2016-11-14T14:27:16-06:00 2015-12-31 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2015-01-01 430654874 SOUTHEAST HOSPITAL % KRISTA BERRY SOUT 5733344822 1701 LACEY STREET CAPE GIRARDEAU MO 63701 KENNETH W BATEMAN PRESIDENT / CEO 5733344822 2016-10-03 true Brian D Todd P00422601 4178658701 2015 2017-02-10 21:41:12Z SOUTHEASTHEALTH KENNETH W BATEMAN 1701 LACEY CAPE GIRARDEAU MO 63701 417924285 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. 22 20 2942 259 9968667 -196588 2130967 2339857 333315746 380804747 6420416 195445 -9172043 -138529 332695086 383201520 2066724 2321980 0 0 169077915 156184593 0 0 0 222259233 223527431 393403872 382034004 -60708786 1167516 342590799 299785753 226132732 188218122 116458067 111567631 X TOGETHER WE MAKE A DIFFERENCE THROUGH OUR COMMITMENT TO EXCELLENCE IN HEALTH CARE. false false 330299583 2321980 380804747 SINCE 1928, SOUTHEAST HOSPITAL (SOUTHEASTHEALTH) HAS BEEN DEDICATED TO PROVIDING YOU WITH QUALITY HEATH CARE IN WHICH YOU CAN HAVE CONFIDENCE. SOUTHEASTHEALTH HAS AN EXTENSIVE NETWORK OF PROVIDERS AND FACILITIES SERVING COMMUNITIES IN SOUTHEAST MISSOURI AND PARTS OF SOUTHERN ILLINOIS, WESTERN KENTUCKY AND NORTHERN ARKANSAS. EXPERT HEALTH CARE, CLOSE TO HOME, HAS NEVER BEEN SO CONVENIENT. SOUTHEASTHEALTH OFFERS MANY SERVICES FOR YOU AND YOUR FAMILY IN CAPE COUNTY. SOME OF OUR KEY SERVICES INCLUDE: HEART AND VASCULAR CARE, CANCER AND ONCOLOGY SERVICES, BRAIN AND SPINE, EMERGENCY SERVICES, WOMEN'S SERVICES, CHILDREN'S SERVICES AND REBAILITATION. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 330299583 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 true false false false false false false false false false false false false true true false false false true 195 0 true 2942 true true true false false false false false false false false false X 22 20 false false true false true true true true true false false true true true true true true true true false X KRISTA BERRY 5733344822 1701 LACEY ST CAPE GIRARDEAU MO 63701 X ROBERT G NEFF HOSPITAL CHAIR BEGINNING 10/15 2.5 1.0 X X 0 0 0 MICHAEL D KOHLFELD HOSPITAL DIRECTOR 3.0 1.0 X 0 0 0 AM SPRADLING III HOSPITAL DIRECTOR 3.0 1.0 X 0 0 0 BENJAMIN F LEWIS HOSPITAL DIRECTOR 1.0 1.0 X 0 0 0 CHRISTOPHER L HUTSON HOSPITAL DIRECTOR 2.0 1.0 X 0 0 0 KEVIN E FORD HOSPITAL DIRECTOR 2.0 1.0 X 0 0 0 JAMES J DUFEK HOSPITAL DIRECTOR 8.0 1.0 X 0 0 0 FRANK M KINDER HOSPITAL VICE CHAIR 1.0 1.0 X X 0 0 0 STANLEY CRADER HOSPITAL TREASURER 2.5 1.0 X X 0 0 0 CHARLES KRUSE HOSPITAL DIRECTOR 3.0 1.0 X 0 0 0 CHRISTINE MACKEY-ROSS HOSPITAL DIRECTOR 1.0 1.0 X 0 0 0 JAMES A RUST HOSP DIRECTOR ENDING 10/2015 1.0 1.0 X 0 0 0 GABRIEL E SOTO MD HOSPITAL DIRECTOR/CARDIOLOGIST 40.0 1.0 X 730003 0 36299 BURL STAMP HOSPITAL DIRECTOR 2.5 1.0 X 0 0 0 STEVE MCPHEETERS REGIONAL CHAIR 1.0 1.0 X 0 0 0 JAY KNUDTSON HOSPITAL SECRETARY 2.0 2.0 X X 0 0 0 JOHN THOMPSON HOSP CHAIR - 10/2015, DIRECTOR 1.5 2.0 X X 0 0 0 KENNETH BATEMAN CEO / HOSPITAL DIRECTOR 40.0 2.0 X X 502997 0 136650 ALLEN TOOLE HOSP DIRECTOR ENDING 06/2015 1.0 1.0 X 0 0 0 STEVEN M GREEN HOSP DIRECTOR ENDING 10/2015 1.0 1.0 X 0 0 0 JOHN W GRIMM HOSP DIRECTOR ENDING 10/2015 1.0 1.0 X 0 0 0 PAUL J SHORT HOSP DIRECTOR ENDING 10/2015 1.0 1.0 X 0 0 0 JOHN UELEKE HOSP DIRECTOR ENDING 10/2015 1.0 1.0 X 0 0 0 JACK NORMAN REG. VICE CHAIR ENDING 04/2015 1.0 2.0 X 0 0 0 LLOYD SMITH REGIONAL VICE CHAIR 1.0 2.0 X 0 0 0 GREG MATHIS REGIONAL SECRETARY/TREASURER 2.0 2.0 X 0 0 0 CLAY CROSSON REGIONAL DIRECTOR 1.0 2.0 X 0 0 0 BRIAN ROBISON REGIONAL DIRECTOR 1.0 2.0 X 0 0 0 MICHELLE AYCOCK REGIONAL DIRECTOR 1.0 2.0 X 0 0 0 BRANDON L KOEHLER HEALTH SYSTEM CONTROLLER 40.0 0.0 X 188210 0 7068 JAMES P LIMBAUGH EXECUTIVE VP 40.0 0.0 X 320901 0 3182 D MATT SHOEMAKER DO VP AND CMO 40.0 0.0 X 341145 0 34870 LINCOLN SCOTT VP OF HUMAN RESOURCES 40.0 0.0 X 214086 0 27654 JUDY ASLIN CHIEF NURSING OFFICER 40.0 0.0 X 198836 0 34810 DANIEL L BERRY VP/GENERAL COUNSEL 40.0 0.0 X 198674 0 33185 PAULA HARRIS VP REGIONAL OPERATIONS 30.0 10.0 X 278752 0 35161 CHRISTOPHER KELLER GASTROENTEROLOGIST 40.0 0.0 X 855712 0 35973 PAUL ROBISON CV SURGEON 40.0 0.0 X 829033 0 57300 DAVID LAW CARDIOLOGIST 40.0 0.0 X 789152 0 36141 JAMES MOSLEY ONCOLOGIST 40.0 0.0 X 719878 0 52072 BRYAN BECK CARDIOLOGIST 40.0 0.0 X 721744 0 29027 SYLVIA MOORE FORMER COO 0.0 0.0 X 363482 0 3194 HUBERT KING FORMER CFO 0.0 0.0 X 173543 0 0 DENNIS MEANS FORMER VP/COO 0.0 0.0 X 306054 0 768 7732202 0 563354 187 true true false HURON CONSULTING SERVICES CHICAGO IL 60689 CONSULTING 8049524 WARBIRD CONSULTING PARTNERS PHILADELPHIA PA 19182 CONSULTING 1113539 HEALTHCARE TRUST INC DRESHER PA 19025 RENT 749849 ADVANCED HEALTH CARE POPLAR BLUFF MO 63901 RENT 1248610 MERAMEC EMERGENCY PHYSICIANS DETROIT MI 482674579 ED COVERAGE 2019104 34 2197681 142176 2339857 NET PATIENT SERVICE REVENUE 900099 359975661 359975661 PHARMACY REVENUE 446110 7816164 7816164 TUITION REVENUE 611600 3630320 3630320 LAB REVENUE 621500 2152503 2152503 CAFETERIA REVENUE 722514 741942 741942 6488157 6488157 380804747 417083 417083 0 0 738655 877184 -138529 0 -138529 -138529 33421466 202477 33419324 426257 2142 -223780 -221638 -221638 0 0 0 0 383201520 370836080 9968667 56916 0 2321980 2321980 0 0 3322563 1375963 1946600 847041 847041 125436153 102407865 23028288 5383460 4428203 955257 12235459 9939353 2296106 8959917 7190551 1769366 0 1025057 1025057 948463 948463 0 0 1000 1000 30259932 24284331 5975601 1956877 1570441 386436 12156096 9753822 2402274 7079232 5681213 1398019 0 4949905 3972419 977486 438092 351579 86513 0 724657 581555 143102 7614597 6110899 1503698 0 25576933 20526111 5050822 2802865 2249367 553498 MEDICAL SUPPLIES & DRUGS 63324981 63324981 BAD DEBT 45036036 45036036 PROVIDER TAX 17405619 17405619 LICENSES, DUES, SUBSCRIPTIONS 1207248 968846 238402 1019841 818449 201392 382034004 330299583 51734421 0 23080678 31696992 68217286 40496181 0 0 41328062 39472730 33028 0 0 0 2411375 1391170 6232519 7748719 4287770 4323252 377749290 212049895 187102065 165699395 0 0 0 0 4603421 4558311 458304 56122 4836291 4342881 342590799 299785753 56813398 40849542 0 0 0 0 151653628 121021236 0 0 0 0 8433402 8290975 0 0 9232304 18056369 226132732 188218122 X 111854646 107009319 3404355 3346708 1199066 1211604 116458067 111567631 342590799 299785753 X 1167516 -6431176 373224 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 51670 51670 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 - 65% OF $79,493, OR $51,670 217070 -2722 1743 212605 169894 49646 1895 3382 983 217070 150396 19498 169894 148407 1989 150396 145227 3180 148407 1.00000 false false 0 17698441 17698441 0 131097351 60755947 70341404 0 223258172 147320381 75937791 0 5695326 3973567 1721759 165699395 0 DUE TO 3RD PARTY 18056369 18056369 345819951 -38248653 -38248653 384068604 -867084 -867084 383201520 345330682 10654694 10654694 334675988 47358016 47358016 382034004 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: $ 9,109,363 SOUTHEAST HEALTH CENTER OF RIPLEY COUNTY REVENUES (45,036,036) BAD DEBT EXPENSE (2,321,980) GRANT EXPENSE -------------- $(38,248,653) SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ (877,184) RENTAL EXPENSES 10,100 INVESTMENT INCOME INCLUDED IN EXPENSES -------------- $ (867,084) SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25: $ 9,787,610 SOUTHEAST HEALTH CENTER OF RIPLEY COUNTY EXPENSES 877,184 RENTAL EXPENSES (10,100) INVESTMENT INCOME INCLUDED IN EXPENSE -------------- $ 10,654,694 SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 45,036,036 BAD DEBT EXPENSE 2,321,980 GRANT EXPENSE -------------- $ 47,358,016 true true X true X true X true false true true 3642137 3642137 0.01080 50586587 47506840 3079747 0.00910 54228724 47506840 6721884 0.01990 3249703 3575212 9165249 6276415 2888834 0.00860 2321980 2197681 124299 0.00040 14736932 12049308 3013133 0.00900 68965656 59556148 9735017 0.02890 false 45036036 15762613 90132303 107784347 -17652044 X true true 3 1 SOUTHEAST HEALTH 1701 LACEY STREET CAPE GIRARDEAU MO 63701 WWW.SEHEALTH.ORG 80-49 X X X X 2 SOUTHEAST HEALTH OF STODDARD COUNTY 1200 NORTH ONE MILE ROAD DEXTER MO 63841 WWW.SEHEALTH.ORG 526-1 X X X 3 SOUTHEASTHEALTH CENTER OF REYNOLDS 100 OLD HIGHWAY 121 ELLINGTON MO 63638 WWW.SEHEALTH.ORG 525-1 X X X X SOUTHEAST HEALTH 1 false false true X X X X X X X X X 13 true true false true X WWW.SEHEALTH.ORG/ABOUT/COMMUNITY-HEALTH X WWW.SFMC.NET X X true 13 false true false true X 200. 300. X X X X X X true true X 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 true X false false SOUTHEAST HEALTH OF STODDARD COUNTY 2 false false true X X X X X X X X X 13 true true false true X WWW.SEHEALTH.ORG/ABOUT/COMMUNITY-HEALTH X WWW.SFMC.NET X X true 13 false true false true X 100 250. X X X X true true X 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 true X false false SOUTHEASTHEALTH CENTER OF REYNOLDS 3 false false true X X X X X X X X X 13 true true false true X WWW.SEHEALTH.ORG/ABOUT/COMMUNITY-HEALTH X X true 13 false true false true X 100 250. X X X X true true X 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 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, FOCUS GROUPS AND SURVEYS WERE CONDUCTED AS PRIMARY RESEARCH. FOCUS GROUPS: GROUP SURVEYS IN THE FORM OF FOCUS GROUPS WERE 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 IN EACH FOCUS GROUP CAN BE FOUND BELOW AS WELL AS A LIST OF THE ORGANIZATIONS THE PARTICIPANTS REPRESENTED. DATA WAS COLLECTED FROM THE FOCUS GROUPS PRIMARILY THROUGH NOTE-TAKING. A WRITING EXERCISE WAS ALSO HANDED OUT AND COMPLETED REGARDING EACH PARTICIPANT'S TOP 5 SERIOUS ISSUES. THE QUESTIONS ASKED IN THE FOCUS GROUPS ARE LISTED 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 HAVE TALKED ABOUT TODAY, WHAT ISSUES DO YOU THINK ARE THE MOST IMPORTANT FOR YOUR COMMUNITY TO ADDRESS? THE INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF CAPE GIRARDEAU COUNTY INCLUDED INVOLVING PEOPLE FROM THE FOLLOWING ORGANIZATIONS: -CAPE GIRARDEAU COUNTY PUBLIC HEALTH CENTER -CAPE LEADERS ALLIANCE -CAPE GIRARDEAU CITY FIRE DEPARTMENT -SAINT FRANCIS MEDICAL CENTER -SOUTHEASTHEALTH -SAMARITAN REGIONAL HEALTH CLINIC -CITY OF JACKSON -FIRST PRESBYTERIAN CHURCH -JACKSON CHAMBER OF COMMERCE -JACKSON FAMILY CARE -JACKSON R-2 PUBLIC SCHOOL DISTRICT -JACKSON SENIOR CENTER -OAK RIDGE R-VI SCHOOL DISTRICT -COMMUNITY CARING COUNCIL -CROSS TRAILS MEDICAL CENTER -MERS/GOODWILL -CITY OF CAPE GIRARDEAU -THE SALVATION ARMY -SEMO AREA AGENCY ON AGING -UNITED WAY OF SOUTHEAST MISSOURI -CAPE GIRARDEAU POLICE DEPARTMENT -FAMILY SUPPORT DIVISION -ST. VINCENT DE PAUL CATHOLIC CHURCH THE INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF BOLLINGER COUNTY INCLUDED INVOLVING PEOPLE FROM THE FOLLOWING ORGANIZATIONS: -BOLLINGER COUNTY PUBLIC HEALTH DEPARTMENT -CROSS TRAILS MEDICAL CENTER - MARBLE HILL -LEOPOLD SCHOOL DISTRICT -WOODLAND SCHOOL DISTRICT -MEADOW HEIGHTS SCHOOL DISTRICT -CORONER'S OFFICE -CITY OF MARBLE HILL THE INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF SCOTT COUNTY INCLUDED INVOLVING PEOPLE FROM THE FOLLOWING ORGANIZATIONS: -BOOTHEEL COUNSELING SERVICES -DAUGHTERS OF SUNSET -MISSION MISSOURI -MISSOURI BOOTHEEL REGIONAL CONSORTIUM -MISSOURI DELTA MEDICAL CENTER -NORTH SCOTT COUNTY AMBULANCE DISTRICT -SCOTT COUNTY HEALTH DEPARTMENT -SCOTT COUNTY SHERIFF'S DEPARTMENT -SEMO HEALTH NETWORK -SIKESTON PUBLIC SAFETY -SIKESTON PUBLIC SCHOOLS -SIKESTON R-IV SCHOOLS -SOUTH SCOTT COUNTY AMBULANCE DISTRICT -YMCA OF SOUTHEAST MISSOURI SURVEYS: THE SURVEY WAS VERY EXTENSIVE AND CONSISTED OF FIVE DIFFERENT SECTIONS AS DESCRIBED BELOW. IN CAPE GIRARDEAU COUNTY, 118 SURVEYS WERE COMPLETED; IN BOLLINGER COUNTY, 66 SURVEYS WERE COMPLETED; IN SCOTT COUNTY, 161 SURVEYS WERE COMPLETED; AND IN STODDARD COUNTY, 179 SURVEYS WERE COMPLETED. THE SURVEY WAS DESIGNED TO COLLECT DATA ON HEALTH BELIEFS, HEALTH BEHAVIORS, ACCESS TO AND UTILIZATION OF HEALTH CARE SERVICES, AND CONCERNS ABOUT COMMUNITY HEALTH ISSUES. THE SURVEY CONSISTS OF FIVE DIFFERENT SECTIONS: -MULTIPLE CHOICE: THERE ARE 32 QUESTIONS THAT ARE MULTIPLE CHOICE WITH PART OF THE QUESTIONS ASKING DEMOGRAPHIC INFORMATION ABOUT THE PARTICIPANT AND THEIR HOUSEHOLD AND THE REMAINING QUESTIONS CENTERING ON HEALTH CARE ACCESS, HEALTH STATUS, AND INSURANCE. -HEALTH BEHAVIORS: THIS SECTION LISTS 24 BEHAVIORS AND ASKS THE PARTICIPANTS TO MARK HOW OFTEN THEY DO THIS BEHAVIOR, WITH OPTIONS OF "ALMOST ALWAYS", "SOMETIMES", "NEVER", OR "N/A". CHILDREN'S HEALTH BEHAVIORS: THIS SECTION LISTS 17 BEHAVIORS AND ASKS THE PARTICIPANTS TO MARK HOW OFTEN ANY CHILDREN LIVING IN THEIR HOME DO THIS BEHAVIOR, WITH THE SAME OPTIONS AS LISTED ABOVE. MANY OF THE BEHAVIORS LISTED ARE THE SAME OR SIMILAR TO THE HEALTH BEHAVIORS SECTION. -HEALTH ISSUES: THIS SECTION LISTS 27 HEALTH PROBLEMS OR DISEASES AND ASKS THE PARTICIPANT IF THEY HAVE EVER BEEN DIAGNOSED BY A DOCTOR WITH ANY OF THOSE PROBLEMS OR DISEASES. IF THE PARTICIPANT CHOOSES "YES", THEY ARE THEN SUPPOSED TO CHECK "I SEE A DOCTOR" IF THEY SEE A DOCTOR, "I AM TAKING MEDICATIONS OR GETTING TREATMENT" IF THEY ARE TAKING MEDICATIONS OR GETTING TREATMENT, AND "I FEEL THE DISEASE IS WELL MANAGED" IF THEY FEEL AS SUCH. -COMMUNITY HEALTH CONCERNS: THIS SECTION LISTS 56 COMMUNITY ISSUES AND THE PARTICIPANTS ARE ASKED TO CHOOSE HOW MUCH OF A PROBLEM THEY THINK EACH ISSUE IS IN THEIR COUNTY, WITH OPTIONS OF "SERIOUS PROBLEM", "MODERATE PROBLEM", A PROBLEM", OR SURE". A, 1 - SOUTHEAST HEALTH - SCHEDULE H, PART V, SECTION B, LINE 6A CHNA CONDUCTED WITH OTHER HOSPITALS: THE ORGANIZATION CONDUCTED THE ENTIRE CHNA WITH SAINT FRANCIS MEDICAL CENTER. SCOTT COUNTY'S PORTION OF THE CHNA WAS ALSO CONDUCTED WITH MISSOURI DELTA MEDICAL CENTER. THE CHNA PROCESS WAS ALSO CONDUCTED WITH THE OTHER FACILITIES LISTED IN PART V. A, 1 - SOUTHEAST HEALTH - SCHEDULE H, PART V, SECTION B, LINE 7D OTHER METHODS OF AVAILABILITY OF THE CHNA: IN ADDITION TO THE HOSPITAL'S WEBSITE (SEHEALTH.ORG) AND THE SAINT FRANCIS MEDICAL CENTER WEBSITE (SFMC.NET), THE RESULTS WERE SHARED WITH AND/OR VIA THE FOLLOWING: -CAPE GIRARDEAU COUNTY PUBLIC HEALTH CENTER -STODDARD COUNTY PUBLIC HEALTH CENTER -BOLLINGER COUNTY PUBLIC HEALTH CENTER -SCOTT COUNTY PUBLIC HEALTH CENTER -NEWS ARTICLES WERE WRITTEN AND PUBLISHED ABOUT THE ASSESSMENT (CASHBOOK JOURNAL, SOUTHEAST MISSOURIAN, AND THE DEXTER DAILY STATESMAN) -INTERVIEWS WERE DONE FOR THE RADIO (KRCU AND KZIM) A, 1 - SOUTHEAST HEALTH - SCHEDULE H, PART V, SECTION B, LINE 11 ADDRESSING SIGNIFICANT NEEDS: THESE WERE THE TOP 5 PRIORITY HEALTH NEEDS (AND ASSOCIATED BEHAVIORAL NEEDS) THAT WERE DETERMINED FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT: -MENTAL HEALTH/SUBSTANCE ABUSE (DRUG AND ALCOHOL) -HEALTH CARE AFFORDABILITY AND AVAILABILITY -CHRONIC DISEASE, INCLUDING: *HYPERTENSION/STROKE *HEART DISEASE *DIABETES *CHRONIC RESPIRATORY DISEASE (SMOKING) -CANCER (SMOKING) -OBESITY (DIET AND EXERCISE) NEEDS BEING ADDRESSED AND HOW: OBESITY AS A HEALTH ISSUE AND DIET AND EXERCISE AS A HEALTH BEHAVIOR WAS THE MAIN HEALTH NEED NEWLY ADDRESSED BY SOUTHEAST HOSPITAL. TO COMBAT OBESITY, SOUTHEASTHEALTH, IN CONJUNCTION WITH THE CAPE GIRARDEAU COUNTY PUBLIC HEALTH CENTER, HAS ARRANGED A COALITION OF COMMUNITY MEMBERS, CALLED THE HEALTHY COMMUNITIES COALITION. THE MISSION STATEMENT OF THE HEALTHY COMMUNITIES COALITION IS "PARTNERSHIPS PROMOTING IMPROVED NUTRITION AND ACTIVE LIFESTYLES". THE FOLLOWING LISTS THE MEMBERS OF THE COALITION: NAME COMPANY/ORGANIZATION ARBEITER, TIM CAPE GIRARDEAU CHAMBER OF COMMERCE AZUMA, KAY COMMUNITY CARING COUNCIL BARNES, JEREMY SOUTHEAST MISSOURI STATE UNIVERSITY BASS, LINDA AROUND THE CLOCK MEDICAL ALARMS BRADSHAW, AMY MISSOURI DEPARTMENT OF HEALTH AND SENIOR SERVICES CHAPMAN, GINNY CROSS TRAILS MEDICAL CENTER DIEMER, MD, TOM SAINT FRANCIS MEDICAL CENTER GALESKI, ANNA SOUTHEASTHEALTH GARNER, LINDA SOUTHEAST MISSOURI STATE UNIVERSITY - DEPT. OF NURSING GHOLSON, DOTTY COMMUNITY CARING COUNCIL GIPSON, ELLEN JACKSON R-2 SCHOOL DISTRICT GOVREAU, NATALIE CAPE GIRARDEAU COUNTY PUBLIC HEALTH CENTER HOCH, LIZ CAPE GIRARDEAU COUNTY PUBLIC HEALTH CENTER LEIBLE, DWANA GIBSON RECOVERY CENTER OBERMANN, JAMI EPIC OLSON, LEVI FIRST STATE FINANCIAL MANAGEMENT/CAPE RIVERFRONT MARKET PAIGE, CHRISTINE CITY OF CAPE PARKS & REC RAMDIAL, JOEL SOUTHEAST MISSOURI STATE UNIVERSITY - DEPT. OF DIETETICS SCIFERS, EMILY LAUGHING STALK FARMSTEAD/CAPE GIRARDEAU COUNTY PUBLIC HEALTH CENTER SMITH, AMY CAPE GIRARDEAU COUNTY PUBLIC HEALTH CENTER STEFFENS, EMMA STUDENT DIETETIC ASSOC (SEMO UNIVERSITY) THOMPSON, JULIA CITY OF CAPE PARKS & REC VOLKERDING, JENNIFER CAPE GIRARDEAU COUNTY PUBLIC HEALTH CENTER WELKER, CALLIE TNT FITNESS WERNSMAN, JANE CAPE GIRARDEAU COUNTY PUBLIC HEALTH CENTER TO REDUCE OBESITY AND OBESITY-RELATED CHRONIC DISEASE IN CAPE GIRARDEAU COUNTY IS THE OVERARCHING GOAL OF THE COALITION; HOWEVER, THIS GOAL CAN ONLY BE ACCOMPLISHED THROUGH IMPROVED NUTRITION AND ACTIVE LIFESTYLES - THE TWO KEY PIECES TO HEALTHY WEIGHT MANAGEMENT. EDUCATION ABOUT NUTRITION AND BEING ACTIVE ALONG WITH ACCESS TO HEALTHY FOOD AND LEISURE TIME ACTIVITIES WILL BE THE FOCUS. BOTH ADULTS AND CHILDREN WILL BE TARGETED AND PROGRAMS WILL BE CONDUCTED IN MANY DIFFERENT SETTINGS, INCLUDING HOME, SCHOOL, THE WORKPLACE, AND IN THE COMMUNITY. THE SPECIFIC PROGRAMS THAT WILL BE SUPPORTED/IMPLEMENTED ARE LISTED BELOW. MEASURABLE GOALS AND OBJECTIVES WILL BE DEVELOPED AS THE COALITION PROCEEDS. HEALTHY PEOPLE 2020 WILL BE A PRIMARY RESOURCE. -LET'S GO 5-2-1-0! -CAPE MARKETEERS CLUB -COMMUNITY GARDENS AND NEIGHBORHOOD GARDENS -THE STORYBOOK TRAIL -WALK A HOUND, LOSE A POUND THE HOSPITAL ALREADY HAS PROGRAMS AND SERVICES IN PLACE TO MEET THE NEEDS OF THE CHRONIC DISEASES LISTED ALONG WITH CANCER. WE HAVE ALSO BEEN WORKING AS AN ORGANIZATION ON LOWERING THE COST OF HEALTHCARE TO MAKE IT MORE AFFORDABLE AND BY PROVIDING MORE SERVICES IN THE REGION TO MAKE HEALTH CARE SERVICES MORE ACCESSIBLE. -STROKE *STROKE CENTER -HEART DISEASE *MENDED HEARTS - EDUCATION PROGRAM *STAY IN CIRCULATION (PERIPHERAL ARTERY DISEASE SCREENING) *CARDIOVASCULAR SERVICES -DIABETES *DIABETES AWARENESS SCREENING AND EDUCATION *DIABETES SELF-MANAGEMENT SUPPORT GROUP *CAMP DAY (DIABETES AND YOUTH) BREAK *DIABETES EDUCATION CENTER -CHRONIC RESPIRATORY DISEASE/ASTHMA *ASTHMA EDUCATION CLASS -CANCER *CANCER CENTER - CANCER SERVICES *SUPPORT GROUPS FOR BREAST CANCER NEEDS NOT BEING ADDRESSED AND WHY: MENTAL HEALTH/SUBSTANCE ABUSE AS A HEALTH ISSUE AND DRUG AND ALCOHOL USE AS A HEALTH BEHAVIOR ARE NOT BEING ADDRESSED BY SOUTHEAST HOSPITAL'S IMPLEMENTATION PLAN. SOUTHEAST HOSPITAL TREATS SUBSTANCE ABUSE VICTIMS IN THE EMERGENCY SERVICES DEPARTMENT AS THEY PRESENT AND DEPENDING ON THE SPECIFIC CLINICAL ISSUES MAY CONTINUE CARE IN THE INPATIENT PSYCHIATRIC UNIT. HOWEVER, SOUTHEAST HOSPITAL IS NOT A SUBSTANCE ABUSE TREATMENT CENTER. SOUTHEAST HOSPITAL HAS ESTABLISHED A REFERRAL NETWORK WITH OTHER FACILITIES AND RESOURCES TO CARE FOR SUBSTANCE ABUSE PATIENTS IF NEEDED. DRUG AND ALCOHOL USE IS A SOCIAL ISSUE ADDRESSED IN A VARIETY OF METHODS THROUGH MANY AGENCIES, ORGANIZATIONS, AND COMMUNITY SUPPORT GROUPS. SOUTHEAST HOSPITAL SUPPORTS THESE EFFORTS IN THE COMMUNITY BUT NOT DIRECTLY AS A HEALTH CARE PROVIDER. 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: -THE AMOUNT OWED TO THE HOSPITAL AND OTHER HEALTHCARE PROVIDERS -COST OF ROUTINE MONTHLY NECESSITIES REQUIRED FOR HEALTH OR SAFETY, INCLUDING PRESCRIPTIONS -PATIENTS EFFORT TO PAY ANY PORTION OF DOLLARS OWED -FINANCIAL AND PERSONAL CONSIDERATION OF OTHERS IN THE HOUSEHOLD 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/BILLING A, 1 - SOUTHEAST HEALTH, SCHEDULE H, PART V, SECTION B, LINE 22D MAXIMUM AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: SOUTHEASTHEALTH BILLS ALL PATIENTS WITH EMERGENCY OR MEDICALLY NECESSARY CARE AT THE SAME RATES REGARDLESS OF THE PATIENTS INSURED STATUS. HTTPS://WWW.SEHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING 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, FOCUS GROUPS AND SURVEYS WERE CONDUCTED AS PRIMARY RESEARCH. FOCUS GROUPS: GROUP SURVEYS IN THE FORM OF FOCUS GROUPS WERE 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 IN EACH FOCUS GROUP CAN BE FOUND BELOW AS WELL AS A LIST OF THE ORGANIZATIONS THE PARTICIPANTS REPRESENTED. DATA WAS COLLECTED FROM THE FOCUS GROUPS PRIMARILY THROUGH NOTE-TAKING. A WRITING EXERCISE WAS ALSO HANDED OUT AND COMPLETED REGARDING EACH PARTICIPANT'S TOP 5 SERIOUS ISSUES. THE QUESTIONS ASKED IN THE FOCUS GROUPS ARE LISTED 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 HAVE TALKED ABOUT TODAY, WHAT ISSUES DO YOU THINK ARE THE MOST IMPORTANT FOR YOUR COMMUNITY TO ADDRESS? THE INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF STODDARD COUNTY INCLUDED INVOLVING PEOPLE FROM THE FOLLOWING ORGANIZATIONS: -SOUTHEAST HEALTH CENTER OF STODDARD COUNTY -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 SURVEYS: THE SURVEY WAS VERY EXTENSIVE AND CONSISTED OF FIVE DIFFERENT SECTIONS AS DESCRIBED BELOW. IN CAPE GIRARDEAU COUNTY, 118 SURVEYS WERE COMPLETED; IN BOLLINGER COUNTY, 66 SURVEYS WERE COMPLETED; IN SCOTT COUNTY, 161 SURVEYS WERE COMPLETED; AND IN STODDARD COUNTY, 179 SURVEYS WERE COMPLETED. THE SURVEY WAS DESIGNED TO COLLECT DATA ON HEALTH BELIEFS, HEALTH BEHAVIORS, ACCESS TO AND UTILIZATION OF HEALTH CARE SERVICES, AND CONCERNS ABOUT COMMUNITY HEALTH ISSUES. THE SURVEY CONSISTS OF FIVE DIFFERENT SECTIONS: -MULTIPLE CHOICE: THERE ARE 32 QUESTIONS THAT ARE MULTIPLE CHOICE WITH PART OF THE QUESTIONS ASKING DEMOGRAPHIC INFORMATION ABOUT THE PARTICIPANT AND THEIR HOUSEHOLD AND THE REMAINING QUESTIONS CENTERING ON HEALTH CARE ACCESS, HEALTH STATUS, AND INSURANCE. -HEALTH BEHAVIORS: THIS SECTION LISTS 24 BEHAVIORS AND ASKS THE PARTICIPANTS TO MARK HOW OFTEN THEY DO THIS BEHAVIOR, WITH OPTIONS OF "ALMOST ALWAYS", "SOMETIMES", "NEVER", OR "N/A". -CHILDREN'S HEALTH BEHAVIORS: THIS SECTION LISTS 17 BEHAVIORS AND ASKS THE PARTICIPANTS TO MARK HOW OFTEN ANY CHILDREN LIVING IN THEIR HOME DO THIS BEHAVIOR, WITH THE SAME OPTIONS AS LISTED ABOVE. MANY OF THE BEHAVIORS LISTED ARE THE SAME OR SIMILAR TO THE HEALTH BEHAVIORS SECTION. -HEALTH ISSUES: THIS SECTION LISTS 27 HEALTH PROBLEMS OR DISEASES AND ASKS THE PARTICIPANT IF THEY HAVE EVER BEEN DIAGNOSED BY A DOCTOR WITH ANY OF THOSE PROBLEMS OR DISEASES. IF THE PARTICIPANT CHOOSES "YES", THEY ARE THEN SUPPOSED TO CHECK "I SEE A DOCTOR" IF THEY SEE A DOCTOR, "I AM TAKING MEDICATIONS OR GETTING TREATMENT" IF THEY ARE TAKING MEDICATIONS OR GETTING TREATMENT, AND "I FEEL THE DISEASE IS WELL MANAGED" IF THEY FEEL AS SUCH. -COMMUNITY HEALTH CONCERNS: THIS SECTION LISTS 56 COMMUNITY ISSUES AND THE PARTICIPANTS ARE ASKED TO CHOOSE HOW MUCH OF A PROBLEM THEY THINK EACH ISSUE IS IN THEIR COUNTY, WITH OPTIONS OF "SERIOUS PROBLEM", "MODERATE PROBLEM", A PROBLEM", OR SURE". A, 2 - STODDARD COUNTY - SCHEDULE H, PART V, SECTION B, LINE 6A CHNA CONDUCTED WITH OTHER HOSPITALS: THE ORGANIZATION CONDUCTED THE ENTIRE CHNA WITH SAINT FRANCIS MEDICAL CENTER. THE CHNA PROCESS WAS ALSO CONDUCTED WITH THE OTHER FACILITIES LISTED IN PART V. A, 2 - STODDARD COUNTY - SCHEDULE H, PART V, SECTION B, LINE 7D OTHER METHODS OF AVAILABILITY OF THE CHNA: IN ADDITION TO THE HOSPITAL'S WEBSITE (SEHEALTH.ORG) AND THE SAINT FRANCIS MEDICAL CENTER WEBSITE (SFMC.NET), THE RESULTS WERE SHARED WITH AND/OR VIA THE FOLLOWING: -CAPE GIRARDEAU COUNTY PUBLIC HEALTH CENTER -STODDARD COUNTY PUBLIC HEALTH CENTER -BOLLINGER COUNTY PUBLIC HEALTH CENTER -SCOTT COUNTY PUBLIC HEALTH CENTER -NEWS ARTICLES WERE WRITTEN AND PUBLISHED ABOUT THE ASSESSMENT (CASHBOOK JOURNAL, SOUTHEAST MISSOURIAN, AND THE DEXTER DAILY STATESMAN) -INTERVIEWS WERE DONE FOR THE RADIO (KRCU AND KZIM) A, 2 - STODDARD COUNTY - SCHEDULE H, PART V, SECTION B, LINE 11 ADDRESSING SIGNIFICANT NEEDS: THESE WERE THE TOP 5 PRIORITY HEALTH NEEDS (AND ASSOCIATED BEHAVIORAL NEEDS) THAT WERE DETERMINED FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT: -MENTAL HEALTH/SUBSTANCE ABUSE (DRUG AND ALCOHOL) -HEALTH CARE AFFORDABILITY AND AVAILABILITY -CHRONIC DISEASE, INCLUDING: *HYPERTENSION/STROKE *HEART DISEASE *DIABETES *CHRONIC RESPIRATORY DISEASE (SMOKING) -CANCER (SMOKING) -OBESITY (DIET AND EXERCISE) THE HOSPITAL ALREADY HAS PROGRAMS AND SERVICES IN PLACE TO MEET THE NEEDS OF THE CHRONIC DISEASES LISTED ALONG WITH CANCER. WE HAVE ALSO BEEN WORKING AS AN ORGANIZATION ON LOWERING THE COST OF HEALTHCARE TO MAKE IT MORE AFFORDABLE AND BY PROVIDING MORE SERVICES IN THE REGION TO MAKE HEALTH CARE SERVICES MORE ACCESSIBLE. -HEART DISEASE *STAY IN CIRCULATION (PERIPHERAL ARTERY DISEASE SCREENING) *CARDIOVASCULAR SERVICES -CANCER *CANCER CENTER - CANCER SERVICES *SUPPORT GROUPS FOR BREAST CANCER NEEDS NOT BEING ADDRESSED AND WHY: MENTAL HEALTH/SUBSTANCE ABUSE AS A HEALTH ISSUE AND DRUG AND ALCOHOL USE AS A HEALTH BEHAVIOR ARE NOT BEING ADDRESSED BY SOUTHEAST HOSPITAL'S IMPLEMENTATION PLAN. SOUTHEAST HOSPITAL TREATS SUBSTANCE ABUSE VICTIMS IN THE EMERGENCY SERVICES DEPARTMENT AS THEY PRESENT AND DEPENDING ON THE SPECIFIC CLINICAL ISSUES MAY CONTINUE CARE IN THE INPATIENT PSYCHIATRIC UNIT. HOWEVER, SOUTHEAST HOSPITAL IS NOT A SUBSTANCE ABUSE TREATMENT CENTER. SOUTHEAST HOSPITAL HAS ESTABLISHED A REFERRAL NETWORK WITH OTHER FACILITIES AND RESOURCES TO CARE FOR SUBSTANCE ABUSE PATIENTS IF NEEDED. DRUG AND ALCOHOL USE IS A SOCIAL ISSUE ADDRESSED IN A VARIETY OF METHODS THROUGH MANY AGENCIES, ORGANIZATIONS, AND COMMUNITY SUPPORT GROUPS. SOUTHEAST HOSPITAL SUPPORTS THESE EFFORTS IN THE COMMUNITY BUT NOT DIRECTLY AS A HEALTH CARE PROVIDER. 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: -THE AMOUNT OWED TO THE HOSPITAL AND OTHER HEALTHCARE PROVIDERS -ABILITY TO ACCEPT AN INSTALLMENT PAYMENT ARRANGEMENT -DETERMINATION OF ABILITY TO PAY FOR SERVICES PROVIDED -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/BILLING A, 2 - STODDARD COUNTY - SCHEDULE H, PART V, SECTION B, LINE 22D MAXIMUM AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: SOUTHEAST HEALTH OF STODDARD COUNTY BILLS ALL PATIENTS WITH EMERGENCY OR MEDICALLY NECESSARY CARE AT THE SAME RATES REGARDLESS OF THE PATIENTS INSURED STATUS. 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, FOCUS GROUPS AND SURVEYS WERE CONDUCTED AS PRIMARY RESEARCH. FOCUS GROUPS: GROUP SURVEYS IN THE FORM OF FOCUS GROUPS WERE 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 IN EACH FOCUS GROUP CAN BE FOUND BELOW AS WELL AS A LIST OF THE ORGANIZATIONS THE PARTICIPANTS REPRESENTED. DATA WAS COLLECTED FROM THE FOCUS GROUPS PRIMARILY THROUGH NOTE-TAKING. A WRITING EXERCISE WAS ALSO HANDED OUT AND COMPLETED REGARDING EACH PARTICIPANT'S TOP 5 SERIOUS ISSUES. THE QUESTIONS ASKED IN THE FOCUS GROUPS ARE LISTED 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 HAVE TALKED ABOUT TODAY, WHAT ISSUES DO YOU THINK ARE THE MOST IMPORTANT FOR YOUR COMMUNITY TO ADDRESS? THE INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF REYNOLDS COUNTY INCLUDED INVOLVING PEOPLE FROM THE FOLLOWING ORGANIZATIONS WHEN THE PRIMARY RESEARCH WAS CONDUCTED: -REYNOLDS COUNTY PUBLIC HEALTH CENTER -ELLINGTON NUTRITION CENTER -SOUTHEAST HEALTH CENTER OF REYNOLDS COUNTY -WHOLE HEALTH OUTREACH -REYNOLDS COUNTY SHERIFF'S OFFICE -ELLINGTON VOLUNTARY FIRE DEPARTMENT -STODDARD COUNTY COMMISSIONER AND CLERK SURVEYS: THE SURVEY WAS VERY EXTENSIVE AND CONSISTED OF FIVE DIFFERENT SECTIONS AS DESCRIBED BELOW. IN REYNOLDS COUNTY, 38 SURVEYS WERE COMPLETED. THE SURVEY WAS DESIGNED TO COLLECT DATA ON HEALTH BELIEFS, HEALTH BEHAVIORS, ACCESS TO AND UTILIZATION OF HEALTH CARE SERVICES, AND CONCERNS ABOUT COMMUNITY HEALTH ISSUES. THE SURVEY CONSISTS OF FIVE DIFFERENT SECTIONS: -MULTIPLE CHOICE: THERE ARE 32 QUESTIONS THAT ARE MULTIPLE CHOICE WITH PART OF THE QUESTIONS ASKING DEMOGRAPHIC INFORMATION ABOUT THE PARTICIPANT AND THEIR HOUSEHOLD AND THE REMAINING QUESTIONS CENTERING ON HEALTH CARE ACCESS, HEALTH STATUS, AND INSURANCE. -HEALTH BEHAVIORS: THIS SECTION LISTS 24 BEHAVIORS AND ASKS THE PARTICIPANTS TO MARK HOW OFTEN THEY DO THIS BEHAVIOR, WITH OPTIONS OF "ALMOST ALWAYS", "SOMETIMES", "NEVER", OR "N/A". -CHILDREN'S HEALTH BEHAVIORS: THIS SECTION LISTS 17 BEHAVIORS AND ASKS THE PARTICIPANTS TO MARK HOW OFTEN ANY CHILDREN LIVING IN THEIR HOME DO THIS BEHAVIOR, WITH THE SAME OPTIONS AS LISTED ABOVE. MANY OF THE BEHAVIORS LISTED ARE THE SAME OR SIMILAR TO THE HEALTH BEHAVIORS SECTION. -HEALTH ISSUES: THIS SECTION LISTS 27 HEALTH PROBLEMS OR DISEASES AND ASKS THE PARTICIPANT IF THEY HAVE EVER BEEN DIAGNOSED BY A DOCTOR WITH ANY OF THOSE PROBLEMS OR DISEASES. IF THE PARTICIPANT CHOOSES "YES", THEY ARE THEN SUPPOSED TO CHECK "I SEE A DOCTOR" IF THEY SEE A DOCTOR, "I AM TAKING MEDICATIONS OR GETTING TREATMENT" IF THEY ARE TAKING MEDICATIONS OR GETTING TREATMENT, AND "I FEEL THE DISEASE IS WELL MANAGED" IF THEY FEEL AS SUCH. -COMMUNITY HEALTH CONCERNS: THIS SECTION LISTS 56 COMMUNITY ISSUES AND THE PARTICIPANTS ARE ASKED TO CHOOSE HOW MUCH OF A PROBLEM THEY THINK EACH ISSUE IS IN THEIR COUNTY, WITH OPTIONS OF "SERIOUS PROBLEM", "MODERATE PROBLEM", A PROBLEM", OR SURE". A, 3 - REYNOLDS COUNTY - SCHEDULE H, PART V, SECTION B, LINE 6A CHNA CONDUCTED WITH OTHER HOSPITALS: THE CHNA PROCESS WAS CONDUCTED WITH THE OTHER FACILITIES LISTED IN PART V. A, 3 - REYNOLDS COUNTY - SCHEDULE H, PART V, SECTION B, LINE 11 ADDRESSING SIGNIFICANT NEEDS: THESE WERE THE TOP 5 PRIORITY HEALTH NEEDS (AND ASSOCIATED BEHAVIORAL NEEDS) THAT WERE DETERMINED FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT: -MENTAL HEALTH/SUBSTANCE ABUSE (DRUG AND ALCOHOL) -HEALTH CARE AFFORDABILITY AND AVAILABILITY -CHRONIC DISEASE, INCLUDING: *HYPERTENSION/STROKE *HEART DISEASE *DIABETES *CHRONIC RESPIRATORY DISEASE (SMOKING) -CANCER (SMOKING) -OBESITY (DIET AND EXERCISE) NEEDS NOT BEING ADDRESSED AND WHY: MENTAL HEALTH/SUBSTANCE ABUSE AS A HEALTH ISSUE AND DRUG AND ALCOHOL USE AS A HEALTH BEHAVIOR ARE NOT BEING ADDRESSED BY SOUTHEAST HOSPITAL'S IMPLEMENTATION PLAN. SOUTHEAST HOSPITAL TREATS SUBSTANCE ABUSE VICTIMS IN THE EMERGENCY SERVICES DEPARTMENT AS THEY PRESENT AND DEPENDING ON THE SPECIFIC CLINICAL ISSUES MAY CONTINUE CARE IN THE INPATIENT PSYCHIATRIC UNIT. HOWEVER, SOUTHEAST HOSPITAL IS NOT A SUBSTANCE ABUSE TREATMENT CENTER. SOUTHEAST HOSPITAL HAS ESTABLISHED A REFERRAL NETWORK WITH OTHER FACILITIES AND RESOURCES TO CARE FOR SUBSTANCE ABUSE PATIENTS IF NEEDED. DRUG AND ALCOHOL USE IS A SOCIAL ISSUE ADDRESSED IN A VARIETY OF METHODS THROUGH MANY AGENCIES, ORGANIZATIONS, AND COMMUNITY SUPPORT GROUPS. SOUTHEAST HOSPITAL SUPPORTS THESE EFFORTS IN THE COMMUNITY BUT NOT DIRECTLY AS A HEALTH CARE PROVIDER. 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: -THE AMOUNT OWED TO THE HOSPITAL AND OTHER HEALTHCARE PROVIDERS -ABILITY TO ACCEPT AN INSTALLMENT PAYMENT ARRANGEMENT -DETERMINATION OF ABILITY TO PAY FOR SERVICES PROVIDED -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/BILLING A, 3 - REYNOLDS COUNTY - SCHEDULE H, PART V, SECTION B, LINE 22D MAXIMUM AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: SOUTHEASTHEALTH CENTER OF REYNOLDS BILLS ALL PATIENTS WITH EMERGENCY OR MEDICALLY NECESSARY CARE AT THE SAME RATES REGARDLESS OF THE PATIENTS INSURED STATUS. 46 SOUTHEAST CANCER CENTER 789 S MT AUBURN RD CAPE GIRARDEAU MO 63703 OUTPATIENT MEDICAL SERVICES HEMATOLOGY-ONCOLOGY SVCS OF SE MO HOSP 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 LAUNDRY SERVICES 122 S SPANISH CAPE GIRARDEAU MO 63703 LAUNDRY FACILITY INTERNAL MEDICINE OF DEXTER 1200 N ONE MILE ROAD DEXTER MO 63841 RURAL HEALTH CLINIC CHILDRENS CLINIC OF DEXTER 1200 N ONE MILE ROAD DEXTER MO 63841 RURAL HEALTH CLINIC 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 $45,036,036. SCHEDULE H, PART I, LINE 7G SUBSIDIZED SERVICES: THE ORGANIZATION HAS INCLUDED COSTS ASSOCIATED WITH RURAL HEALTH CENTERS (RHC) IN THE CALCULATION OF SUBSIDIZED SERVICES ON LINE 7G, WITH A NET SUBSIDY FROM RHCS OF $2,888,834. 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 35% 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 35% 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 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 INSTITUTION'S NEEDS. PROCEDURES 1.SELF-PAY PATIENTS ARE MAILED A STATEMENT THREE 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.NEW BANK LOANS ARE AVAILABLE ON ALL ACCOUNTS OVER $1000 FOR LONG-TERM ARRANGEMENTS E.FINANCIAL ASSISTANCE IS AVAILABLE. PATIENT STATEMENTS LIST WHERE TO CALL OR GO ONLINE TO GET THE APPLICATION. 4.FOURTEEN DAYS AFTER THE SECOND PATIENT STATEMENT IS MAILED, A COURTESY CALL IS PLACED. UP TO THREE COURTESY CALLS ARE PLACED BEFORE THE NEXT STATEMENT IS MAILED. 5.FOURTEEN DAYS AFTER THE THIRD PATIENT STATEMENT IS MAILED, ANOTHER COURTESY CALL IS PLACED. 6.IF PAYMENT OR SATISFACTORY PAYMENT ARRANGEMENTS, AS OUTLINED ABOVE, ARE NOT MADE WITHIN FOUR MONTHS, THE ACCOUNT WILL PROCEED THROUGH A COLLECTION PROCESS AS FOLLOWS: A.ACCOUNTS ARE SENT TO A "PRE" COLLECTIONS AGENCY. A.DAY 1 - PATIENT STATEMENT IS MAILED. B.DAY 10 - BEGIN DILIGENT COURTESY CALL CAMPAIGN, CALLS MADE EVERY THREE DAYS. C.DAY 30 - SECOND PATIENT STATEMENT IS MAILED, CONTINUE WITH COURTESY CALLS. D.DAY 60 - IF NO PAYMENTS OR PAYMENT ARRANGEMENTS ARE MADE, THEN ACCOUNTS ARE FORWARDED TO A PRIMARY COLLECTION AGENCY. B.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. C.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. 7.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. COLLECTION BALANCE. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT: -FORMED COLLABORATIVE PARTNERSHIP WITH ST FRANCIS MEDICAL CENTER (THE OTHER MAJOR HOSPITAL IN THE REGION) IN JANUARY 2012 -DEFINED "COMMUNITY" AS OUR PRIMARY SERVICE AREA BASED ON PATIENT ORIGIN DATA -MADE CONTACT AND DISCUSSED CHNA (COMMUNITY HEALTH NEEDS ASSESSMENT) WITH COUNTY HEALTH CENTERS, SCHOOL SYSTEMS, OTHER NON-PROFIT ORGANIZATIONS, EMS, ETC. -COLLECTED SECONDARY DATA -HELD FOCUS GROUPS (5 IN CAPE COUNTY, 1 IN BOLLINGER, 1 IN SCOTT, 1 IN STODDARD) *WE INCLUDED PEOPLE WHO HAD SPECIAL KNOWLEDGE OF HEALTH ISSUES, COMMUNITY LEADERS, COMMUNITY MEMBERS THAT COULD REPRESENT THE UNDERSERVED, AND THE UNDERSERVED THEMSELVES (WHENEVER POSSIBLE), EMS, LAW ENFORCEMENT, EDUCATORS, HEALTH CARE PROVIDERS, SOCIAL WORKERS, NON-PROFIT ORGANIZATIONS, AND OTHERS -ADMINISTERED APPROXIMATELY 650 SURVEYS, MOSTLY IN SMALL GROUPS AND ONE-ON-ONE *APPROX 525 WERE USED -ASSESSED ALL PRIMARY & SECONDARY DATA, COUNTY BY COUNTY -CREATED A COMPREHENSIVE LIST OF COMMUNITY HEALTH ISSUES, BEHAVIOR AND LIFESTYLE ISSUES CONTRIBUTING TO HEALTH, AND ENVIRONMENTAL & SOCIAL ISSUES RELATED TO HEALTH FOR EACH COUNTY -PRIORITIZED THE LIST BASED ON COMMONALITY BETWEEN COUNTIES, INPUT FROM HEALTH CENTERS, CONSISTENCY BETWEEN SECONDARY AND PRIMARY DATA, OUR ABILITY TO ADDRESS, AND THE POTENTIAL TO AFFECT 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 75,674 *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 *NEARLY 86% OF CAPE GIRARDEAU COUNTY RESIDENTS 25 YEARS AND OVER HAVE GRADUATED FROM HIGH SCHOOL, WITH 31.5% GOING ON TO RECEIVE A POST-SECONDARY DEGREE *THE UNEMPLOYMENT RATE WAS 7.6% IN 2010, WHICH IS CONSIDERABLY LOWER THAN MISSOURI'S 9.4% *CAPE GIRARDEAU COUNTY HAS 14.2% OF RESIDENTS IN POVERTY, WITH NEARLY 14% ON MEDICAID, 12% ON FOOD STAMPS, AND 15% UNINSURED -BOLLINGER COUNTY IS LOCATED IN SOUTHEAST MISSOURI *HAS A MOSTLY RURAL POPULATION OF 12,363 *WHITES COMPRISE 97.9% OF THE TOTAL POPULATION *THE COUNTY HAS A HIGHER PERCENTAGE OF THE OLDER POPULATION, AGES 45 - 84 THAN DOES THE STATE OF MISSOURI *NEARLY 75% OF BOLLINGER COUNTY RESIDENTS 25 YEARS AND OVER HAVE GRADUATED FROM HIGH SCHOOL, WITH ONLY 14.9% GOING ON TO RECEIVE A POST-SECONDARY DEGREE *THE UNEMPLOYMENT RATE WAS 9.9% IN 2010, WHICH IS HIGHER THAN MISSOURI'S 9.4% *BOLLINGER COUNTY HAS 19.7% OF RESIDENTS IN POVERTY, WITH NEARLY 22% ON MEDICAID, 20% ON FOOD STAMPS, AND 18% UNINSURED -SCOTT COUNTY IS LOCATED IN SOUTHEAST MISSOURI ALONG THE MISSISSIPPI RIVER *THE POPULATION OF THE COUNTY IS CURRENTLY 39,191 *WHITES COMPRISE 85.8% 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 55 - 84 THAN DOES THE STATE OF MISSOURI *APPROXIMATELY 75% OF SCOTT COUNTY RESIDENTS 25 YEARS AND OVER HAVE GRADUATED FROM HIGH SCHOOL, WITH 16.2% GOING ON TO RECEIVE A POST- SECONDARY DEGREE *THE UNEMPLOYMENT RATE WAS 8.8% IN 2010, WHICH IS LOWER THAN MISSOURI'S 9.4% *SCOTT COUNTY HAS 18% OF RESIDENTS IN POVERTY, WITH 26% ON MEDICAID, 18% ON FOOD STAMPS, AND 17% UNINSURED -STODDARD COUNTY IS LOCATED IN SOUTHEAST MISSOURI *HAS A MOSTLY RURAL POPULATION OF 29,968 *WHITES COMPRISE 97.3% OF THE TOTAL POPULATION *THE COUNTY HAS A HIGHER PERCENTAGE OFTHE OLDER POPULATION, AGE 55+ THAN DOES THE STATE OF MISSOURI *ABOUT 75% OF STODDARD COUNTY RESIDENTS 25 YEARS AND OVER HAVE GRADUATED FROM HIGH SCHOOL, WITH 16.6% GOING ON TO RECEIVE A POST-SECONDARY DEGREE *THE UNEMPLOYMENT RATE WAS 8.9% IN 2010, WHICH IS LOWER THAN MISSOURI'S 9.4% *STODDARD COUNTY HAS 18% OF RESIDENTS IN POVERTY, WITH NEARLY 25% ON MEDICAID, 19% ON FOOD STAMPS, AND 19% UNINSURED -REYNOLDS COUNTY IS LOCATED IN SOUTHEAST MISSOURI *HAS A MOSTLY RURAL POPULATION OF 6,696 *WHITES COMPRISE 96.7% OF THE TOTAL POPULATION *THE COUNTY HAS A HIGHER PERCENTAGE OF THE OLDER POPULATION, AGES 45-84 THAN DOES THE STATE OF MISSOURI *ABOUT 73% OF STODDARD COUNTY RESIDENTS 25 YEARS AND OVER HAVE GRADUATED FROM HIGH SCHOOL, WITH 13.2% GOING ON TO RECEIVE A POST-SECONDARY DEGREE *THE UNEMPLOYMENT RATE WAS 13.2% IN 2010, WHICH IS HIGHER THAN MISSOURI'S 9.4% *REYNOLDS COUNTY HAS 21.3% OF RESIDENTS IN POVERTY, WITH NEARLY 27% ELIGIBLE FOR MEDICAID, 20% ON FOOD STAMPS, AND 19% UNINSURED -SOUTHEASTHEALTH ALSO PROVIDES SERVICES TO AN AREA CONSISTING OF 19 COUNTIES IN SOUTHEAST MISSOURI AND SOUTHERN ILLINOIS -SOUTHEASTHEALTH SERVES ALL PATIENTS WITHOUT REGARD TO AGE, GENDER, INCOME, ETHNIC ORIGIN, INSURANCE COVERAGE OR ABILITY TO PAY INCOME, ETHNIC ORIGIN, INSURANCE COVERAGE OR ABILITY TO PAY 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 PROGRAM, 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 -SOUTHEASTHEALTH REGULARLY PROVIDES FREE OR LOW-COST HEALTH SCREENINGS AND HEALTH EDUCATION PROGRAMS TO THE GENERAL PUBLIC ON A VARIETY OF TOPICS RANGING FROM HEART HEALTH AND DIABETES TO NUTRITION AND STROKE SYMPTOM AWARENESS -SOUTHEASTHEALTH OFFERS A TOLL-FREE HEALTHLINE WHICH PROVIDES FREE INFORMATION ABOUT HOSPITAL AND COMMUNITY HEALTH SERVICES AS WELL AS FREE PHYSICIAN REFERRAL INFORMATION 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 SOUTHEASTHEALTH CENTERS OF REYNOLDS 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; ELLINGTON, 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 PELL GRANTS 107 457348 FEDERAL STUDENT LOANS 258 1689402 MARGUERITE ROSS BARNETT GRANT 24 106480 NURSING SCHOLARSHIP 26 68750 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. EACH STUDENT FIRST FILES A FREE APPLICATION FOR FEDERAL STUDENT AID (FASFA). A CENTRAL PROCESSOR PROVIDES STUDENT AID REPORTS (SAR) TO APPLICANTS AND PROVIDES INSTITUTIONAL STUDENT INFORMATION RECORDS (ISIRS) TO INSTITUTIONS. SOME APPLICATIONS ARE RANDOMLY SELECTED BY THE DEPARTMENT OF EDUCATION FOR VERIFICATION. WHEN THAT HAPPENS, THE APPLICANT MUST PROVIDE THE STUDENT SERVICE COORDINATOR WITH DOCUMENTATION TO VERIFY THE INFORMATION PROVIDED ON THE FASFA. THE STUDENT SERVICE COORDINATOR DRAWS UP A FINANCIAL AWARDS OFFER WHICH INCLUDES THE TYPE OF FUNDS AND THE AMOUNT THE OFFER IS BASED ON, INFORMATION FROM THE SAR AND ISIRS INCLUDING AN EXPECTED FAMILY CONTRIBUTION (EFC). THE STUDENT COORDINATOR ALSO KEEPS TRACK OF AN ESTIMATED COST PER SEMESTER OR BUDGET BASED ON EACH PROGRAM, THE NUMBER OF CREDIT HOURS AND A COST OF LIVING ESTIMATE. THIS HELPS HER DETERMINE EACH APPLICANT'S NEEDS AND THEREFORE HOW MUCH OF A FINANCIAL AWARD TO OFFER EACH. THE STUDENT THEN DECIDES WHICH OFFERS THEY WOULD LIKE AND WHICH THEY WOULD LIKE TO REJECT, IF ANY, INCLUDED IN THESE. OFFERS ARE BOTH SUBSIDIZED AND UNSUBSIDIZED LOANS. THE INTEREST ON THE SUBSIDIZED LOAN IS PAID BY THE LENDER WHILE THE UNSUBSIDIZED LOANS INTEREST IS PAID BY THE DEBTOR. THE STUDENT SERVICE COORDINATOR MAINTAINS FINANCIAL FILES FOR ALL STUDENTS WHO RECEIVE AID. THE COLLEGE IS RESPONSIBLE FOR THE FOLLOWING: 1.) DETERMINE STUDENT ELIGIBILITY 2.) VERIFYING STUDENT DATA 3.) CALCULATING AS REQUIRED THE AMOUNT OF FINANCIAL AID A STUDENT CAN RECEIVE 4.) COMPLETING AND/OR CERTIFYING PART OF VARIOUS LOAN APPLICATIONS AND/OR PROMISSORY NOTES 5.) DRAWING FUNDS FROM THE FEDERAL GOVERNMENT AND DELIVERING OR DISBURSING SFA FUNDS TO STUDENTS DIRECTLY OR BY CREDITING STUDENT ACCOUNTS 6.) MAKING BORROWERS AWARE OF LOAN REPAYMENT RESPONSIBILITIES 7.) SUBMITTING, AS REQUIRED, DATA ON BORROWERS LISTED ON NATIONAL STUDENT LOAN DATA SYSTEM (NSLDS) ROSTER 8.) RETURNING FUNDS TO STUDENT LENDERS AND PROGRAMS, AS APPROPRIATE, IF STUDENTS WITHDRAW, DROP OUT OR ARE EXPELLED FROM THEIR COURSE OF STUDY 9.) COLLECTING SFA OVERPAYMENTS 10.) ESTABLISHING, MAINTAINING AND MANAGING A REVOLVING LOAN FUND FOR APPLICABLE PROGRAMS 11.) REPORTING THE USE OF FUNDS EACH STUDENT IS GIVEN A CARD WITH THE ENROLLMENT WEBSITE ON IT. TO RECEIVE THE LOANS, THEY MUST FIRST VISIT THE WEBSITE TO COMPLETE A LOAN DATA SHEET, SELECT A LENDER AND COMPLETE ENTRANCE COUNSELING. THE WEBSITE ALSO HAS A BUDGET FEATURE THAT ALLOWS THE STUDENT TO FILL OUT A BUDGET TO HELP THEM PREPARE FOR THE EXPENSES OF THE SEMESTER. STUDENTS ARE ALSO REQUIRED TO REVISIT THE WEBSITE UPON COMPLETION OF THE PROGRAM TO COMPLETE LOAN EXIT COUNSELING. SCHOLARSHIPS - THE SCHOLARSHIPS ARE ADMINISTERED BY THE AUXILIARY AND ARE GENERALLY PAID DIRECTLY TO THE COLLEGE OR UNIVERSITY AT WHICH THE STUDENT WHO RECEIVES THE SCHOLARSHIP IS ATTENDING. X X X true true false false false false false false false GABRIEL E SOTO MD HOSPITAL DIRECTOR/CARDIOLOGIST 479556 0 230834 0 19613 0 15900 0 20399 0 766302 0 0 0 KENNETH BATEMAN CEO / HOSPITAL DIRECTOR 468362 0 8433 0 26202 0 118000 0 18650 0 639647 0 0 0 CHRISTOPHER KELLER GASTROENTEROLOGIST 775293 0 78866 0 1553 0 13250 0 22723 0 891685 0 0 0 PAUL ROBISON CV SURGEON 786504 0 0 0 42529 0 33400 0 23900 0 886333 0 0 0 DAVID LAW CARDIOLOGIST 335093 0 452400 0 1659 0 15900 0 20241 0 825293 0 0 0 JAMES MOSLEY ONCOLOGIST 595599 0 110566 0 13713 0 31250 0 20822 0 771950 0 0 0 BRYAN BECK CARDIOLOGIST 480193 0 239035 0 2516 0 15900 0 13127 0 750771 0 0 0 JAMES P LIMBAUGH EXECUTIVE VP 23184 0 0 0 297717 0 1430 0 1752 0 324083 0 0 0 D MATT SHOEMAKER DO VP AND CMO 340807 0 0 0 338 0 13250 0 21620 0 376015 0 0 0 LINCOLN SCOTT VP OF HUMAN RESOURCES 181228 0 0 0 32858 0 12998 0 14656 0 241740 0 0 0 JUDY ASLIN CHIEF NURSING OFFICER 188678 0 0 0 10158 0 12246 0 22564 0 233646 0 0 0 DANIEL L BERRY VP/GENERAL COUNSEL 196384 0 0 0 2290 0 12141 0 21044 0 231859 0 0 0 BRANDON L KOEHLER HEALTH SYSTEM CONTROLLER 187158 0 0 0 1052 0 0 0 7068 0 195278 0 0 0 SYLVIA MOORE FORMER COO 25903 0 0 0 337579 0 806 0 2388 0 366676 0 0 0 HUBERT KING FORMER CFO 0 0 0 0 173543 0 0 0 0 0 173543 0 0 0 DENNIS MEANS FORMER VP/COO 0 0 0 0 306054 0 706 0 62 0 306822 0 0 0 PAULA HARRIS VP REGIONAL OPERATIONS 215581 0 0 0 63171 0 13250 0 21911 0 313913 0 0 0 SCHEDULE J, PART I, LINE 4A SEVERANCE PAYMENTS: THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS, WHICH WERE INCLDUED IN TAXABLE COMPENSATION: HUBERT KING $173,543 JAMES LIMBAUGH $286,157 SYLVIA MOORE $322,560 DENNIS MEANS $306,054 PAULA HARRIS $ 53,649 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 & CAPITAL false false false B IND DEV AUTH OF THE COUNTY OF CAPE GIRARDEAU MO 431193901 2013-10-17 40000000 REFUND EXISTING DEBT & CAPITAL false false false C IND DEVELOP AUTHORITY OF STODDARD COUNTY MISSOURI 431282203 2013-10-17 20000000 CAPITAL PROJECTS false false false A 0 0 101924069 11206000 6510702 45325803 1070824 0 0 41283243 10497 0 2010 true true true true B 21889229 0 40000000 22089229 0 2792425 180200 0 0 15362131 0 0 2015 true false true true C 7459134 0 20000000 8859114 0 0 115800 0 0 14039726 0 0 2015 false false true 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 false B false true false false true false 0 false 0 false false C false true false false true false 0 false 0 false false A false B false C false FORM 990, PART III, LINE 4A PROGRAM ACHIEVEMENTS: 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 UP 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 4 SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS: IN OCTOBER 2015, THE ORGANIZATION'S BOARD OF DIRECTORS FINALIZED A MOTION TO COMBINE THE SOUTHEASTHEALTH SYSTEM, A RELATED PARTY, BOARD OF DIRECTORS AND THE SOUTHEAST HOSPITAL BOARD OF DIRECTORS. THERE WERE NO FORMAL AMENDMENTS TO GOVERNING DOCUMENTS, BUT THIS IS CONSIDERED A SIGNIFICANT CHANGE TO THE ORGANIZATION'S BOARD STRUCTURE. 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 MANAGMENT 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, LINES 15A & 15B 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 AND KEY EMPLOYEES. THE BOARD COMPLETES THIS REVIEW ANNUALLY. 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: $ (45,109) CHANGE IN INTEREST IN RELATED PARTY 418,333 TRANSFER TO/FROM AFFILIATES ----------- $ 373,224 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 6784427 2076007 SEH SOUTHEAST HEALTH CENTER OF STODDARD 1200 NORTH ONE MILE ROAD DEXTER MO 63841 461481133 HEALTHCARE MO 25913780 10529826 SEH SOUTHEASTHEALTH HOSPITAL HOLDINGS 2002 KANELL BOULEVARD POPLAR BLUFF MO 63901 461480915 HOLDING CO MO 121 168027 SEH SOUTHEAST PHARMACY 2002 KANELL BOULEVARD POPLAR BLUFF MO 63901 461606996 PHARMACY MO 2095452 644323 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) 11c III-FI NA false false false true true true false false false false false false false true true true true true true true