A BUDGET AND EFC IS DETERMINED. BUDGET IS BASED ON PROGRAM, EXPECTED CREDIT HOURS FOR THE YEAR, START DATES OF COURSES AND DEPENDENCY STATUS. EFC IS DETERMINED BASED ON FAFSA INFORMATION AND SEMESTER ENROLLMENT. 6. STUDENT IS THEN REVIEWED FOR ELIGIBILITY ON AN INDIVIDUAL BASIS. EFC, CREDIT HOURS, PROGRAM, COURSE PROGRESSION, PRIOR AID RECEIVED, AMONG OTHER FACTORS DETERMINE A STUDENTS ELIGIBILITY. 7. STUDENT IS SENT AN AWARD LETTER. THE STUDENT WILL ACCEPT OR REJECT THE AID THEY WISH TO RECEIVE. 8. PRIOR TO DISBURSEMENT OF FUNDS, THE STUDENT IS REQUIRED TO COMPLETE ENTRANCE COUNSELING AND A MASTER PROMISSORY NOTE. 9. PRIOR TO DISBURSEMENT OF FUNDS, THE SCHOOL IS RESPONSIBLE FOR VERIFYING STUDENT DATA. 10. ONCE FUNDS HAVE BEEN DISBURSED, THE SCHOOL MUST DRAW DOWN FUNDS FROM G5 AND POST PAYMENTS TO STUDENT ACCOUNTS. 11. STUDENTS ARE NOTIFIED THAT THEIR LOAN HAS BEEN APPLIED TO THEIR ACCOUNT AND SENT ADDITIONAL INFORMATION VIA E-MAIL. 12. STUDENT ENROLLMENT IS REPORTED TO NSLDS (NATIONAL STUDENT LOAN DATA SYSTEM) THROUGH THE CLEARINGHOUSE. 13. ANY STUDENT THAT WITHDRAWS MUST BE REVIEWED FOR RETURN TO TITLE IV PURPOSES AND RECEIVE EXIT COUNSELING INFORMATION. 14. STUDENTS ARE REQUIRED TO COMPLETE EXIT COUNSELING AS PART OF THEIR GRADUATION APPLICATION. 15. SCHOLARSHIPS ARE ADMINISTERED BY THE AUXILIARY AND ARE GENERALLY PAID DIRECTLY TO THE COLLEGE. PROCEDURES FOR MONITORING THE USE OF ALL OTHER GRANT PROGRAMS: - ONLY EXPEND FUNDS AS LAID OUT IN THE APPROVED GRANT BUDGET - DO NOT USE FUNDS FROM A GRANT FOR ITEMS NOT INCLUDED IN THE GRANT BUDGET OR FOR PURPOSES OTHER THAN DESCRIBED IN THE GRANT NARRATIVE - IF THE ORIGINAL BUDGET REQUIRES AMENDMENT IN ORDER TO SUPPORT THE PURPOSE OF THE GRANT, CONTACT THE FUNDER TO GET PERMISSION BEFORE MAKING CHANGES - SUPPORT EVERY EXPENDITURE WITH ADEQUATE DOCUMENTATION - KEEP DOCUMENTATION WELL ORGANIZED AND ACCESSIBLE - ACCOUNTING WILL MONITOR GRANT EXPENDITURES AND REVENUE MONTHLY TO ENSURE THAT OVER-SPENDING OR UNDER-SPENDING CAN BE ADDRESSED BEFORE THE END OF THE GRANT PERIOD. X X X X true true false false false false false false false KENNETH BATEMAN PRESIDENT/CEO 538248 0 25000 0 6437 0 114575 0 29087 0 713347 0 0 0 GABRIEL SOTO MD HOSPITAL DIRECTOR/CARDIOLOGIST 454082 0 358058 0 87084 0 14575 0 27090 0 940889 0 0 0 PAUL ROBISON CV SURGEON 821351 0 313718 0 8186 0 14575 0 27500 0 1185330 0 0 0 CHRISTOPHER B KELLER GASTROENTEROLOGIST 803207 0 202844 0 2309 0 14575 0 26507 0 1049442 0 0 0 DAVID LAW CARDIOLOGIST 343092 0 525630 0 1673 0 14575 0 26940 0 911910 0 0 0 CHIZOR J IWUCHUKWU CARDIOLOGIST 356362 0 461458 0 3571 0 14575 0 29756 0 865722 0 0 0 KENNETH W RETTER CARDIOLOGIST 321028 0 472315 0 19499 0 14575 0 26755 0 854172 0 0 0 JAMES P LIMBAUGH EXECUTIVE VP 0 0 0 0 186002 0 0 0 0 0 186002 0 0 0 D MATT SHOEMAKER DO VP AND CMO 346396 0 0 0 16525 0 13703 0 29503 0 406127 0 0 0 JUDY ASLIN CHIEF NURSING OFFICER 228840 0 0 0 3978 0 34331 0 26687 0 293836 0 0 0 DANIEL L BERRY VP/GENERAL COUNSEL 207881 0 0 0 3703 0 11822 0 29460 0 252866 0 0 0 PAULA HARRIS VP REGIONAL OPERATIONS 0 0 0 0 187240 0 0 0 7987 0 195227 0 0 0 MICHAEL L NICHOLS VICE PRESIDENT & CIO 257839 0 0 0 2332 0 14452 0 14606 0 289229 0 0 0 JANET L RIGDON EXEC DIRECTOR PERIOP & CV SERV 190470 0 0 0 1722 0 10596 0 10216 0 213004 0 0 0 FRANCES ERLACKER EXEC DIRECTOR REHAB & FITNESS 184668 0 0 0 1137 0 10443 0 13876 0 210124 0 0 0 KATHRYN S VICKERY VP-ANCILLARY SERVICES 184091 0 0 0 849 0 10218 0 18749 0 213907 0 0 0 ERIN R PFEIFER VP HR AND DEVELOPMENT 171494 0 0 0 1732 0 9949 0 25050 0 208225 0 0 0 KENNETH R TIFFT EXEC DIRECTOR SUPPLY CHAIN 168842 0 0 0 347 0 8007 0 24963 0 202159 0 0 0 STEVEN J HAAS VICE PRESIDENT & CFO BEG 6/16 162222 0 0 0 1608 0 9017 0 9728 0 182575 0 0 0 KRISTA B BERRY SYSTEM CONTROLLER 145720 0 9500 0 432 0 7982 0 22314 0 185948 0 0 0 SHARON L STINSON EXEC DIRECTOR PROD & NURSING 151610 0 0 0 1337 0 6901 0 17860 0 177708 0 0 0 LINCOLN SCOTT VP HR & DEVELOPMENT 0 0 104090 0 8368 0 5958 0 0 0 118416 0 0 0 SCHEDULE J, PART I, LINE 4A SEVERANCE PAYMENTS: THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS, WHICH WERE INCLUDED IN TAXABLE COMPENSATION: JAMES LIMBAUGH $ 186,002 PAULA HARRIS $ 187,240 LINCOLN SCOTT $ 8,333 SCHEDULE J, PART I, LINE 4B NONQUALIFIED RETIREMENT PLAN: THE ORGANIZATION CONTRIBUTED $100,000 TO A 457(F) PLAN ON BEHALF OF KENNETH BATEMAN. A IND DEV AUTH OF THE COUNTY OF CAPE GIRARDEAU MO 431193901 139404DD6 2007-04-12 101802089 REFUND EXISTING DEBT AND CAPITAL false false false B IND DEV AUTH OF THE COUNTY OF CAPE GIRARDEAU MO 431193901 139404FK8 2016-03-16 21930000 REVENUE AND REFUNDING BONDS false false false C IND DEV AUTH OF THE COUNTY OF CAPE GIRARDEAU MO 431282203 86149UAA2 2016-03-16 16880000 REVENUE AND REFUNDING BONDS false false false A 10220000 0 101924069 7723000 6510702 39052836 1081321 0 0 47556210 0 0 2010 true true true true B 0 0 21930000 3635313 0 17910771 383916 0 0 0 0 0 true false false true C 0 0 16880000 5291392 0 11140866 257336 0 0 190406 0 0 true false false true A false false false false 0 false false false true B false false false false 0 false false false true C false false false false 0 false false false true A true false false 0 true BONY MELLON TRUST CO 3. true false true B false true false false false false 0 false 0 false true C false true false false false false 0 false 0 false true A true B true C true SCHEDULE K, PART II, LINE 3, COLUMN A TOTAL PROCEEDS OF ISSUE: THE AMOUNT OF TOTAL PROCEEDS ON PART II, LINE 3, COLUMN A, IS MORE THAN THE ISSUE PRICE IN PART I, LINE A, COLUMN E DUE TO INVESTMENT EARNINGS. GABRIEL SOTO MD DIRECTOR HIGHER EDUC X 102297 102297 false false true 102297 JULIE EFTINK SEE PART V 58269 COMPENSATION false KACI HUBBARD SEE PART V 38068 COMPENSATION false LUKE HUBBARD SEE PART V 162258 COMPENSATION false SUSIE DUFEK SEE PART V 200308 COMPENSATION false SCHEDULE L, PART II BOARD MEMBER LOAN: GABRIEL SOTO, MD, SERVES AS A MEMBER OF THE HOSPITAL BOARD OF DIRECTORS AND IS ALSO EMPLOYED AS A CARDIOLOGIST. THE LOAN REPORTED IS UNRELATED TO HIS SERVICE AS A BOARD MEMBER. SCHEDULE L, PART IV BUSINESS TRANSACTIONS: (1) JULIE EFTINK IS THE SISTER-IN-LAW OF ERIN PFEIFER, KEY EMPLOYEE. (2) KACI HUBBARD IS THE DAUGHTER OF JOHN THOMPSON, BOARD MEMBER. (3) LUKE HUBBARD IS THE SON-IN-LAW OF JOHN THOMPSON, BOARD MEMBER. (4) SUSIE DUFEK IS THE SPOUSE OF JAMES DUFEK, BOARD MEMBER. FORM 990, PART III, LINE 3 PROGRAM SERVICES CEASED: SOUTHEAST HEALTH CENTER OF REYNOLDS COUNTY AND AFFILIATED CLINICS CEASED OPERATIONS ON MARCH 11, 2016. FORM 990, PART III, LINE 4A PROGRAM ACHIEVEMENTS: THE FACILITY PROVIDES A FULL RANGE OF INTEGRATED PATIENT CARE SERVICES, INCLUDING ACUTE, PRIMARY AND SPECIALTY CARE IN BOTH THE INPATIENT AND OUTPATIENT SETTINGS. THE DELIVERY OF INPATIENT AND AMBULATORY CARE IS ALSO SUPPORTED BY THE SERVICES PROVIDED THROUGH SPECIALIZED CENTERS AND FACILITIES THROUGHOUT THE REGION. SOUTHEAST HOSPITAL HAS AN ORGANIZED ACTIVE, ASSOCIATE AND CONSULTING MEDICAL STAFF OF PHYSICIANS, DENTISTS, AND PODIATRISTS FROM MORE THAN 40 MEDICAL AND SURGICAL FIELDS. OF THE 231 MEMBERS OF THIS STAFF, 90% HELD BOARD CERTIFICATION. IN 2016, THE HOSPITAL RECORDED OVER 10,000 INPATIENT DISCHARGES AND OVER 300,000 OUTPATIENT REGISTRATIONS. MISSION: TOGETHER WE MAKE A DIFFERENCE THROUGH OUR COMMITMENT TO EXCELLENCE IN HEALTH CARE. VISION: AS A LEADING PROVIDER OF HEALTH SERVICES, SOUTHEASTHEALTH IS DEDICATED TO CONTINUOUS IMPROVEMENT OF THE REGION'S HEALTH STATUS IN A COLLABORATIVE COST-EFFECTIVE MANNER. VALUES: TO ACCOMPLISH OUR MISSION AND VISION, WE UPHOLD THESE VALUES: -VISION FOR CHANGE OUR CHALLENGE IN PREPARING FOR TOMORROW'S HEALTH NEED IS TO KEEP CONTEMPORARY CARE AVAILABLE FOR THOSE WE SERVE. BY EVALUATING THE PRESENT, SETTING APPROPRIATE GOALS, BEING FLEXIBLE AND INNOVATIVE, WE PREPARE DAILY TO MEET AND SHAPE THE FUTURE OF HEALTH CARE IN OUR REGION. -ACCESS TO CARE WE BELIEVE THAT ALL PATIENTS IN OUR CARE ARE ENTITLED TO QUALITY HEATH SERVICES, INFORMATION AND CONFIDENTIALITY ABOUT THEIR CARE AND TREATMENT WITH DIGNITY AND COMPASSION IN ALL OF LIFE'S STAGES. -LEADERSHIP WITH RESPONSIBILITY DEDICATED TO MAINTAINING PUBLIC TRUST AND A HIGH LEVEL OF INTEGRITY, OUR HOSPITAL LEADERS STRIVE TO BALANCE PROGRESS WITH COSTS, REGULATIONS AND COMPETITION WHILE ALWAYS PRESERVING THE HUMAN TOUCH. AS A NOT-FOR-PROFIT HOSPITAL, WE ARE PLEDGED TO ENHANCING QUALITY OF LIFE THROUGH WISE USE OF HUMAN AND MATERIAL RESOURCES IN MEDICAL AND CIVIC ENDEAVORS. -UNITY OF PURPOSE A SPIRIT OF COOPERATION, MUTUAL RESPECT AND CONCERN IS PROMOTED BY OUR HOSPITAL FAMILY TO DELIVER EFFICIENT AND COORDINATED SERVICES. WE ALSO WORK TOGETHER TO PROVIDE PATIENTS AND FAMILIES WITH REASSURANCES, SUPPORT AND CARE THAT IS SENSITIVE TO ALL THEIR NEEDS. -EXCELLENCE IN PERFORMANCE AT SOUTHEAST HOSPITAL, WE HAVE MADE A COMMITMENT TO EXCELLENCE IN INDIVIDUAL PERFORMANCE, TECHNOLOGY AND FACILITIES. THIS TRADITION OF EXCELLENCE IS EXPRESSED BY HELPING PATIENTS ATTAIN THE HIGHEST QUALITY OF LIFE THEY ARE CAPABLE OF ACHIEVING AND BY PROVIDING REGIONAL LEADERSHIP FOR HEALTH CARE ISSUES AND DEVELOPMENTS. -SERVICE ABOVE SELF TO DEMONSTRATE PROFESSIONALISM, ETHICS AND DEVOTION TO DUTY IS OUR CHARGE; TO SERVE WITH ENTHUSIASM AND COMPASSION IS OUR SPIRIT. RECOGNIZING THAT TECHNOLOGY IS IN OUR HANDS AND PEOPLE ARE IN OUR HEARTS, WE TAKE PRIDE IN GIVING OUR PERSONAL BEST FOR THE BENEFIT OF OTHERS. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS: THE SOLE MEMBER IS SOUTHEASTHEALTH SYSTEM, INC., A RELATED ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A POWERS OF MEMBERS OVER GOVERNING BODY: THE BOARD OF DIRECTORS OF SOUTHEAST HOSPITAL IS ELECTED AT THE ANNUAL MEETING OF THE MEMBER IN ACCORDANCE WITH THE MEMBER'S BYLAWS, WITH THE DIRECTORS TO BE ELECTED FROM THE SLATE OF CANDIDATES PREPARED BY THE MEMBER'S GOVERNANCE AND NOMINATING COMMITTEE. AMONG THE POWERS RESERVED TO THE MEMBER IS THE POWER TO ELECT, EVALUATE, AND REMOVE THE DIRECTORS OF THE CORPORATION, PROVIDED THAT SUCH REMOVAL REQUIRES TWO-THIRDS OR GREATER ACTION BY THE SYSTEM BOARD. FORM 990, PART VI, SECTION A, LINE 7B MEMBER GOVERNANCE DECISIONS: THE MEMBER RESERVES ALL POWER, SUBJECT TO THE AUTHORITY OF SOUTHEAST HEALTH SYSTEM, INC. (SYSTEM) TO TAKE THE ACTIONS BELOW WITH RESPECT TO SOUTHEAST HOSPITAL: (1) ESTABLISH AND INTERPRET PHILOSOPHY, EXPECTATIONS, AND CORE VALUES OF THE CORPORATION AND THE CORPORATION'S SUBSIDIARIES; (2) ESTABLISH ANNUAL PERFORMANCE OBJECTIVES AND COMPENSATION FOR THE PRESIDENT/CEO OF THE CORPORATION AND THE PRESIDENT/CEOS OF THE CORPORATION'S SUBSIDIARIES; (3) ESTABLISH THE DEBT LIMITS OF, AND DEBT GUIDELINES FOR, THE CORPORATION AND THE CORPORATION'S SUBSIDIARIES; (4) SELECT THE AUDITOR FOR THE CORPORATION AND THE CORPORATION'S SUBSIDIARIES; (5) ESTABLISH GUIDELINES FOR TRANSFERRING OR ENCUMBERING ASSETS OF THE CORPORATION AND THE CORPORATION'S SUBSIDIARIES FINANCED USING TAX-EXEMPT BONDS; AND (6) ESTABLISH GUIDELINES FOR PROJECTS AND TRANSACTIONS WHICH MAY BE APPROVED BY THE CORPORATION OR THE CORPORATION'S SUBSIDIARIES; THE MEMBER FURTHER RESERVES THE POWER TO TAKE THE ACTIONS AS DESCRIBED BELOW WITH RESPECT TO SOUTHEAST HEALTH CENTER OF RIPLEY COUNTY, PROVIDED, HOWEVER, THAT THE BOARD SHALL HAVE THE RIGHT TO MAKE RECOMMENDATIONS REGARDING SUCH ACTIONS WHICH THE MEMBER MAY TAKE INTO CONSIDERATION, BUT THE BOARD SHALL NOT HAVE THE POWER TO TAKE ANY OF THE FOLLOWING ACTIONS UNLESS DIRECTED TO DO SO BY THE MEMBER, AND FURTHER SUBJECT TO THE MEMBER'S AUTHORITY GRANTED BY THE SYSTEM: (1) ESTABLISH, MODIFY, AND INTERPRET MISSION AND VISION STATEMENTS FOR THE CORPORATION AND THE CORPORATION'S SUBSIDIARIES; (2) APPROVE THE FORMATION OR ACQUISITION OF LEGAL ENTITIES BY THE CORPORATION OR THE CORPORATION'S SUBSIDIARIES; (3) APPROVE THE SALE, TRANSFER, DISPOSITION OF, OR SUBSTANTIAL CHANGE TO THE USE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR THE CORPORATION'S SUBSIDIARIES; (4) APPROVE A DIVESTITURE, MERGER, DISSOLUTION, REORGANIZATION, CLOSING, OR CONSOLIDATION INVOLVING THE CORPORATION OR THE CORPORATION'S SUBSIDIARIES; (5) APPROVE A CHANGE TO THE CORPORATE MEMBERSHIP OR OWNERSHIP OF THE CORPORATION OR THE CORPORATION'S SUBSIDIARIES; (6) ADOPT AND AMEND THE ARTICLES OF INCORPORATION, BYLAWS, ARTICLES OF ORGANIZATION, AND/OR OPERATING AGREEMENTS, AS APPLICABLE, OF THE CORPORATION AND THE CORPORATION'S SUBSIDIARIES; (7) ESTABLISH CORE COMPETENCIES FOR THE DIRECTORS OR MANAGERS (AS APPLICABLE); (8) ELECT, EVALUATE, AND REMOVE THE DIRECTORS OR MANAGERS (AS APPLICABLE) OF THE CORPORATION'S SUBSIDIARIES; (9) TRANSFER ASSETS AND REALLOCATE DEBT OF THE CORPORATION AND THE CORPORATION'S SUBSIDIARIES; AND (10) ESTABLISH POLICIES AND PROCEDURES, INCLUDING POLICIES FOR PROVIDER CREDENTIALING, QUALITY, AND PATIENT SAFETY (AS APPLICABLE), FOR THE CORPORATION AND THE CORPORATION'S SUBSIDIARIES. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT AND MANAGEMENT. THE FORM 990 IS REVIEWED BY THE ACCOUNTING DEPARTMENT, LEGAL COUNSEL, AND MANAGEMENT AND IS THEN PROVIDED TO THE BOARD OF DIRECTORS AT A MEETING BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: ALL TRUSTEES AND KEY EMPLOYEES (ADMINISTRATIVE STAFF) ARE REQUIRED TO READ THE ORGANIZATIONAL ETHICS STATEMENT ANNUALLY AND COMPLETE A CERTIFICATION STATEMENT TO THAT EFFECT. DIRECTORS, OFFICERS, MANAGERS AND KEY EMPLOYEES MUST DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST TO THE BOARD OF DIRECTORS. THE REMAINING DIRECTORS WILL DISCUSS AND VOTE UPON WHETHER A CONFLICT OF INTEREST EXISTS. IF A CONFLICT OF INTEREST IS DETERMINED TO EXIST, THE CHAIRMAN SHALL APPOINT A DISINTERESTED DIRECTOR TO INVESTIGATE ALTERNATIVE OPTIONS FOR THE TRANSACTION/ARRANGEMENT IN QUESTION. IF A MORE ADVANTAGEOUS OPTION IS NOT AVAILABLE, A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WILL DETERMINE IF IT IS IN THE BEST INTEREST OF THE ORGANIZATION TO CONTINUE WITH THE TRANSACTION/ARRANGEMENT. IF A CONFLICT OF INTEREST HAS FAILED TO BEEN DISCLOSED, THE INTERESTED PARTY WILL BE NOTIFIED AND APPROPRIATE DISCIPLINARY ACTION WILL BE TAKEN AS NEEDED. FORM 990, PART VI, SECTION B, LINE 15A EXECUTIVE COMPENSATION REVIEW: DATA FROM TWO ORGANIZATIONS (MO HOSPITAL ASSOCIATION AND ANOTHER INDEPENDENT AGENCY) ARE USED FOR COMPARISON. RECOMMENDATIONS ARE MADE FROM THAT INFORMATION TO THE BOARD OF TRUSTEES, WHO THEN DETERMINE THE COMPENSATION FOR THE CEO. THE BOARD COMPLETES THIS REVIEW ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15B OTHER OFFICER AND KEY EMPLOYEE COMPENSATION REVIEW: THE CEO AND VICE PRESIDENTS DETERMINE COMPENSATION FOR APPLICABLE KEY EMPLOYEES AND OTHER OFFICERS. HUMAN RESOURCES COMPILES EXTERNAL DATA FOR COMPARABLE AMOUNTS TO CONFIRM RATES ARE ADEQUATE. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENT AVAILABILITY: COPIES OF THE SOUTHEAST HOSPITAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND FEDERAL FORM 990 ARE AVAILABLE AT THE ADMINISTRATIVE OFFICE UPON REQUEST. FORM 990, PART VII, SECTION A BOARD MEMBER COMPENSATION: NO BOARD MEMBERS RECEIVE COMPENSATION FOR THEIR ROLES AS BOARD MEMBERS. KENNETH BATEMAN RECEIVED COMPENSATION FOR HIS ROLE AS CEO. GABRIEL SOTO RECEIVED COMPENSATION FOR HIS ROLE AS A CARDIOLOGIST. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS: $ (408,501) TRANSFER TO/FROM AFFILIATES 22,030 CHANGE IN INTEREST IN RELATED PARTY ----------- $ (386,471) SOUTHEAST MISSOURI HOSPITAL PHYSICIANS 1701 LACEY STREET CAPE GIRARDEAU MO 63701 431912860 PHYSICIANS MO 0 0 SEH SOUTHEAST HEALTH OF REYNOLDS COUNTY 100 HIGHWAY 21 SOUTH ELLINGTON MO 63638 461480575 HEALTHCARE MO 1114765 1255562 SEH SOUTHEAST HEALTH CENTER OF STODDARD 1200 NORTH ONE MILE ROAD DEXTER MO 63841 461481133 HEALTHCARE MO 21363148 16214061 SEH SOUTHEASTHEALTH HOSPITAL HOLDINGS 2002 KANELL BOULEVARD POPLAR BLUFF MO 63901 461480915 HOLDING CO MO 0 37574 SEH SOUTHEAST PHARMACY 2002 KANELL BOULEVARD POPLAR BLUFF MO 63901 461606996 PHARMACY MO 2076630 546016 SEH SERVIR LLC 1701 LACEY STREET CAPE GIRARDEAU MO 63701 452912066 IT MO 0 0 SEH SOUTHEAST HOSPITAL BASED PHYSICIANS 1701 LACEY STREET CAPE GIRARDEAU MO 63701 464717170 PHYSICIANS MO 0 0 SEH SOUTHEAST HEALTH CENTER OF RIPLEY COUNTY 1701 LACEY STREET CAPE GIRARDEAU MO 63701 273868479 HOSPITAL MO 501(C)(3) 3 SEH SYSTEM false SOUTHEASTHEALTH SYSTEM 1701 LACEY STREET CAPE GIRARDEAU MO 63701 474890906 PARENT MO 501(C)(3) 12C III-FI NA false false false false true true false false false false false false false true true true true true true true