2016-02-12T10:19:43-06:00 2015-06-30 430352985 KERBER ECK & BRAECKEL LLP 1116 W MAIN ST CARBONDALE IL 62901 990 2014-07-01 237246265 SAINT FRANCIS MEDICAL CENTER SAIN 5733313000 211 SAINT FRANCIS DRIVE CAPE GIRARDEAU MO 63703 WILLIAM A BALSANO VICE PRESIDENT OF FINANCE 5733313000 2016-02-03 true MARK DALLAS P00187265 6185291040 2016-02-12 2014 2016-08-17 19:52:53Z STEVEN C BJELICH 211 SAINT FRANCIS DRIVE CAPE GIRARDEAU MO 63703 544561192 false X WWW.SFMC.NET X 1972 MO SAINT FRANCIS MEDICAL CENTER IS A 284-BED FACILITY SERVING MORE THAN 650,000 PEOPLE THROUGHOUT MISSOURI, ILLINOIS, KENTUCKY, TENNESSEE, AND ARKANSAS. THE MEDICAL CENTER PROVIDES COMPREHENSIVE INPATIENT ACUTE CARE SERVICES FOR MEDICAL AND SURGICAL PATIENTS SPECIALIZING IN ORTHOPEDICS, NEUROSURGERY, CARDIOVASCULAR SERVICES, ONCOLOGY, DISEASE MANAGEMENT, GASTROENTEROLOGY, MATERNAL-CHILD HEALTH AND NEUROLOGY. 4 4 2881 291 5693462 -139289 2156980 1556054 413731469 432873658 12042431 22928646 5984179 4944148 433915059 462302506 0 0 193485799 198852791 0 0 202717766 212833699 396203565 411686490 37711494 50616016 812990482 854600945 289762031 290254724 523228451 564346221 X SAINT FRANCIS MEDICAL CENTER IS A 284-BED FACILITY SERVING MORE THAN 650,000 PEOPLE THROUGHOUT MISSOURI, ILLINOIS, KENTUCKY, TENNESSEE, AND ARKANSAS. THE MEDICAL CENTER PROVIDES COMPREHENSIVE INPATIENT ACUTE CARE SERVICES FOR MEDICAL AND SURGICAL PATIENTS SPECIALIZING IN ORTHOPEDICS, NEUROSURGERY, CARDIOVASCULAR SERVICES, ONCOLOGY, DISEASE MANAGEMENT, GASTROENTEROLOGY, MATERNAL-CHILD HEALTH AND NEUROLOGY. false false 411686490 449120317 SINCE ITS FOUNDING IN 1875, SAINT FRANCIS MEDICAL CENTER'S (SFMC) MISSION HAS BEEN TO PROVIDE HEALTH CARE SERVICES TO EVERYONE, REGARDLESS OF RACE, CREED, GENDER, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF SFMC, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. IN FULFILLING OUR MISSION TO SERVE RESIDENTS OF CAPE GIRARDEAU AND THE SURROUNDING REGION, SFMC PROVIDES: -FREE AND/OR SUBSIDIZED CARE WHEN NEED AND/OR AN INDIVIDUAL'S INABILITY TO PAY COEXIST. THIS PAST YEAR, SFMC PROVIDED OVER 63.0 MILLION IN FREE AND/OR SUBSIDIZED CARE. -CARE FOR PERSONS COVERED BY GOVERNMENTAL PROGRAMS THAT REIMBURSE BELOW ACTUAL COST. -HEALTH SCREENINGS AND EDUCATIONAL PROGRAMS TO SUPPORT THE HEALTHCARE NEEDS OF THE COMMUNITY. SFMC PROVIDES A VARIETY OF WELLNESS PROGRAMS, COMMUNITY HEALTH EDUCATION ACTIVITIES, SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDER-SERVED AND PARTICIPATES IN A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. SFMC SERVED 11,374 INPATIENTS, 34,770 EMERGENCY PATIENTS AND 156,042 OUTPATIENTS DURING THE FISCAL YEAR (FY) ENDING JUNE 30, 2015. DURING FY 2015, SFMC HAD A TOTAL OF 57,800 PATIENT DAYS IN ITS MEDICAL/SURGICAL, CRITICAL CARE, OBSTETRIC, AND REHABILITATION CARE UNITS. SFMC PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS, FOR WHICH IT IS REIMBURSED BELOW COST. RECOGNIZING ITS MISSION IN THE COMMUNITY, SFMC PROVIDES SERVICES TO BOTH MEDICARE AND MEDICAID PATIENTS. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS IN EXCESS OF 80.0 MILLION IN FY 2015. CHARITY CARE IS PROVIDED IN THE FORM OF MANY REDUCED-PRICE AND FREE SERVICES OFFERED THROUGHOUT THE YEAR. SFMC STRONGLY BELIEVES THESE PROGRAMS AND SERVICES FILL A REAL NEED IN THE COMMUNITY. THESE PROGRAMS AND SERVICES INCLUDE THE FOLLOWING: -PARTICIPATION IN AND/OR SPONSORSHIP OF MANY COMMUNITY HEALTH FAIRS. THESE EVENTS RANGE FROM CHILDREN'S SPECIAL EVENTS TO SENIOR HEALTH FAIRS. TOTAL ATTENDANCE AT THESE ACTIVITIES EXCEEDED 8,300 DURING FY 2015. -SFMC SPONSORS THE REGIONAL ARTHRITIS CENTER, OFFERING INFORMATION AND ASSISTANCE TO PEOPLE THROUGHOUT SOUTHEAST MISSOURI. -FREE OR DISCOUNTED HEALTH SCREENINGS (CHOLESTEROL, BLOOD PRESSURE, GLAUCOMA, BLOOD SUGAR, ETC.) PROVIDED AT HEALTH FAIRS AND COMMUNITY HEALTH EDUCATION PROGRAMS, AS WELL AS OUR WEEKLY WEDNESDAY MORNING HEART HEALTH SCREENINGS. -COMMUNITY HEALTH FORUMS WERE OFFERED ON TOPICS SUCH AS ARTHRITIS, DIABETES, CARDIOVASCULAR FITNESS, CHILDREN'S HEALTH AND SAFETY, NUTRITION, BREAST CANCER AND OSTEOPOROSIS. OTHER WELLNESS PROGRAMS SUCH AS WEIGHT MANAGEMENT ARE SUBSIDIZED BY SFMC AND OFFERED FOR A NOMINAL FEE. -CHILDBIRTH, SIBLINGS, BREASTFEEDING AND INFANT CARE CLASSES ARE PROVIDED FREE OF CHARGE TO EXPECTANT MOTHERS AND YOUNG FAMILIES. -SFMC SPONSORS HEALTHCARE SPEAKERS FOR COMMUNITY EVENTS AND CIVIC MEETINGS. SFMC STAFF PRESENTS FREE PROGRAMS ON A VARIETY OF HEALTH AND WELLNESS TOPICS TO VARIOUS COMMUNITY, SCHOOL AND CHURCH GROUPS THROUGHOUT THE YEAR. -SEVERAL SFMC OUTPATIENT CLINICS ARE OFFERED AT REDUCED FEE OR NO COST TO PATIENTS AND THEIR FAMILIES. THE CLINICS ADDRESS DIABETIC FOOT CARE, GENETICS, ORTHOPEDICS AND SPORTS INJURIES. -SFMC PROVIDES FREE FIRST AID SERVICES AT THE WEEKLONG SEMO DISTRICT FAIR IN CAPE GIRARDEAU. MEDICAL CENTER PERSONNEL STAFF THE FIRST AID STATION AND PROVIDE MINOR MEDICAL SERVICES TO HUNDREDS OF PEOPLE DURING THE COURSE OF THE WEEK. SFMC ALSO PROVIDES STAFF AND FIRST AID MATERIALS FOR OTHER CIVIC FUNCTIONS DURING THE FISCAL YEAR. -SFMC PROVIDES FREE MEETING ROOM SPACE AND RELATED ASSISTANCE TO MANY HEALTHCARE SUPPORT GROUPS. SEVERAL HUNDRED PEOPLE REGULARLY PARTICIPATE IN THESE SUPPORT GROUPS FOR DISEASES AND DISORDERS INCLUDING BREAST CANCER, MUSCULAR DYSTROPHY, SLEEP DISTURBANCE, ALS, HEART SURGERY, DIGESTIVE DISEASES, ARTHRITIS, MULTIPLE SCLEROSIS AND STROKES. -SFMC PROVIDES FINANCIAL AND IN-KIND SUPPORT FOR ACTIVITIES OF LOCAL CHARITIES SUCH AS THE AMERICAN DIABETES ASSOCIATION, THE AMERICAN ARTHRITIS ASSOCIATION, THE MARCH OF DIMES, THE AMERICAN HEART ASSOCIATION, THE AMERICAN LUNG ASSOCIATION AND CATHOLIC CHARITIES. -SCHOLARSHIPS AND TUITION REIMBURSEMENT ARE AWARDED ANNUALLY BY SFMC TO UNDERGRADUATE AND GRADUATE STUDENTS ENROLLED IN VARIOUS HEALTHCARE CURRICULUMS. THE VALUE OF THIS INVESTMENT IN THE ADVANCEMENT OF EXISTING CARE PROVIDERS AND THE EDUCATION OF FUTURE CARE PROVIDERS WAS 272,002 IN FY 2015. -SFMC SPONSORS MEDICAL MINUTE. THESE WEEKLY EDUCATIONAL PROGRAMS, PRODUCED IN COOPERATION WITH MEMBERS OF THE MEDICAL COMMUNITY, PROVIDES INFORMATION ON NEW TECHNOLOGY AND PROCEDURES, TREATMENT FOR DISEASES AND DISORDERS, AND GENERAL MEDICAL EDUCATION TO AREA PATIENTS. -SFMC PROVIDES FREE INTERNET LIBRARY SEARCHES ON HEALTHCARE TOPICS TO AREA RESIDENTS WHO DO NOT HAVE OTHER ACCESS. -SFMC PROVIDES EMERGENCY CARE, CLOTHING AND PHARMACEUTICALS TO CHILDREN AND ADULTS IN NEED THROUGH THE SAINT FRANCIS FOUNDATION SISTER ESTHER FUND, PARENTS WITH HOPE FUND AND CANCER CARE FUND. -DURING FY 2015 SFMC VOLUNTEERS CONTRIBUTED APPROXIMATELY 42,363 HOURS OF SERVICE TO OUR PATIENTS, THEIR FAMILIES AND THE COMMUNITY. THE VALUE OF THIS CONTRIBUTION IS ESTIMATED AT OVER 324,000 AND IS GIVEN BACK TO THE COMMUNITY THROUGH LOWER COSTS IN PATIENT CARE SERVICES AND WELLNESS PROGRAMS SUCH AS THOSE DESCRIBED ELSEWHERE IN THIS DOCUMENT. -DURING FY 2015 SFMC PROVIDED 364 FREE MAMMOGRAMS AND ULTRASOUNDS TO AREA WOMEN WHO COULD NOT AFFORD THIS POTENTIALLY LIFESAVING SCREENING. THE VALUE OF THIS CONTRIBUTION IS ESTIMATED AT MORE THAN 42,108. 411686490 true true false false false false false false false false true false false false false true true true false false false false false false true false true true false false true true false true false false false true true true false true true false false false true true false false false true 118 0 2881 true true true false false false false true true false false false false X 4 4 true true false false true true true true true false false true true true true true true true true false X WILLIAM A BALSANO 5733313000 211 SAINT FRANCIS DR 211 SAINT FRANCIS DRIVE CAPE GIRARDEAU MO 63703 DENNIS MARCHI BOARD OF DIR 2.00 2.00 X 1932 0 0 JOHN A LAYTON VICE CHAIR O 2.00 4.00 X 1766 0 0 CLYDE NENNINGER CHAIR OF BOA 2.00 4.00 X 0 0 0 KEVIN GOVERO SECRETARY/TR 2.00 4.00 X 0 0 0 STEVEN C BJELICH PRESIDENT & 40.00 6.00 X 2771477 0 31513 WILLIAM A BALSANO VP OF FINANC 40.00 4.00 X 540723 0 22025 JAMES A SCHELL MD VP MEDICAL A 40.00 X 529101 0 31648 MARILYN K CURTIS VP OF PROF. 40.00 X 505170 0 31821 BARBARA THOMPSON VP OF MARKET 20.00 X 438171 0 0 JEANNETTE K FADLER VP OF PATIEN 40.00 X 421492 0 31899 THOMAS S DIEMER MD VP OF QUALIT 40.00 X 294273 0 38126 STEVEN A OGBURN VP OF AMBULA 40.00 X 257011 0 37698 MICHAEL FREEMANMD GASTRONENTER 40.00 X 1241035 0 36952 BRANDON SCOTT DO NEUROSURGEON 40.00 X 868157 0 21954 EDWARD BENDERMD THORACIC AND CARDIOVASCUL 40.00 X 826742 0 32584 WILLIAM K LAFOE MD INTERVEN. CA 40.00 X 773456 0 30724 DUC T NGUYEN DO INTERVENTIONAL CARDIOLOGIST 40.00 X 773306 0 37462 10243812 384406 13 false true true KIEFNER BROTHERS INC 1459 NORTH KINGSHIGHWAY STREET CAPE GIRARDEAU MO 63701 CONSTRUCTION 26972851 THE ROBERTS GROUP 730 NORTH GRAND AVENUE WAUKESKA WI 53186 ADVERTISING 8078294 EPIC SYSTEMS CORP PO BOX 88314 MILWAUKEE WI 532880314 EHR SYSTEM 7381896 CAPE ANESTHESIA GROUP INC PO BOX 1777 CAPE GIRARDEAU MO 637021777 ANESTHESIA SERV 7362238 INTERNAL MEDICINE ASSOC OF SE MO 225 PHYSICIANS PARK DRIVE SUITE 400 POPLAR BLUFF MO 63901 PHYSICIAN SRVCS 5098548 233 175148 1371589 9317 50043 1556054 PATIENT SERVICE REVENUE 423847357 423847357 PHARMACY 446110 5154090 5154090 FITNESS CENTER 2042156 2042156 WELLNESS PROGRAMS 923605 923605 LAB FEES 621500 360291 360291 546159 367078 179081 432873658 3063755 2075230 988525 645350 645350 645350 645350 102061730 24126 81909936 311029 20151794 -286903 19864891 19864891 38500 175148 37721 779 ELECTRONIC HEALTH RECORDS 2768702 2768702 CAFETERIA SALES 1443667 1443667 MISCELLANEOUS 76049 76049 9601 9601 4298019 462302506 449120317 5693462 5931894 5547675 5547675 157051685 157051685 5273977 5273977 20942189 20942189 10037265 10037265 785300 785300 88853 88853 7079723 7079723 10067574 10067574 50586808 50586808 3833854 3833854 3770730 3770730 549973 549973 3938278 3938278 28310392 28310392 3710500 3710500 MEDICAL SUPPLIES 41643716 41643716 DRUGS 25577105 25577105 FRA TAX 17246568 17246568 EQUIP. RENTAL & MAIN 8596858 8596858 7047467 7047467 411686490 411686490 0 0 70663829 90185958 18345988 5590311 62074548 61048824 479789 491623 10611836 11015861 9403091 10091826 526770156 220897091 264155368 305873065 371893765 364673334 3149168 3774854 2213100 1855289 812990482 854600945 86796553 92018217 202965478 198236507 289762031 290254724 X 523228451 564346221 523228451 564346221 812990482 854600945 50616016 -19140435 9642189 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6768160 6768160 158811634 69525138 89286496 238767457 145242433 93525024 122422905 6129520 116293385 305873065 X 452804260 -19140435 9642189 -9498246 462302506 462302506 411686490 411686490 411686490 SCHEDULE D, PAGE 3, PART X THERE WERE NO UNCERTAIN TAX BENEFITS IDENTIFIED AND RECORDED AS A LIABILITY AT JUNE 30, 2015 OR 2014. SCHEDULE D, PAGE 4, PART XI, LINE 2D CHANGE IN INTEREST IN NET ASSETS OF SFF -357,811 TRANSFER FROM AFFILIATE SFHS 10,000,000 SCHEDULE D, PAGE 4, PART XIII THE DIFFERENCE BETWEEN THE REVENUES AND THE NET ASSETS ON THE AUDITED FINANCIAL STATEMENTS AND THE REVENUES AND NET ASSETS REPORTED ON THE 990 REPRESENT THE NET GAIN FROM THE AUXILIARY OF 86,173 AND CASH OF 297,231. ANNUAL GOLF TOU 151687 124387 27300 5780 12800 2967 HAYDEN MEMORIAL 61961 50761 11200 3920 6560 2199 3495 213648 175148 38500 9700 19360 5166 3495 37721 779 true true true X 3.000000000000 false true true false true true 14184020 6676474 7507546 0.01820 89926793 56976612 32950181 0.08000 104110813 63653086 40457727 0.09830 2076056 2076056 0.00500 1725329 1725329 0.00420 10627815 4261615 6366200 0.01550 1045230 1045230 0.00250 15474430 4261615 11212815 0.02720 119585243 67914701 51670542 0.12550 13301 13301 4439 4439 43069 43069 0.00010 34266 34266 0.00010 387734 387734 0.00090 482809 482809 0.00120 true 5567517 2946330 136742768 183834583 -47091815 X true true 1 1 SAINT FRANCIS MEDICAL CENTER 211 SAINT FRANCIS DRIVE CAPE GIRARDEAU MO 63703 X X X SAINT FRANCIS MEDICAL CENTER 1 false false true X X X X X X X X 12 true true false true X WWW.SFMC.NET X true 13 false false false true X 300.000000000000 false true X X X X true X WWWSFMCNET X WWWSFMCNET X WWWSFMCNET X X X X X X true X X true X X X X X X X true X false false FACILITY 1, SAINT FRANCIS MEDICAL CENTER - PART V, LINE 5 -SECTION B. FACILITY POLICIES AND PRACTICES INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF BOLLINGER, CAPE GIRARDEAU, SCOTT, AND STODDARD COUNTIES INCLUDED PEOPLE INVOLVED IN SOME OF THE FOLLOWING ORGANIZATIONS: PUBLIC HEALTH DEPARTMENTS RURAL HEALTH CLINICS LOCAL SCHOOL DISTRICTS LAW ENFORCEMENT EMERGENCY SERVICES PERSONNEL EIGHT FOCUS GROUPS WERE HELD IN THE FOUR DESIGNATED COUNTIES AND THE QUESTIONS ASKED CAN BE FOUND BELOW. 1. WHAT DO PEOPLE IN THIS COMMUNITY DO TO STAY HEALTHY? HOW DO PEOPLE GET INFORMATION ABOUT HEALTH? 2. IN THIS GROUP'S OPINION, WHAT ARE 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? 617 SURVEYS WERE COMPLETED BY RESIDENTS IN THE FOUR DESIGNATED COUNTIES. THE SURVEY WAS VERY EXTENSIVE AND CONSISTED OF FIVE DIFFERENT SECTIONS. THE SURVEY DEMOGRAPHICS WERE REPRESENTATIVE OF THE AREA'S POPULATION. 1. MULTIPLE CHOICE: QUESTIONS TO COLLECT INFORMATION ON DEMOGRAPHICS, HEALTH CARE ACCESS, HEALTH STATUS, AND INSURANCE. 2. HEALTH BEHAVIORS: QUESTIONS TO COLLECT HEALTH BEHAVIOR INFORMATION. 3. CHILDREN'S HEALTH BEHAVIORS: QUESTIONS TO COLLECT HEALTH BEHAVIOR INFORMATION ABOUT THE PARTICIPANTS' CHILDREN IF APPLICABLE. 4. HEALTH ISSUES: QUESTIONS THE PARTICIPANTS ABOUT HAVING PARTICULAR HEALTH ISSUES. 5. COMMUNITY HEALTH CONCERNS: QUESTIONS THE PARTICIPANTS TO CHOOSE HOW MUCH OF A PROBLEM THEY THINK PARTICULAR ISSUES ARE IN THEIR COMMUNITY. FACILITY 1, SAINT FRANCIS MEDICAL CENTER - PART V, LINE 6A -SECTION B. FACILITY POLICIES AND PRACTICES THE TWO NOT-FOR-PROFIT HOSPITALS IN THE CITY OF CAPE GIRARDEAU, MISSOURI, SAINT FRANCIS HEALTHCARE SYSTEM AND SOUTHEASTHEALTH WERE PARTNERS IN CONDUCTING THIS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). FACILITY 1, SAINT FRANCIS MEDICAL CENTER - PART V, LINE 7D -SECTION B. FACILITY POLICIES AND PRACTICES THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS PLACED ON THE SAINT FRANCIS MEDICAL CENTER'S WEBSITE. THERE WERE NUMEROUS NEWS STORIES ON THE ASSESSMENT AND WHERE TO LOCATE THE INFORMATION. LOCAL HEALTH AND HUMAN SERVICES AGENCIES WERE INFORMED WHEN THE ASSESSMENT WAS COMPLETED AT LOCAL MEETINGS. HTTP://WWW.SFMC.NET/SAINT-FRANCIS-MEDICAL-CENTERS-COMMUNITY-HEALTH- NEEDS-ASSESSMENT/ FACILITY 1, SAINT FRANCIS MEDICAL CENTER - PART V, LINE 11 -SECTION B. FACILITY POLICIES AND PRACTICES WHILE TREATMENT FOR SUBSTANCE ABUSE AND MENTAL HEALTH CONDITIONS ARE A SIGNIFICANT COMMUNITY HEALTH NEED IDENTIFIED BY THIS ASSESSMENT, SAINT FRANCIS HEALTHCARE SYSTEM WILL NOT BE ADDRESSING THIS NEED AS PART OF ITS 2013-2016 CHNA IMPLEMENTATION PLAN FOR THE FOLLOWING REASONS: 1. CONSIDERABLE RESOURCES ARE ALREADY ALLOCATED TO ADDRESS THE OTHER TOP-PRIORITY HEALTH NEEDS IDENTIFIED BY THE 2012 CHNA; 2. SOUTHEASTHEALTH, THE OTHER COMMUNITY HOSPITAL IN CAPE GIRARDEAU, ALREADY OFFERS INPATIENT PSYCHIATRIC TREATMENT, AND DUPLICATION OF SUCH SERVICES IN THE SAME COMMUNITY IS NOT THE BEST USE OF SFMC RESOURCES; AND 3. THE SIGNIFICANT RESOURCE REQUIREMENTS THAT WOULD BE NECESSARY FOR SAINT FRANCIS HEALTHCARE SYSTEM TO DEVELOP ITS OWN OUTPATIENT SUBSTANCE ABUSE AND/OR MENTAL HEALTH TREATMENT PROGRAMS FROM THE GROUND UP IS NOT FEASIBLE AT THIS TIME. SAINT FRANCIS WILL INSTEAD CONTINUE TO WORK WITH OTHER COMMUNITY PARTNERS THAT OFFER SUCH SERVICE IN THE COMMUNITY BY MAKING APPROPRIATE PATIENT REFERRALS. FACILITY 1, SAINT FRANCIS MEDICAL CENTER - PART V, LINE 13H ALL UNINSURED PATIENTS RECEIVING SERVICES AT SAINT FRANCIS MEDICAL CENTER WILL RECEIVE A REDUCTION ON ALL CHARGES AT THE TIME OF BILLING (WITHOUT APPLICATION). THE DISCOUNT OF 50% IS COMPARABLE TO CONTRACTED PAYER DISCOUNTS. ALL SELF-PAY ACCOUNTS WILL BE PROCESSED THROUGH A PRESUMPTIVE SCORING PROGRAM TO DETERMINE IF THEY QUALIFY FOR ASSISTANCE. IF THE PATIENT MEETS THE QUALIFICATIONS, THE PATIENT'S ACCOUNT WILL BE REDUCED TO ZERO. IF THE QUALIFICATIONS ARE NOT MET, COLLECTIONS WILL BE ESCALATED. FACILITY 1, SAINT FRANCIS MEDICAL CENTER - PART V, LINE 16I ALL PATIENTS ARE PROVIDED PATIENT HANDBOOKS UPON ADMISSION THAT DETAIL THE FINANCIAL ASSISTANCE POLICY. ALL UNINSURED PATIENTS ARE PERSONALLY CONTACTED AFTER ADMISSION AND INFORMED OF THE FINANCIAL ASSISTANCE AVAILABLE THROUGH THE MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY. FACILITY 1, SAINT FRANCIS MEDICAL CENTER - PART V, LINE 18D REFERRAL TO A THIRD PARTY COLLECTION AGENCY IS ALSO PERMITTED UNDER THE COLLECTION POLICY. FACILITY 1, SAINT FRANCIS MEDICAL CENTER - PART V, LINE 20E THIRD PARTY REPRESENTATIVES WORK WITH UNINSURED PATIENTS TO HELP THEM QUALIFY FOR MEDICAID BENEFITS THROUGH THEIR STATE OF RESIDENCE. CHARITY CARE APPLICATIONS ARE OFFERED FOR THOSE THAT DO NOT QUALIFY FOR MEDICAID AND EXPRESS THE NEED AND THE INABILITY TO PAY FOR MEDICAL SERVICES. 30 CAPE CARDIOLOGY GROUP 211 SAINT FRANCIS DRIVE SUITE 15 CAPE GIRARDEAU MO 63703 PHYSICIAN PRACTICE PHYSICIANS PARK PRIMARY CARE 225 PHYSICIANS PARK DRIVE SUITE 40 POPLAR BLUFF MO 63901 PHYSICIAN PRACTICE CAPE GASTROENTEROLGY SPECIALISTS 28 S MOUNT AUBURN RD CAPE GIRARDEAU MO 63703 PHYSICIAN PRACTICE CAPE CARE FOR WOMEN 150 S MT AUBURN ROAD CAPE GIRARDEAU MO 63703 PHYSICIAN PRACTICE CAPE PHYSICIAN ASSOCIATES 3250 GORDONVILLE ROAD CAPE GIRARDEAU MO 63703 PHYSICIAN PRACTICE CAPE ENT GROUP 150 S MT AUBURN ROAD CAPE GIRARDEAU MO 63703 PHYSICIAN PRACTICE CAPE THORACIC & CARDIOVASCULAR SURG 3250 GORDONVILLE ROAD CAPE GIRARDEAU MO 63703 PHYSICIAN PRACTICE CAPE MEDICAL ONCOLOGY 211 SAINT FRANCIS DR CAPE GIRARDEAU MO 63703 PHYSICIAN PRACTICE SIKESTON RADIATION ONCOLOGY 1124 N MAIN STREET SIKESTON MO 63801 PHYSICIAN PRACTICE FARMINGTON PHYSICIAN ASSOICATES 515 MAPLE VALLEY DRIVE FARMINGTON MO 63640 PHYSICIAN PRACTICE CAPE SPINE AND NEUROSURGERY 150 S MT AUBURN ROAD CAPE GIRARDEAU MO 63703 PHYSICIAN PRACTICE CAPE PRIMARY CARE 1702 N KINGSHIGHWAY CAPE GIRARDEAU MO 63701 PHYSICIAN PRACTICE IMMEDIATE CONVENIENT CARE - CAPE 1702 N KINGSHIGHWAY CAPE GIRARDEAU MO 63701 PHYSICIAN PRACTICE CAPE NEUROLOGY SPECIALISTS 3004 GORDONVILLE ROAD CAPE GIRARDEAU MO 63703 PHYSICIAN PRACTICE CAPE DIABETES & ENDOCRINOLOGY 211 SAINT FRANCIS DRIVE CAPE GIRARDEAU MO 63703 PHYSICIAN PRACTICE JACKSON PHYSCIAN ASSOCIATES 2130 E JACKSON BLVD JACKSON MO 63755 PHYSICIAN PRACTICE CAPE PULMONOLOGY AND SLEEP MEDICINE 24 S MT AUBURN ROAD CAPE GIRARDEAU MO 63703 PHYSICIAN PRACTICE JACKSON FAMILY CARE 545 BROADRIDGE DRIVE JACKSON MO 63755 PHYSICIAN PRACTICE CHARLESTON FAMILY CARE 400 S MAIN STREET CHARLESTON MO 63834 PHYSICIAN PRACTICE PIEDMONT PHYSICIAN ASSOCIATES RT 4 BOX 4515 PIEDMONT MO 63957 PHYSICIAN PRACTICE SAINT FRANCIS HOME HEALTH 14 DOCTORS PARK CAPE GIRARDEAU MO 63703 HOME HEALTH FITNESS PLUS 150 S MT AUBURN ROAD CAPE GIRARDEAU MO 63703 FITNESS CENTER CAPE PEDIATRIC GROUP 35 DOCTORS PARK CAPE GIRARDEAU MO 63703 PHYSICIAN PRACTICE POPLAR BLUFF NEUROLOGY SPECIALISTS 2210 BARRON ROAD SUITE 112 POPLAR BLUFF MO 63901 PHYSICIAN PRACTICE CAPE PERINATOLOGY SERVICES 150 S MT AUBURN ROAD CAPE GIRARDEAU MO 63703 PHYSICIAN PRACTICE CAPE GYNECOLOGIC ONCOLOGY 211 SAINT FRANCIS DRIVE CAPE GIRARDEAU MO 63703 PHYSICIAN PRACTICE CAPE MEDICAL GROUP 150 S MT AUBURN ROAD CAPE GIRARDEAU MO 63703 PHYSICIAN PRACTICE SIKESTON NEUROLOGY SPECIALISTS 807 N MAIN STREET SIKESTON MO 63801 PHYSICIAN PRACTICE SAINT FRANCIS OUTPATIENT REHAB 150 S MT AUBURN ROAD CAPE GIRARDEAU MO 63703 OUTPATIENT REHAB CAPE CEREBROVASCULAR & ENDOVASCULAR 150 S MT AUBURN ROAD CAPE GIRARDEAU MO 63703 PHYSICIAN PRACTICE PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE ALL UNINSURED PATIENTS RECEIVING SERVICES AT SAINT FRANCIS MEDICAL CENTER WILL RECEIVE A REDUCTION ON ALL CHARGES AT THE TIME OF BILLING (WITHOUT APPLICATION). THE DISCOUNT OF 50% IS COMPARABLE TO CONTRACTED PAYER DISCOUNTS. ALL SELF-PAY ACCOUNTS WILL BE PROCESSED THROUGH A PRESUMPTIVE SCORING PROGRAM TO DETERMINE IF THEY QUALIFY FOR ASSISTANCE. IF THE PATIENT MEETS THE QUALIFICATIONS, THE PATIENT'S ACCOUNT WILL BE REDUCED TO ZERO. IF THE QUALIFICATIONS ARE NOT MET, COLLECTIONS WILL BE ESCALATED. PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION COSTS FOR SUBSIDIZED HEALTH SERVICES INCLUDE COSTS ASSOCIATED WITH PROVIDING NEONATOLOGY, TRAUMA, HOSPITALIST AND PERINATOLOGY PHYSICIAN CLINICAL SERVICES WHERE OPERATIONS RESULT IN LOSSES. TOTAL EXPENSES IN THE AMOUNT OF 10,627,815 ARE INCLUDED. PART I, LINE 7, COLUMN (F) - EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE BAD DEBTS WERE NOT EXCLUDED FROM THE CALCULATION IN COLUMN F. PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION A COST-TO-CHARGE RATIO WAS USED IN ACCORDANCE WITH THE CALCULATION IN WORKSHEET 2, "RATIO OF PATIENT CARE COST TO CHARGES." PART II - COMMUNITY BUILDING ACTIVITIES SAINT FRANCIS MEDICAL CENTER'S COMMUNITY BUILDING ACTIVITIES ARE TARGETED TO KEEP GOOD HEALTH IN THE FOREFRONT THROUGH NON-TRADITIONAL CHANNELS. THESE ACTIVITIES ARE USED TO DELIVER HEALTHCARE INFORMATION AND EDUCATION DIRECTLY TO CITIZENS OF THE COMMUNITY. COMMUNITY FORUMS OR MEETINGS ALLOW REPRESENTATIVES OF THE MEDICAL CENTER TO PRESENT POTENTIALLY LIFE-SAVING INFORMATION TO AN AUDIENCE NOT TYPICALLY REACHED BY COMMUNITY HEALTH AGENCIES OR SCREENINGS. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY A COST-TO-CHARGE RATIO WAS USED IN ACCORDANCE WITH THE CALCULATION IN WORKSHEET 2, "RATIO OF PATIENT CARE COST TO CHARGES" TO DEVELOP COSTS ASSOCIATED WITH BAD DEBT EXPENSE. PATIENT PAYMENTS AND DISCOUNTS ARE APPLIED TO PATIENT'S ACCOUNT BEFORE BAD DEBT DETERMINATION IS MADE. PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE AN ESTIMATE OF BAD DEBT EXPENSE AT COST ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE MEDICAL CENTER'S CHARITY CARE POLICY WAS CALCULATED BASED ON A STUDY OF POVERTY RATES IN THE MEDICAL CENTER'S SERVICE AREA. THE PERCENTAGE OF THE POPULATION WITH INCOME LEVELS AT OR BELOW 300% OF THE FEDERAL POVERTY GUIDELINES WAS OBTAINED FOR THE STATES REPRESENTED IN BAD DEBT EXPENSE. THAT PERCENTAGE WAS THEN APPLIED TO THE ESTIMATED BAD DEBT EXPENSE ATTRIBUTABLE TO EACH STATE TO OBTAIN THE ESTIMATED AMOUNT IN BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE CHARITY CARE POLICY. THE COST TO CHARGE RATIO WAS THEN APPLIED TO CONVERT TO COST. THE MEDICAL CENTER ESTIMATES THAT 2,946,330 AT COST IS CHARITY CARE ELIGIBLE AND IS INCLUDED IN BAD DEBT EXPENSE. BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS THE MEDICAL CENTER ALSO PROVIDES A SIGNIFICANT AMOUNT OF UNCOMPENSATED CARE FOR PATIENTS WHICH IS NOT INCLUDED IN COMMUNITY BENEFIT EXPENSE, BUT IS REPORTED ON THE STATEMENT OF OPERATIONS AS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANY OF THOSE PATIENTS ARE UNINSURED OR UNDERINSURED, BUT DID NOT APPLY FOR OR QUALIFY FOR CHARITY CARE. DURING THE YEAR ENDED JUNE 30, 2015, THE MEDICAL CENTER REPORTED BAD DEBT EXPENSE; AT COST, OF 5,567,000. PART III, LINE 8 - MEDICARE EXPLANATION THE COSTING METHODOLOGY USED FOR PART III, LINE 6 IS A COST TO CHARGE RATIO DERIVED FROM THE PRIOR YEAR'S MEDICARE COST REPORT WHICH USES ONLY MEDICARE ALLOWABLE COSTS. IRS REV. RUL. 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THIS IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. FOR-PROFIT SPECIALTY HOSPITALS HAVE BEEN CARVING OUT CERTAIN HIGH- MARGIN SERVICES (SUCH AS CARDIAC, ORTHOPEDICS, AND ONCOLOGY), LEAVING GENERAL ACUTE CARE HOSPITALS WITH LOWER-MARGIN MEDICARE SERVICES. THIS INDICATES THAT MEDICARE LOSSES CAN BE A RESULT OF RENDERING THESE LOWER- MARGIN SERVICES (WHICH BENEFIT THE COMMUNITY) RATHER THAN INEFFICIENT OPERATIONS. IN SOME COMMUNITIES, MEDICARE IS THE LARGEST PAYER, AND HOSPITALS MUST ACCEPT THESE PATIENTS REGARDLESS OF WHETHER THEY MAKE A SURPLUS OR DEFICIT FROM PROVIDING SUCH SERVICES. IF THE MEDICARE PARTICIPATION IS PREMISED ON THIS FACT, THEN PROVIDING MEDICARE SERVICES PROMOTES ACCESS TO HEALTHCARE SERVICES WHICH IS A COMMUNITY BENEFIT. THERE ARE A NUMBER OF LOW-INCOME CONSUMERS RECEIVING MEDICARE BENEFITS. THE ELDERLY ARE OFTEN AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDING MEDICARE SERVICES, CMS WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING SERVICES TO THE ELDERLY. MEDICARE PAYMENT ANOMALIES MAY BE PRESENT IN SOME STATES SO EVEN VERY EFFICIENT HOSPITALS ARE UNABLE TO AVOID LOSSES. THUS, LOSSES MAY NOT BE INDICATIVE OF INEFFICIENCY BUT RATHER PROVISION OF A COMMUNITY BENEFIT. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION IF PATIENT EXPRESSES FINANCIAL INABILITY TO PAY, THE REPRESENTATIVE OF THE MEDICAL CENTER WILL OFFER AN ASSISTANCE APPLICATION TO THE PATIENT. THE PATIENT THEN RETURNS THE APPLICATION TO THE BUSINESS OFFICE FOR REVIEW. AFTER REVIEW THE BUSINESS OFFICE WILL NOTIFY THE PATIENT IN WRITING OF THE DECISION. IF APPROVED THE BUSINESS OFFICE WILL WRITE OFF REMAINING BALANCES. IF DENIED THE BUSINESS OFFICE WILL CONTACT THE PATIENT TO MAKE PAYMENT ARRANGEMENTS. PART VI, LINE 2 - NEEDS ASSESSMENT SAINT FRANCIS IS PROACTIVE IN ASSESSING THE HEALTHCARE NEEDS OF ITS SERVICE AREA THROUGH GATHERING INFORMATION OR STUDIES FROM COMMUNITY HEALTHCARE AGENCIES, DEVELOPING AND SUPPORTING COMMUNITY HEALTH EDUCATORS AND FOLLOWING UP ON INFORMATION FROM PATIENTS AND FAMILIES. SAINT FRANCIS IS REACTIVE IN ASSESSING THE HEALTHCARE NEEDS OF ITS SERVICE AREA BY PROVIDING SUPPORT AND ASSISTANCE THROUGH LOCAL AND NATIONAL AGENCIES, WHICH PROVIDE DIRECT HEALTHCARE SERVICES TO THE MEDICAL CENTER'S SERVICE AREA. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE HOSPITAL PERSONNEL, INCLUDING NURSES, PHYSICIANS, SOCIAL WORKERS AND OTHERS, MAY IDENTIFY AND REQUEST AN APPLICATION FOR A PATIENT WHEN DEEMED APPROPRIATE. PATIENTS AND PERSONS WHO MAY BE BILLED RECEIVE AN APPLICATION FOR ASSISTANCE WHEN A NEED IS EXPRESSED. REQUEST FOR ASSISTANCE IS USUALLY MADE WHEN THE PATIENT RECEIVES THE BILL, OR WHEN THE CUSTOMER SERVICE REPRESENTATIVE CONTACTS THE PATIENT FOR PAYMENT OF ACCOUNT. AT THE TIME NEED IS EXPRESSED, THE APPLICATION IS GIVEN PERSONALLY OR MAILED TO THE PATIENT. CUSTOMER SERVICE REPRESENTATIVES THEN WORK WITH THE PATIENT TO COMPLETE ASSISTANCE REQUEST AND FORWARD APPLICATION FOR APPROVAL. ANY PATIENTS WHO RETURN TO THE MEDICAL CENTER TO PAY A BILL HAVE ACCESS TO ASSISTANCE EDUCATION DOCUMENTATION AT THE BILLING OFFICE. PART VI, LINE 4 - COMMUNITY INFORMATION SAINT FRANCIS MEDICAL CENTER IS A LEADING TERTIARY CARE PROVIDER FOR A PORTION OF THE FIVE-STATE REGION OF MISSOURI, ARKANSAS, ILLINOIS, KENTUCKY AND TENNESSEE AND OFFERS SERVICES TO MORE THAN 650,000 PEOPLE. PRIMARY SERVICE AREA CONSISTS OF CAPE GIRARDEAU COUNTY WITH A POPULATION OF 78,043. ACCORDING TO THE MISSOURI OFFICE OF ADMINISTRATION, BUDGET AND PLANNING, CAPE GIRARDEAU COUNTY'S POPULATION IS EXPECTED TO INCREASE TO 84,612 BY 2030. SECONDARY SERVICE AREA HAS A TOTAL POPULATION OF ALMOST 176,206 AND INCLUDES THE COUNTIES OF ALEXANDER (7,499), PULASKI (5,815), JOHNSON (12,582) AND UNION (17,447) IN ILLINOIS; AND BOLLINGER (12,394), MISSISSIPPI (14,232), NEW MADRID (18,272), PERRY (19,202), SCOTT (38,903) AND STODDARD (29,867) IN MISSOURI. TERTIARY SERVICE AREA HAS A TOTAL POPULATION OF NEARLY 400,000 AND INCLUDES THE COUNTIES OF BUTLER (42,972), CARTER (6,258), DUNKLIN (31,344), IRON (10,267), MADISON (12,368), PEMISCOT (17,650), REYNOLDS (6,585), RIPLEY (13,969), ST. FRANCOIS (65,960), STE. GENEVIEVE (17,914) AND WAYNE (13,452) IN MISSOURI; AND JACKSON (59,677), RANDOLPH (32,869) AND WILLIAMSON (67,008) IN ILLINOIS. THE SOUTHEAST REGION OF MISSOURI IS GROWING SLOWLY AND HAS A HIGHER THAN AVERAGE PERCENTAGE OF RETIREE-AGED PEOPLE. OVER THE NEXT FIVE YEARS, THE POPULATION BETWEEN AGES 55 TO 75 IS PROJECTED TO HAVE THE LARGEST PERCENT GROWTH. CURRENTLY, THE LARGEST POPULATION AGE GROUP IS AGES 45-54. THIS REGION IS 87.5 PERCENT CAUCASIAN, 8.7 PERCENT BLACK AND 1.9 PERCENT HISPANIC. TOTAL PERSONAL INCOME FOR CAPE GIRARDEAU COUNTY FOR 2014 WAS 3,058,763,000 OR 39,560 PER CAPITA. TOTAL PERSONAL INCOME FOR THE SOUTHEAST REGION WAS 12.8 BILLION WITH AN AVERAGE PER CAPITA OF 34,980. OF THE ENTIRE SOUTHEAST REGION POPULATION AGE 25 AND OLDER, 13.5 PERCENT DID NOT OBTAIN A HIGH SCHOOL DIPLOMA. 79.5 PERCENT GRADUATED FROM HIGH SCHOOL, 17.3 PERCENT HAVE RECEIVED A COLLEGE DEGREE AND 6.5 PERCENT HAVE COMPLETED A GRADUATE DEGREE. ACCORDING TO EMPLOYMENT STATISTICS IN OCTOBER 2015, CAPE GIRARDEAU COUNTY HAD AN UNEMPLOYMENT RATE OF 3.9 PERCENT. THE SOUTHEAST REGION UNEMPLOYMENT RATE WAS 4.9 PERCENT. STATISTICS COURTESY OF THE MISSOURI ECONOMIC RESEARCH AND INFORMATION CENTER AND U.S. CENSUS BUREAU. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH SAINT FRANCIS MEDICAL CENTER FURTHERS ITS EXEMPT PURPOSE BY PROVIDING FOR AN OPEN MEDICAL STAFF COMPRISED OF PHYSICIANS IN ITS PRIMARY SERVICE AREA. THE BOARD OF DIRECTORS IS COMPRISED OF LOCAL COMMUNITY MEMBERS WITH A VESTED INTEREST IN PROMOTING AND IMPROVING THE HEALTH OF THE POPULATION SERVED BY SAINT FRANCIS MEDICAL CENTER. IN ADDITION, SURPLUS FUNDS GENERATED BY THE OPERATIONS OF THE MEDICAL CENTER ARE REINVESTED IN EQUIPMENT AND FACILITIES SO THAT SAINT FRANCIS MEDICAL CENTER CAN PROVIDE CUTTING EDGE HEALTHCARE TO THE RESIDENTS OF ITS COMMUNITY. PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM SAINT FRANCIS HEALTHCARE SYSTEM, INC. IS A HOLDING COMPANY WHICH OWNS SAINT FRANCIS MEDICAL CENTER. SAINT FRANCIS MEDICAL CENTER OPERATES A 284-BED ACUTE CARE HOSPITAL LOCATED IN CAPE GIRARDEAU, MISSOURI. ADMITTING PHYSICIANS ARE PRIMARILY PRACTITIONERS IN THE LOCAL AREA. SAINT FRANCIS MEDICAL CENTER WAS ORGANIZED BY SAINT FRANCIS HEALTHCARE SYSTEM. SAINT FRANCIS HEALTH DEVELOPMENT SERVICES, INC. FORMED IN 2002, OWNS A 51% INTEREST IN PHYSICIANS ALLIANCE SURGERY CENTER, LLC, A 30% INTEREST IN POPLAR BLUFF MEDICAL PARTNERS, LLC, A 30% INTEREST IN LANDMARK HOSPITAL OF CAPE GIRARDEAU, LLC AND A 30% INTEREST IN DRX - FC MANAGEMENT 001, LLC WHICH OPERATES A DOCTORS EXPRESS URGENT CARE CENTER. PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT MISSOURI X X X true true X X X X X false true false false false true false false false STEVEN C BJELICH PRESIDENT & CEO 880816 1859856 30805 11375 20138 2802990 WILLIAM A BALSANO VP OF FINANCE 466722 45195 28806 12125 9900 562748 JAMES A SCHELL MD VP MEDICAL AFFAIRS 439469 45195 44437 12125 19523 560749 MARILYN K CURTIS VP OF PROF. SERVICE 365280 109255 30635 12298 19523 536991 BARBARA THOMPSON VP OF MARKETING 438171 438171 JEANNETTE K FADLER VP OF PATIENT CARE 293327 83125 45040 12375 19524 453391 THOMAS S DIEMER MD VP OF QUALITY 251550 42723 12043 26083 332399 STEVEN A OGBURN VP OF AMBULATORY SVC 217190 22349 17472 11654 26044 294709 MICHAEL FREEMANMD GASTRONENTEROLOGIST 1196884 44151 10851 26101 1277987 BRANDON SCOTT DO NEUROSURGEON 716435 116221 35501 11606 10348 890111 EDWARD BENDERMD THORACIC AND CARDIOVASCULAR SURGE 780074 46668 11462 21122 859326 WILLIAM K LAFOE MD INTERVEN. CARDIO. 771045 2411 4623 26101 804180 DUC T NGUYEN DO INTERVENTIONAL CARDIOLOGIST 737747 35559 13615 23847 810768 SCHEDULE J, PAGE 1, PART I, LINE 1A EXECUTIVE AND BOARD MEMBERS RECEIVE TRAVEL FOR THEIR SPOUSES. SPOUSAL TRAVEL IS ADDED TO W-2'S FOR EXECUTIVES AND 1099'S ARE ISSUED TO BOARD MEMBERS. THE CEO RECEIVES COUNTRY CLUB DUES, WHICH IS INCLUDED ON THE W-2. SFMC WILL OCCASIONALLY CHARTER A FLIGHT FOR BUSINESS PURPOSES ONLY. SCHEDULE J, PAGE 1, PART I, LINE 4 STEVEN A. OGBURN 0 15,555 0 SCHEDULE J, PAGE 1, PART I, LINE 6A ALL EXECUTIVE BONUSES ARE BASED ON FINANCIAL PERFORMANCE. SCHEDULE J, PART III BARBARA THOMPSON, VP OF MARKETING IS NOT AN EMPLOYEE OF SAINT FRANCIS MEDICAL CENTER. SHE IS THE OWNER OF THE ROBERTS GROUP WHO PROVIDES ADVERTISING AND MARKETING SERVICES TO THE MEDICAL CENTER. HER COMPENSATION IS PAID BY THE ROBERTS GROUP. A IND DEV AUTH OF CAPE GIRARDEAUM 431193901 139404EH6 2009-05-28 49238638 CAPITAL EXPENDITURES true false false B IND DEV AUTH OF CAPE GIRARDEAU 431193901 139404FJ1 2013-05-01 40290000 EXTINGUISH/DEFEASE OUTSTANDING BONDS false false false C IND DEV AUTH OF CAPE GIRARDEAU 431193901 139404FH5 2013-05-01 131833295 CAPITAL EXPENDITURES false false false A 2160000 11745000 49238638 4821834 950781 43467033 2011 false false true true B 2145000 40290000 2013 true false true true C 2465000 131833295 58695000 3393406 1380910 75003510 2015 true true false true A false false false false false false false B false false false false false false false C false false false false false false false A false true false false false false false false false B false true false false true false false false false C false true false false false false false false false A false B false C false STEVEN C BJELICH PRESIDENT & CEO X 479162 491623 false true true 491623 DENNIS MARCHI BOARD OF DIRECTORS 18655 DISCOUNTED HEALTHCARE B THOMPSON-OWNS THE ROBERTS GROUP VP OF MARKETING 8078294 ADVERTISING FEES false X 17 9331 COST/SELLING PRICE/FMV X 1 1025 COST/SELLING PRICE/FMV X PRIZES 72 28507 COST/SELLING PRICE/FMV X PHOTOGRAPHY 2 11180 COST/SELLING PRICE/FMV false true false FORM 990 - ORGANIZATION'S MISSION SAINT FRANCIS MEDICAL CENTER IS A 284-BED FACILITY SERVING MORE THAN 650,000 PEOPLE THROUGHOUT MISSOURI, ILLINOIS, KENTUCKY, TENNESSEE, AND ARKANSAS. THE MEDICAL CENTER PROVIDES COMPREHENSIVE INPATIENT ACUTE CARE SERVICES FOR MEDICAL AND SURGICAL PATIENTS SPECIALIZING IN ORTHOPEDICS, NEUROSURGERY, CARDIOVASCULAR SERVICES, ONCOLOGY, DISEASE MANAGEMENT, GASTROENTEROLOGY, MATERNAL-CHILD HEALTH AND NEUROLOGY. FORM 990, PAGE 2, PART III, LINE 4A -CARE FOR PERSONS COVERED BY GOVERNMENTAL PROGRAMS THAT REIMBURSE BELOW ACTUAL COST. -HEALTH SCREENINGS AND EDUCATIONAL PROGRAMS TO SUPPORT THE HEALTHCARE NEEDS OF THE COMMUNITY. SFMC PROVIDES A VARIETY OF WELLNESS PROGRAMS, COMMUNITY HEALTH EDUCATION ACTIVITIES, SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDER-SERVED AND PARTICIPATES IN A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. SFMC SERVED 11,374 INPATIENTS, 34,770 EMERGENCY PATIENTS AND 156,042 OUTPATIENTS DURING THE FISCAL YEAR (FY) ENDING JUNE 30, 2015. DURING FY 2015, SFMC HAD A TOTAL OF 57,800 PATIENT DAYS IN ITS MEDICAL/SURGICAL, CRITICAL CARE, OBSTETRIC, AND REHABILITATION CARE UNITS. SFMC PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS, FOR WHICH IT IS REIMBURSED BELOW COST. RECOGNIZING ITS MISSION IN THE COMMUNITY, SFMC PROVIDES SERVICES TO BOTH MEDICARE AND MEDICAID PATIENTS. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS IN EXCESS OF 80.0 MILLION IN FY 2015. CHARITY CARE IS PROVIDED IN THE FORM OF MANY REDUCED-PRICE AND FREE SERVICES OFFERED THROUGHOUT THE YEAR. SFMC STRONGLY BELIEVES THESE PROGRAMS AND SERVICES FILL A REAL NEED IN THE COMMUNITY. THESE PROGRAMS AND SERVICES INCLUDE THE FOLLOWING: -PARTICIPATION IN AND/OR SPONSORSHIP OF MANY COMMUNITY HEALTH FAIRS. THESE EVENTS RANGE FROM CHILDREN'S SPECIAL EVENTS TO SENIOR HEALTH FAIRS. TOTAL ATTENDANCE AT THESE ACTIVITIES EXCEEDED 8,300 DURING FY 2015. -SFMC SPONSORS THE REGIONAL ARTHRITIS CENTER, OFFERING INFORMATION AND ASSISTANCE TO PEOPLE THROUGHOUT SOUTHEAST MISSOURI. -FREE OR DISCOUNTED HEALTH SCREENINGS (CHOLESTEROL, BLOOD PRESSURE, GLAUCOMA, BLOOD SUGAR, ETC.) PROVIDED AT HEALTH FAIRS AND COMMUNITY HEALTH EDUCATION PROGRAMS, AS WELL AS OUR WEEKLY WEDNESDAY MORNING HEART HEALTH SCREENINGS. -COMMUNITY HEALTH FORUMS WERE OFFERED ON TOPICS SUCH AS ARTHRITIS, DIABETES, CARDIOVASCULAR FITNESS, CHILDREN'S HEALTH AND SAFETY, NUTRITION, BREAST CANCER AND OSTEOPOROSIS. OTHER WELLNESS PROGRAMS SUCH AS WEIGHT MANAGEMENT ARE SUBSIDIZED BY SFMC AND OFFERED FOR A NOMINAL FEE. -CHILDBIRTH, SIBLINGS, BREASTFEEDING AND INFANT CARE CLASSES ARE PROVIDED FREE OF CHARGE TO EXPECTANT MOTHERS AND YOUNG FAMILIES. -SFMC SPONSORS HEALTHCARE SPEAKERS FOR COMMUNITY EVENTS AND CIVIC MEETINGS. SFMC STAFF PRESENTS FREE PROGRAMS ON A VARIETY OF HEALTH AND WELLNESS TOPICS TO VARIOUS COMMUNITY, SCHOOL AND CHURCH GROUPS THROUGHOUT THE YEAR. -SEVERAL SFMC OUTPATIENT CLINICS ARE OFFERED AT REDUCED FEE OR NO COST TO PATIENTS AND THEIR FAMILIES. THE CLINICS ADDRESS DIABETIC FOOT CARE, GENETICS, ORTHOPEDICS AND SPORTS INJURIES. -SFMC PROVIDES FREE FIRST AID SERVICES AT THE WEEKLONG SEMO DISTRICT FAIR IN CAPE GIRARDEAU. MEDICAL CENTER PERSONNEL STAFF THE FIRST AID STATION AND PROVIDE MINOR MEDICAL SERVICES TO HUNDREDS OF PEOPLE DURING THE COURSE OF THE WEEK. SFMC ALSO PROVIDES STAFF AND FIRST AID MATERIALS FOR OTHER CIVIC FUNCTIONS DURING THE FISCAL YEAR. -SFMC PROVIDES FREE MEETING ROOM SPACE AND RELATED ASSISTANCE TO MANY HEALTHCARE SUPPORT GROUPS. SEVERAL HUNDRED PEOPLE REGULARLY PARTICIPATE IN THESE SUPPORT GROUPS FOR DISEASES AND DISORDERS INCLUDING BREAST CANCER, MUSCULAR DYSTROPHY, SLEEP DISTURBANCE, ALS, HEART SURGERY, DIGESTIVE DISEASES, ARTHRITIS, MULTIPLE SCLEROSIS AND STROKES. -SFMC PROVIDES FINANCIAL AND IN-KIND SUPPORT FOR ACTIVITIES OF LOCAL CHARITIES SUCH AS THE AMERICAN DIABETES ASSOCIATION, THE AMERICAN ARTHRITIS ASSOCIATION, THE MARCH OF DIMES, THE AMERICAN HEART ASSOCIATION, THE AMERICAN LUNG ASSOCIATION AND CATHOLIC CHARITIES. -SCHOLARSHIPS AND TUITION REIMBURSEMENT ARE AWARDED ANNUALLY BY SFMC TO UNDERGRADUATE AND GRADUATE STUDENTS ENROLLED IN VARIOUS HEALTHCARE CURRICULUMS. THE VALUE OF THIS INVESTMENT IN THE ADVANCEMENT OF EXISTING CARE PROVIDERS AND THE EDUCATION OF FUTURE CARE PROVIDERS WAS 272,002 IN FY 2015. -SFMC SPONSORS MEDICAL MINUTE. THESE WEEKLY EDUCATIONAL PROGRAMS, PRODUCED IN COOPERATION WITH MEMBERS OF THE MEDICAL COMMUNITY, PROVIDES INFORMATION ON NEW TECHNOLOGY AND PROCEDURES, TREATMENT FOR DISEASES AND DISORDERS, AND GENERAL MEDICAL EDUCATION TO AREA PATIENTS. -SFMC PROVIDES FREE INTERNET LIBRARY SEARCHES ON HEALTHCARE TOPICS TO AREA RESIDENTS WHO DO NOT HAVE OTHER ACCESS. -SFMC PROVIDES EMERGENCY CARE, CLOTHING AND PHARMACEUTICALS TO CHILDREN AND ADULTS IN NEED THROUGH THE SAINT FRANCIS FOUNDATION SISTER ESTHER FUND, PARENTS WITH HOPE FUND AND CANCER CARE FUND. -DURING FY 2015 SFMC VOLUNTEERS CONTRIBUTED APPROXIMATELY 42,363 HOURS OF SERVICE TO OUR PATIENTS, THEIR FAMILIES AND THE COMMUNITY. THE VALUE OF THIS CONTRIBUTION IS ESTIMATED AT OVER 324,000 AND IS GIVEN BACK TO THE COMMUNITY THROUGH LOWER COSTS IN PATIENT CARE SERVICES AND WELLNESS PROGRAMS SUCH AS THOSE DESCRIBED ELSEWHERE IN THIS DOCUMENT. -DURING FY 2015 SFMC PROVIDED 364 FREE MAMMOGRAMS AND ULTRASOUNDS TO AREA WOMEN WHO COULD NOT AFFORD THIS POTENTIALLY LIFESAVING SCREENING. THE VALUE OF THIS CONTRIBUTION IS ESTIMATED AT MORE THAN 42,108. FORM 990, PAGE 6, PART VI, LINE 2 SAINT FRANCIS MEDICAL CENTER = SFMC SAINTFRANCISHEALTHDEVELOPMENT=SFHD S. BJELICH-OFFICER SFMC / DIR SFHD C.NENNINGER-DIRECTOR OF SFMC & SFHD BUSINESS RELATIONSHIP S. BJELICH-OFFICER SFMC / DIR SFHD K. GOVERO-DIRECTOR OF SFMC & SFHD BUSINESS RELATIONSHIP S. BJELICH-OFFICER SFMC / DIR SFHD J. LAYTON-DIRECTOR OF SFMC & SFHD BUSINESS RELATIONSHIP C.NENNINGER-DIRECTOR OF SFMC & SFHD K. GOVERO-DIRECTOR OF SFMC & SFHD BUSINESS RELATIONSHIP C.NENNINGER-DIRECTOR OF SFMC & SFHD J. LAYTON-DIRECTOR OF SFMC & SFHD BUSINESS RELATIONSHIP K. GOVERO-DIRECTOR OF SFMC & SFHD J. LAYTON-DIRECTOR OF SFMC & SFHD BUSINESS RELATIONSHIP FORM 990, PAGE 6, PART VI, LINE 3 THE ROBERTS GROUP PROVIDES MARKETING AND ADVERTISING SERVICES FOR SAINT FRANCIS MEDICAL CENTER. BARBARA THOMPSON IS THE OWNER OF THE ROBERTS GROUP AND ALSO THE VICE PRESIDENT OF MARKETING AT SAINT FRANCIS MEDICAL CENTER. BARBARA THOMPSON IS NOT AN EMPLOYEE OF THE MEDICAL CENTER AND IS THEREFORE NOT PAID A DIRECT SALARY FROM THE MEDICAL CENTER. FORM 990, PAGE 6, PART VI, LINE 6 SAINT FRANCIS HEALTHCARE SYSTEM IS THE SOLE MEMBER OF THE SAINT FRANCIS MEDICAL CENTER. FORM 990, PAGE 6, PART VI, LINE 7A SAINT FRANCIS HEALTHCARE SYSTEM, INC. AS THE SOLE MEMBER OF SAINT FRANCIS MEDICAL CENTER HAS THE POWER TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS, THE CHAIRMAN OF THE BOARD, THE VICE CHAIRMAN OF THE BOARD AND THE SECRETARY/TREASURER OF THE CORPORATION. FORM 990, PAGE 6, PART VI, LINE 7B DECISIONS ARE SUBJECT TO THE BISHOP'S APPROVAL. FORM 990, PAGE 6, PART VI, LINE 11B A COPY OF THE FORM 990 IS PROVIDED TO ALL THE MEMBERS OF THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO BEING FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PAGE 6, PART VI, LINE 12C THE MEDICAL CENTER REQUIRES ALL OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES TO COMPLETE A CONFLICT OF INTEREST STATEMENT EACH YEAR. OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ARE EDUCATED EACH YEAR ON THE DEFINITION OF A CONFLICT OF INTEREST AND HOW TO AVOID THEM. FORM 990, PAGE 6, PART VI, LINE 15A AN OUTSIDE CONSULTANT IS ENGAGED TO PROVIDE BENCHMARK DATA FOR COMPARABLE POSITIONS IN COMPARABLY SIZED MEDICAL CENTERS. BASED ON THE DATA, THE CONSULTANT MAKES A RECOMMENDATION TO THE COMPENSATION COMMITTEE OF THE BOARD. THE BOARD DISCUSSES THE RECOMMENDATIONS AND MAKES A DECISION AS TO WHAT WILL BE PROVIDED FOR THE YEAR. THE PRESIDENT OF THE BOARD PROVIDES THE INFORMATION TO THE VP OF FINANCE TO IMPLEMENT. FORM 990, PAGE 6, PART VI, LINE 15B BASED ON DATA PROVIDED BY CONSULTANTS, THE BOARD OF DIRECTORS ESTABLISH PAY TARGETS FOR THE EXECUTIVE TEAM. THE PRESIDENT GRANTS THE VICE PRESIDENTS THEIR PAY INCREASES BASED ON PERFORMANCE IN THE PRECEEDING YEAR. FORM 990, PAGE 6, PART VI, LINE 19 COPIES OF THE MEDICAL CENTERS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND FEDERAL FORM 990 ARE AVAILABLE AT THE ADMINISTRATIVE OFFICE UPON REQUEST. FORM 990, PART XI, LINE 9 CHANGE IN INTEREST IN NET ASSETS OF SFF -357,811 TRANSFER FROM AFFILIATE SFHS 10,000,000 MEDICAL PARTNERS OF CAPE GIRARDEAU 211 SAINT FRANCIS DRIVE CAPE GIRARDEAU MO 63703 431869973 PHYS. PRAC MO SFMC SAINT FRANCIS HEALTHCARE SYSTEM 211 SAINT FRANCIS DRIVE CAPE GIRARDEAU MO 63703 430662499 HOLDING CO MO 501C3 11B NA false SAINT FRANCIS FOUNDATION 211 SAINT FRANCIS DRIVE CAPE GIRARDEAU MO 63703 431111276 FUND DEV. MO 501C3 11B NA false SAINT FRANCIS HEALTH DEVELOP SRVC 211 SAINT FRANCIS DRIVE CAPE GIRARDEAU MO 63703 470849798 HOLDING CO MO SFHS C CORP false false false true false false false false true false false true false true true true true true true false