2014-11-12T13:16:16-06:00 2013-12-31 430352985 KERBER ECK & BRAECKEL LLP 1116 W MAIN ST CARBONDALE IL 629012335 990 2013-01-01 430654874 SOUTHEAST MISSOURI HOSPITAL ASSOCIATION SOUT 5733344822 1701 LACEY STREET CAPE GIRARDEAU MO 63701 JOHN L SKEANS VICE PRESIDENT/CFO 5733344822 2014-11-12 true MARK DALLAS P00187265 6185291040 2014-11-12 2013 2015-11-30 17:44:51Z SOUTHEASTHEALTH JOHN L SKEANS 1701 LACEY ST CAPE GIRARDEAU MO 637015230 369006760 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. 42 38 3186 209 12666502 -745434 212241 3128292 315798769 307503304 7242823 5622492 -870392 -1148472 322383441 315105616 1904702 0 140876943 160415411 0 0 160413857 184769543 301290800 347089656 21092641 -31984040 381812031 402256912 152657180 201609969 229154851 200646943 X PROVIDER OF HEALTHCARE SERVICE - WITH A MISSION TO MAKE A DIFFERENCE THROUGH A COMMITMENT TO EXCELLENCE IN HEALTH CARE. false false 347089656 1904702 296965845 SOUTHEAST MISSOURI HOSPITAL ASSOCIATION (SOUTHEASTHEALTH) PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. SOUTHEAST MISSOURI HOSPTIAL ASSOCIATION RECORDED 36,235 ADULT AND CHILDREN PATIENT DAYS AND 2,907 NEWBORN PATIENT DAYS DURING 2013. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF SOUTHEASTHEALTH, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES AND FURTHER THAT THE MISSION IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. THEREFORE, THE HOSPITAL SERVES ALL MEMBERS OF THE COMMUNITY WITH: - FREE CARE AND/OR SUBSIDIZED CARE, - CARE PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST, AND - HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, PROFESSIONAL EDUCATION PROGRAMS, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. SOUTHEASTHEALTH PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS (MEDICARE AND MEDICAID) AT BELOW ACTUAL COST. SOUTHEASTHEALTH USES AN OVERALL HOSPITAL COST TO CHARGE RATIO TO CALCULATE THE UNPAID COST OF CHARITY CARE AND USES THE MEDICARE/MEDICAID COST REPORTS TO DETERMINE THE UNPAID COST OF THESE GOVERNMENT PROGRAMS. THE AMOUNTS BELOW REFLECT THE QUANTIFIABLE COSTS OF SOUTHEASTHEALTH'S COMMUNITY BENEFIT FOR THE YEAR ENDED DECEMBER 31, 2013. BENEFITS FOR THE POOR AND THE BROADER COMMUNITY CHARITY CARE AT COST 5,340,126 UNPAID COST OF MEDICARE 25,686,900 UNPAID COST OF MEDICAID 8,776,774 COMMUNITY HEALTH SERVICES 5,079 COLLEGE AND HEALTH SCIENCES SUBSIDY 2,321,813 CASH CONTRIBUTIONS TO COMMUNITY GROUPS 6,693 TOTAL COMMUNITY BENEFIT 42,137,385 BENEFITS FOR THE POOR REPRESENT THE COST OF SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTH CARE BECAUSE OF INADEQUATE RESOURCES AND WHO ARE UNINSURED OR UNDERINSURED. BENEFITS FOR THE BROADER COMMMUNITY REPRESENT THE COST OF SERVICES PROVIDED TO OTHER NEEDY POPULATIONS THAT MAY NOT QUALIFY AS POOR, BUT THAT NEED SPECIAL SERVICES AND SUPPORT. THESE PROGRAMS ARE NOT FINANCIALLY SELF-SUPPORTING. COMMUNITY HEALTH SERVICES ARE ACTIVITIES AND SERVICES FOR WHICH NO PATIENT BILL EXISTS, ALTHOUGH THERE MAY BE NOMINAL PATIENT FEES. THESE SERVICES ARE NOT EXPECTED TO BE FINANCIALLY SELF-SUPPORTING, ALTHOUGH SOME MAY BE PARTIALLY SUPPORTED BY OUTSIDE GRANTS OR FUNDING. THE COLLEGE OF NURSING AND HEALTH SCIENCES IS AN INSTITUTION OF HIGHER LEARNING THAT SPECIALIZES IN THE PREPARATION OF INDIVIDUALS FOR HEALTH CARE CAREERS. THE PRIMARY MISSION OF THE COLLEGE IS TO RESPOND TO THE NEEDS OF THE COMMUNITY AND REGION THROUGH THE DEVELOPMENT OF PROGRAMS DESIGNED TO PREPARE QUALIFIED HEALTH CARE PROFESSIONALS IN CONTINUING IN HIGH DEMAND FIELDS. SOUTHEASTHEALTH ALSO PROVIDES A SIGNIFICANT AMOUNT OF UNCOMPENSATED CARE FOR PATIENTS WHICH IS NOT INCLUDED ABOVE, 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 THE ASSOCIATION REPORTED A PROVISION FOR UNCOLLECTIBLE ACCOUNTS OF 16,767,765 AT COST. CHARITY CARE IS ALSO PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR. 347089656 true true false false false false false false false true true false false true true true false true false false false false false false false false true true false true true true false true false false false false false true false false false false false false true true false false false true 167 0 3186 true true true false false false false false false false false false X 42 38 true false false false true false false true true false false true true true true true true true true false X SOUTHEAST MISSOURI HOSPITAL 5733344822 1701 LACEY ST CAPE GIRARDEAU MO 63701 GABRIEL SOTO MD CARDIOLOGIST 40.72 X 851708 0 8093 WAYNE SMITH PRESIDENT/CE 50.00 2.00 X X 437228 0 12617 JOHN M THOMPSON SYSTEM CHAIR REGIONAL/HOS 2.52 X 0 0 0 ROBERT G NEFF SYST 1ST VC/ 2.88 X 0 0 0 FRANK M KINDER SYSTEM 2ND VC HOSPITAL/MED 2.29 X 0 0 0 JAY B KNUDTSON SYSTEM SECTREAS REGIONAL/HOS 0.60 X 0 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MEDICAL VICE 0.50 X 0 0 0 KEVIN A VAUGHT MD MEDICAL DIRE 0.50 X 0 0 0 ILENA M ASLIN HOSPITAL DIR 1.13 X 0 0 0 MICHAEL W BENNETT HOSPITAL DIR 0.98 X 0 0 0 ROBERT W ERLBACHER II HOSPITAL DIR 0.82 X 0 0 0 ROBERT W ERLBACHER III HOSPITAL DIR 1.49 X 0 0 0 W CLIFF FORD HOSPITAL DIR 0.77 X 0 0 0 RONALD T HAHS HOSPITAL DIR 0.72 X 0 0 0 CHRISTOPHER L HUTSON HOSPITAL DIR 0.72 X 0 0 0 DAVID S LIMBAUGH HOSPITAL DIR 0.72 X 0 0 0 FRANK H MCGINTY MD HOSPITAL DIR 0.72 X 0 0 0 D PETE POE HOSP/COLLEGE 1.35 0.46 X 0 0 0 NARVOL A RANDOL JR HOSPITAL/COL 1.72 X 0 0 0 AUGUST RITTER III MD HOSPITAL DIR 1.23 X 0 0 0 PAUL W SANDER HOSPITAL DIR 0.72 X 0 0 0 PAUL J SHORT HOSPITAL DIR 0.72 X 0 0 0 W RAY SILLIMAN MD HOSPITAL DIR 0.72 X 0 0 0 DIANNE WOOLARD HOSPITAL DIR 0.72 X 0 0 0 PATRICK CARRON COLLEGE DIRE 0.13 X 0 0 0 JACKLYN S CLARK-OTTO COLLEGE DIRE 0.29 X 0 0 0 KAREN HENDRICKSON COLLEGE DIRE 0.23 X 0 0 0 BRANDIS L KNIGHT COLLEGE DIRE 0.29 X 0 0 0 KATE SANDERS COLLEGE DIRE 0.50 X 0 0 0 GEORGANNE SYLER COLLEGE DIRE 0.62 X 0 0 0 TERRI TOMLIN COLLEGE DIRE 0.46 X 0 0 0 JAMES W WENTE COLLEGE DIRE 0.15 X 0 0 0 HUBERT U KING CHIEF FINANC 50.00 2.00 X 340344 0 12554 ADAM J BRACKS STODDARD CEO 50.00 X 76928 0 2404 JAMES P LIMBAUGH EXECUTIVE VP 50.00 2.00 X 353850 0 14328 SYLVIA MOORE CHIEF OPERAT 50.00 2.00 X 346192 0 12547 D MATT SHOEMAKER DO VP & CMO 50.00 X 288714 0 0 PAULA HARRIS VP OF REGION 36.00 16.00 X 243092 0 0 LINCOLN SCOTT VP OF HUMAN 50.00 2.00 X 220485 0 15195 JUDY ASLIN CHIEF NURSIN 50.00 2.00 X 205598 0 12313 DANIEL L BERRY VP/GENERAL C 50.00 2.00 X 199612 0 11931 MICHAEL DOZIER CHIEF INFORM 50.00 2.00 X 190233 0 0 WILLIAM R OGLE CARDIO-THORA 40.00 0.00 X 890083 0 15273 DAVID A LAW CARDIOLOGIST 40.00 X 889970 0 11005 BRYAN S BECK CARDIOLOGIST 40.00 X 832407 0 1269 RANDY G BROWN CARDIO-THORA 40.00 0.00 X 795850 0 17448 MATTHEW D GAETA GASTROENTERO 40.00 X 795050 0 12179 DEBRA W LINNES FORMER PRESI 0.00 0.00 X 348797 0 12662 GREGORY L HUDSON FORMER VP 0.00 0.00 X 3116 0 154 8309257 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17681907 113554264 47780931 65773333 202534759 110555989 91978770 24369500 7020557 17348943 192782953 OTHER ACCOUNTS RECEIVABLE 12467190 DUE FROM SEH AFFILIATES 12026630 THIRD PARTY REIMBURSEMENT PROGRAM 5895310 DUE FROM RIPLEY COUNTY MEMORIAL 658517 31047647 ACCUM POST RETIRE BENEFITS 401027 BUILDING CONTRACTS PAYABLE 66571 467598 X SCHEDULE D, PAGE 2, PART V, LINE 4 SCHOLARSHIPS FOR NURSING STUDENTS. SCHEDULE D, PAGE 3, PART X THERE WERE NO PENALTIES, INTEREST, OR UNCERTAIN TAX BENEFITS IDENTIFIED AND RECORDED AS A LIABILITY AT DECEMBER 31, 2013 true true X true X true X false false true true 5324101 5324101 0.01530 52555040 43778266 8776774 0.02530 57879141 43778266 14100875 0.04060 5174296 2852483 2321813 0.00670 6693 6693 5180989 2852483 2328506 0.00670 63060130 46630749 16429381 0.04730 true 16063704 5622296 76739251 94034710 -17295459 X true true 3 1 SOUTHEAST MISSOURI HOSPITAL ASSOCIATION 1701 LACEY STREET CAPE GIRARDEAU MO 63701 X X X 2 SOUTHEASTHEALTH CENTER OF STODDARD 1200 NORTH ONE MILE ROAD DEXTER MO 63841 X X X 3 SOUTHEASTHEALTH CENTER OF REYNOLDS 100 HIGHWAY 21 N ELLINGTON MO 63638 X X X SOUTHEAST MISSOURI HOSPITAL 1 true X X X X X X X X X X 13 true true true X WWW.SEHEALTH.ORG X SFMC.NET AND BOLLINGERCOUNTYHEALTH.ORG X X X X X X X X X X X false false true true 100.000000000000 true 200.000000000000 true X X X true true X X true false true X false false SOUTHEASTHEALTH CENTER OF STODDARD 2 true X X X X X X X X X X 13 true true true X WWW.SEHEALTH.ORG X SFMC.NET AND BOLLINGERCOUNTYHEALTH.ORG X X false false true true 100.000000000000 true 200.000000000000 true X X X X true true X false false true X false false SOUTHEASTHEALTH CENTER OF REYNOLDS 3 true X X X X X X X X X X 13 true true true X WWW.SEHEALTH.ORG X X X X X X X X X true false true true 100.000000000000 true 100.000000000000 true X X X X true true X true false true X false false FACILITY 1, SOUTHEAST MISSOURI HOSPITAL - PART V, LINE 3 THE INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF CAPE GIRARDEAU COUNTY INCLUDED INVOLVING PEOPLE FROM THE FOLLOWING ORGANIZATIONS WHEN THE PRIMARY RESEARCH WAS CONDUCTED: - 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 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, MONORITY GROUPS, AND THOSE WITH CHRONIC DISEASE NEEDS. THE INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF BOLLINGER COUNTY INCLUDED INVOLVING PEOPLE FROM THE FOLLOWING ORGANIZATIONS WHEN THE PRIMARY RESEARCH WAS CONDUCTED: - 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 WHEN THE PRIMARY RESEARCH WAS CONDUCTED: - 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 THE INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF STODDARD COUNTY INCLUDED INVOLVING PEOPLE FROM THE FOLLOWING ORGANIZATIONS WHEN THE PRIMARY RESEARCH WAS CONDUCTED: - SOUTHEAST HEALTH CENTER OF STODDARD COUNTY (FORMERLY MISSOURI SOUTHERN HEALTHCARE) - DEXTER CHAMBER OF COMMERCE - STODDARD COUNTY PUBLIC HEALTH CENTER - REGIONAL HEALTHCARE FOUNDATION - STODDARD COUNTY AMBULANCE DISTRICT - STODDARD COUNTY 911 SERVICES - STODDARD COUNTY PUBLIC ADMINSTRATION OFFICE - STODDARD COUNTY COMMISSIONER AND CLERK FOCUS GROUPS GROUP SURVEYS IN THE FORM OF FOCUS GROUPS WERE CONDUCTED. PEOPLE WHO POSSESSED CERTAIN SIMILAR CHARACTERISTICS WERE ASSEMBLE AS A GROUP TO PARTICIPATE IN A FOCUSED DISCUSSION TO HELP UNDERSTAND THE TOPICS OF INTEREST. A LIST OF THE QUESTIONS ASKED IN EACH FOCUS GROUP WILL FOLLOW THIS PARAGRAPH AND CAN ALSO BE FOUND IN APPENDIX B OF THE CHNA. ADDITIONAL INFORMATION ON THE PARTICIPANTS OF THE FOCUS GROUP AND THEIR EXPERIENCE CAN ALSO BE FOUND IN THE CHNA AS PART OF APPENDIX C. 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. PRIMARY RESEARCH FIVE FOCUS GROUPS WERE HELD IN CAPE GIRARDEAU COUNTY, ONE FOCUS GROUP WAS HELD IN BOLLINGER COUNTY, ONE FOCUS GROUP WAS HELD IN SCOTT COUNTY AND ONE FOCUS GROUP WAS HELD IN STODDARD COUNTY. THE QUESTIONS ASKED CAN BE FOUND BELOW. SUMMARIES OF THESE FOCUS GROUPS ARE INCLUDED IN CHAPTER 6 OF THE CHNA. 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? SURVEYS COMPLETED INCLUDED 118 COMPLETED BY CAPE GIRARDEAU COUNTY RESIDENTS, 66 SURVEYS BY BOLLINGER COUNTY RESIDENTS, 161 SURVEYS BY SCOTT COUNTY RESIDENTS AND 179 BY STODDARD COUNTY RESIDENTS. THE SURVEYS WERE VERY EXTENSIVE AND CONSISTED OF FIVE DIFFERENT SECTIONS. THE SURVEY DEMOGRAPHICS WERE REPRESENTATIVE OF EACH OF THE ABOVE MENTIONED COUNTY'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, SOUTHEAST MISSOURI HOSPITAL - PART V, LINE 4 SAINT FRANCIS MEDICAL CENTER FOR ENTIRE CHNA MISSOURI DELTA MEDICAL CENTER FOR SCOTT COUNTY MISSOURI SOUTHERN/SOUTHEAST HEALTH OF STODDARD COUNTY FOR STODDARD COUNTY ASSESSMENT FACILITY 1, SOUTHEAST MISSOURI HOSPITAL - PART V, LINE 5C RESULTS WERE SHARED WITH FOUR COUNTY HEALTH CENTERS, POSTED ON WEBSITE, OUTLINED IN INFO-ADS IN ALL THE REGIONAL NEWSPAPERS AS WELL AS BEING COVERED NEWS STORIES IN THE MISSOURIAN, DAILY STATESMAN AND CASHBOOK. THERE WERE ALSO INTERVIEWS ON KRCU AND KZIM RADIO STATIONS. FACILITY 1, SOUTHEAST MISSOURI HOSPITAL - PART V, LINE 6I SOUTHEAST HEALTH WAS INSTRUMENTAL IN FORMING A COMMUNITY COALITION TO ADDRESS OBESITY IN CAPE GIRARDEAU COUNTY. THE COALITION IS ACTIVE AND CURRENTLY HAS SEVERAL INITIATIVES UNDERWAY. FACILITY 1, SOUTHEAST MISSOURI HOSPITAL - PART V, LINE 7 THE PRIORITIZED COMMUNITY HEALTH NEEDS ARE AS FOLLOWS: HEALTH ISSUES - CANCER - OBESITY - CHRONIC DISEASE - STROKE - HEART DISEASE - DIABETES - CHRONIC RESPIRATORY DISEASE - SUBSTANCE ABUSE - HEALTH CARE AVAILABILITY & AFFORDABILITY HEALTH BEHAVIORS - OVERALL HEALTHY LIFESTYLE - SMOKING - DIET AND EXCERCISE - DRUG AND ALCOHOL USE SMOKING IS BEING ADDRESSED IN THE PRENATAL POPULATION BUT NOT IN THE COMMUNITY AT THIS TIME. SAINT FRANCIS MEDICAL CENTER (A NEARBY FACILITY WHO THIS CHNA WAS CONDUCTED WITH)CURRENTLY HAS A GRANT FOR PUBLIC SMOKING CESSATION CLASSES AND CONDUCTS THOSE ON A REGULAR BASIS. OF THOSE NEEDS LISTED ABOVE, ALL ARE BEING ADDRESSED IN SOUTHEAST HOSPITAL'S IMPLEMENTATION PLAN EXCEPT FOR SUBSTANCE ABUSE AND DRUG AND ALCOHOL USE. 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 COMMUNITY BUT NOT DIRECTLY AS A HEALTH CARE PROVIDER. FACILITY 1, SOUTHEAST MISSOURI HOSPITAL - PART V, LINE 12I 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 FACILITY 1, SOUTHEAST MISSOURI HOSPITAL - PART V, LINE 20D SOUTHEASTHEALTH BILLS ALL PATIENTS WITH EMERGENCY OR MEDICALLY NECESSARY CARE AT THE SAME RATES REGARDLESS OF THE PATIENTS INSURED STATUS. FACILITY 2, SOUTHEASTHEALTH CENTER OF STODDARD - PART V, LINE 3 THE INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF STODDARD COUNTY INCLUDED INVOLVING PEOPLE FROM THE FOLLOWING ORGANIZATIONS WHEN THE PRIMARY RESEARCH WAS CONDUCTED: - SOUTHEAST HEALTH CENTER OF STODDARD COUNTY (FORMERLY MISSOURI SOUTHERN HEALTHCARE) - 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 FOCUS GROUPS GROUP SURVEYS IN THE FORM OF FOCUS GROUPS WERE CONDUCTED. PEOPLE WHO POSSESSED CERTAIN SIMILAR CHARACTERISTICS WERE ASSEMBLE AS A GROUP TO PARTICIPATE IN A FOCUSED DISCUSSION TO HELP UNDERSTAND THE TOPICS OF INTEREST. A LIST OF THE QUESTIONS ASKED IN EACH FOCUS GROUP WILL FOLLOW THIS PARAGRAPH AND CAN ALSO BE FOUND IN APPENDIX B OF THE CHNA. ADDITIONAL INFORMATION ON THE PARTICIPANTS OF THE FOCUS GROUP AND THEIR EXPERIENCE CAN ALSO BE FOUND IN THE CHNA AS PART OF APPENDIX C. 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. PRIMARY RESEARCH ONE FOCUS GROUP WAS HELD IN STODDARD COUNTY. THE QUESTIONS ASKED CAN BE FOUND BELOW. A SUMMARY OF THIS FOCUS GROUPS IS INCLUDED IN CHAPTER 6 OF THE CHNA. 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? SURVEYS COMPLETED INCLUDED 179 COMPLETED BY STODDARD COUNTY RESIDENTS. THE SURVEYS WERE VERY EXTENSIVE AND CONSISTED OF FIVE DIFFERENT SECTIONS. THE SURVEY DEMOGRAPHICS WERE REPRESENTATIVE OF STODDARD COUNTY'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 2, SOUTHEASTHEALTH CENTER OF STODDARD - PART V, LINE 4 MISSOURI SOUTHERN SOUTHEAST HOSPITAL SAINT FRANCIS MEDICAL CENTER FACILITY 2, SOUTHEASTHEALTH CENTER OF STODDARD - PART V, LINE 5C RESULTS WERE SHARED WITH FOUR COUNTY HEALTH CENTERS, POSTED ON WEBSITE, OUTLINED IN INFO-ADS IN ALL THE REGIONAL NEWSPAPERS AS WELL AS BEING COVERED NEWS STORIES IN THE MISSOURIAN, DAILY STATESMAN AND CASHBOOK. THERE WERE ALSO INTERVIEWS ON KRCU AND KZIM RADIO STATIONS. FACILITY 2, SOUTHEASTHEALTH CENTER OF STODDARD - PART V, LINE 7 THE PRIORITIZED COMMUNITY HEALTH NEEDS ARE AS FOLLOWS: 5 PRIORITY HEALTH NEEDS (AND ASSOCIATED BEHAVIORAL NEEDS) - CANCER (SMOKING) - OBESITY (DIET AND EXERCISE) - CHRONIC DISEASE - STROKE (HEALTHY LIFESTYLE) - HEART DISEASE (SMOKING) - DIABETES (DIET AND EXERCISE) - CHRONIC RESPIRATORY DISEASE (SMOKING) - SUBSTANCE ABUSE (DRUG AND ALCOHOL) - HEALTH CARE AVAILABILITY & AFFORDABILITY (ACCESS AND UNINSURED) SMOKING IS BEING ADDRESSED IN THE PRENATAL POPULATION BUT NOT IN THE COMMUNITY AT THIS TIME. OF THOSE NEEDS LISTED ABOVE, ALL ARE BEING ADDRESSED IN SOUTHEAST HEALTH CENTER OF STODDARD COUNTY'S IMPLEMENTATION PLAN EXCEPT FOR SUBSTANCE ABUSE AND DRUG AND ALCOHOL USE. THE 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 OF SOUTHEAST HOSPITAL (NEARBY RELATED FACILITY DISCLOSED PREVIOUSLY). 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 COMMUNITY BUT NOT DIRECTLY AS A HEALTH CARE PROVIDER. FACILITY 2, SOUTHEASTHEALTH CENTER OF STODDARD - PART V, LINE 20D SOUTHEASTHEALTH CENTER OF STODDARD BILLS ALL PATIENTS WITH EMERGENCY OR MEDICALLY NECESSARY CARE AT THE SAME RATES REGARDLESS OF THE PATIENTS INSURED STATUS. FACILITY 3, SOUTHEASTHEALTH CENTER OF REYNOLDS - PART V, LINE 3 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 FOCUS GROUPS GROUP SURVEYS IN THE FORM OF FOCUS GROUPS WERE CONDUCTED. PEOPLE WHO POSSESSED CERTAIN SIMILAR CHARACTERISTICS WERE ASSEMBLE AS A GROUP TO PARTICIPATE IN A FOCUSED DISCUSSION TO HELP UNDERSTAND THE TOPICS OF INTEREST. A LIST OF THE QUESTIONS ASKED IN EACH FOCUS GROUP WILL FOLLOW THIS PARAGRAPH AND CAN ALSO BE FOUND IN APPENDIX B OF THE CHNA. ADDITIONAL INFORMATION ON THE PARTICIPANTS OF THE FOCUS GROUP AND THEIR EXPERIENCE CAN ALSO BE FOUND IN THE CHNA AS PART OF APPENDIX C. 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. PRIMARY RESEARCH ONE FOCUS GROUP WAS HELD IN REYNOLDS COUNTY AND THE QUESTIONS ASKED CAN BE FOUND BELOW. A SUMMARY OF THIS FOCUS GROUP IS INCLUDED IN CHAPTER 6 OF THE CHNA. 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? THIRTY-EIGHT SURVEYS WERE COMPLETED BY REYNOLDS COUNTY RESIDENTS. THE SURVEYS WERE VERY EXTENSIVE AND CONSISTED OF FIVE DIFFERENT SECTIONS. THE SURVEY DEMOGRAPHICS WERE REPRESENTATIVE OF REYNOLDS COUNTY'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 3, SOUTHEASTHEALTH CENTER OF REYNOLDS - PART V, LINE 4 SOUTHEAST HOSPITAL FACILITY 3, SOUTHEASTHEALTH CENTER OF REYNOLDS - PART V, LINE 20D SOUTHEASTHEALTH CENTER OF REYNOLDS BILLS ALL PATIENTS WITH EMERGENCY OR MEDICALLY NECESSARY CARE AT THE SAME RATES REGARDLESS OF THE PATIENTS INSURED STATUS. 48 SOUTHEAST CANCER CENTER 817 S MT AUBURN RD CAPE GIRARDEAU MO 63703 OUTPATIENT MEDICAL SERVICES HEMATOLOGY-ONCOLOGY SERVICES OF SOUTHEAST MISSOURI HOSPITAL 1723 BROADWAY SUITE 315 CAPE GIRARDEAU MO 63701 OUTPATIENT PHYSICIAN CLINIC WEST CAMPUS IMAGINING 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 JACKSON MO 63755 OUTPATIENT REHAB SERVICES WOUND CARE & HYPERBARIC MEDICINE 310 S SILVER SPRINGS DR CAPE GIRARDEAU MO 63701 OUTPATIENT MEDCIAL SERVICES DOCTORS PARK LAB 37 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 SERVICES OF SOUTEASTH MISSOURI HOSPITAL 1723 BROADWAY SUITE 220 CAPE GIRARDEAU MO 63701 OUTPATIENT PHYSICIAN CLINIC OBSTETRICS & GYNECOLOGY SERVICES OF SOUTHEAST MISSOURI HOSPITAL 1723 BROADWAY SUITE 315 CAPE GIRARDEAU MO 63701 OUTPATIENT PHYSICIAN CLINIC CARDIAC AND VASCULAR SURGEONS OF SOUTHEAST MISSOURI HOSPITAL 1723 BROADWAY SUITE 310 CAPE GIRARDEAU MO 63701 OUTPATIENT PHYSICIAN CLINIC PLAZA PRIMARY CARE WEST 817 SOUTH MT AUBURN ROAD CAPE GIRARDEAU MO 63703 OUTPATIENT PHYSICIAN 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 SCIENCES 2001 WILLIAM ST CAPE GIRARDEAU MO 63703 EDUCATION AL FACILITY NEUROSCIENCES CENTER OF SOUTHEAST MISSOURI HOSPITAL 1723 BROADWAY SUITE 210 CAPE GIRARDEAU MO 63701 OUTPATIENT PHYSICIAN CLINIC MAIN STREET PHARMACY 2685 EAST MAIN STREET JACKSON MO 63755 RETAIL PHARMACY PLAZA PRIMARY CARE 1723 BROADWAY SUITE 205 CAPE GIRARDEAU MO 63701 OUTPATIENT PHYSICIAN CLINIC SOUTHEAST PEDIATRICS 817 S MT AUBURN RD CAPE GIRARDEAU MO 63703 OUTPATIENT PHYSICIAN CLINIC ENDOCRONOLOGY SERVICES OF SOUTHEAST MISSOURI HOSPITAL 15 DOCTORS PARK CAPE GIRARDEAU MO 63703 OUTPATIENT PHYSICIAN CLINIC PULMONOLOGY SERVICES OF SOUTHEAST MISSOURI HOSPITAL 1723 BROADWAY SUITE 305 CAPE GIRARDEAU MO 63701 OUTPATIENT PHYSICIAN CLINIC PLAZA PHARMACY WEST 817 S MT AUBURN RD CAPE GIRARDEAU MO 63703 RETAIL PHARMACY WEST CAMPUS LAB 817 S MT AUBURN RD CAPE GIRARDEAU MO 63703 OUTPATIENT LABORATORY SERVICES PHYSICAL MEDICINE AND REHAB SERVICE OF SOUTHEAST MISSOURI HOSPITAL 2126 INDEPENDENCE CAPE GIRARDEAU MO 63701 OUTPATIENT PHYSICIAN CLINIC OCCUPATIONAL MEDICINE SERVICES OF SOUTHEAST MISSOURI HOSPITAL 2126 INDEPENDENCE CAPE GIRARDEAU MO 63701 OUTPATIENT PHYSICIAN CLINIC HEATLHPOINT FITNESS - JACKSON 410 WEST MAIN STREET JACKSON MO 63755 FITNESS FACILITY SEMO CAMPUS CLINIC SOUTHEAST MO STATE UNIVERSITY CAPE GIRARDEAU MO 63701 OUTPATIENT CLINIC DIABETES CENTER OF SOUTHEAST SOUTHEAST MISSOURI HOSPITAL 15 DOCTORS PARK CAPE GIRARDEAU MO 63703 OUTPATIENT MEDICAL SERVICES LAUNDRY SERVICES 122 S SPANISH CAPE GIRARDEAU MO 63703 LAUNDRY FACILITY SHOW MOBILE MOBILE CLINIC CAPE GIRARDEAU MO 63701 OUTPATIENT CLINIC SOUTHEAST INTERNAL MEDICINE 817 S MT AUBURN RD CAPE GIRARDEAU MO 63703 OUTPATIENT PHYSICIAN CLINIC INTERNAL MEDICINE OF DEXTER 1300 N ONE MILE ROAD SUITE 1 DEXTER MO 63841 RURAL HEALTH CLINIC CHILDRENS CLINIC OF DEXTER 1300 N ONE MILE ROAD SUITE 2 DEXTER MO 63841 RURAL HEALTH CLINIC FAMILY MEDICINE OF DEXTER 115 E BUSINESS US HIGHWAY 60 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 JIBBEN MEDICAL CLINIC 1525 W BUSINESS HWY 60 DEXTER MO 63841 PHYSICIAN CLINIC HOME HEALTH OF DEXTER 1300 N ONE MILE ROAD SUITE 7 DEXTER MO 63841 HOSPITAL BASED HHA FOOT & ANKLE CLINIC 2002 KANELL BLVD POPLAR BLUFF MO 63901 OUTREACH CLINIC FAMILY MEDICINE OF ELLINGTON 350 EAST WALNUT ELLINGTON MO 63638 PHYSICIAN CLINIC FAMILY MEDICINE OF VAN BUREN 1009 HIGHWAY BUSINESS 60 VAN BUREN MO 63965 PHYSICIAN 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 PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION SOUTHEASTHEALTH USED A COST TO CHARGE RATIO AS CALCULATED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, INCLUDED IN THE SCHEDULE H INSTRUCTIONS TO DETERMINE THE AMOUNTS ON LINES 7A AND 7B OF PART I OF SCHEDULE H. SOUTHEASTHEALTH USED ACTUAL COSTS AS REPORTED IN THE GENERAL LEDGER SYSTEM TO DETERMINE THE AMOUNTS ON LINE 7J OF PART I OF SCHEDULE H. SCHEDULE H, PART I, LINE 7F WAS DETERMINED USING BOTH ACTUAL AMOUNTS FROM SOUTHEASTHEALTH'S GENERAL LEDGER PLUS AN ALLOCATION OF OVERHEAD COSTS. THE OVERHEAD COSTS WERE DETERMINED BY USING OVERHEAD ALLOCATED ON THE MEDICARE COST REPORT TO CALCULATE AN OVERHEAD PERCENTAGE. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY SOUTHEASTHEALTH CALCULATED BAD DEBT EXPENSE AT COST USING THE COST TO CHARGE RATIO AS CALCULATED USING WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS. PATIENT ACCOUNTS ARE WRITTEN OFF TO BAD DEBT ONLY AFTER ALL COLLECTION PROCEDURES HAVE BEEN EXHAUSTED AS OUTLINED IN SCHEDULE H, PART III, LINE 9B. PATIENT ACCOUNTS ARE WRITTEN OFF TO BAD DEBT AFTER ALL DISCOUNTS AND PAYMENTS HAVE BEEN APPLIED. PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE BASED ON THE ASSOCIATION'S EXPERIENCE WITH ALL ITS PATIENTS, THEY ESTIMATE THAT IT IS LIKELY THAT UP TO 35% OF THE PATIENT ACCOUNTS WRITTEN OFF TO BAD DEBTS MAY QUALIFY FOR CHARITY CARE OR OTHER ASSISTANCE BUT CHOSE NOT TO APPLY. THEREFORE, 35% OF THE BAD DEBT EXPENSE WAS INCLUDED ON PART III, LINE 3 AT COST. BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS FOLLOWING IS THE TEXT OF THE BAD DEBT EXPENSE FOOTNOTE EXACTLY AS IT APPEARS IN THE FISCAL YEAR 2013 FINANCIAL STATEMENTS: SOUTHEASTHEALTH ALSO PROVIDES A SIGNIFICANT AMOUNT OF UNCOMPENSATED CARE FOR PATIENTS WHICH IS NOT INCLUDED ABOVE, 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 DECEMBER 31, 2013 AND 2012, SOUTHEASTHEALTH REPORTED BAD DEBT EXPENSE; AT COST, OF 16,767,765 AND 10,182,619, RESPECTIVELY. PART III, LINE 8 - MEDICARE EXPLANATION THE FISCAL YEAR 2013 MEDICARE COST REPORT WAS USED TO DETERMINE THE UNPAID COST OF MEDICARE. UNPAID COST OF MEDICARE REPRESENTS THE COST OF PROVIDING SERVICES TO PRIMARILY ELDERLY BENEFICIARIES OF THE MEDICARE PROGRAM, IN EXCESS OF PAYMENTS FOR THOSE SERVICES. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFTIS, 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. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION BILLING, CREDIT AND COLLECTION POLICY THE BUSINESS OFFICE OF SOUTHEASTHEALTH WILL ASSIST ALL PATIENTS IN THE BILLING OF INSURANCE CLAIMS TO GOVERNMENTAL AGENCIES, COMMERCIAL INSURANCE CARRIERS AND OTHER THIRD PARTIES FOR THE PURPOSE OF INSURING PROMPT RECEIPT OF PATIENT OBLIGATIONS. SELF-PAY PATIENTS (PATIENTS WITHOUT HEALTH CARE INSURANCE) WILL BE COOPERATED WITH FULLY WHILE BEING ENCOURAGED TO SATISFY THEIR FINANCIAL OBLIGATIONS TO SOUTHEASTHEALTH ON A TIMELY BASIS. AN ATMOSPHERE OF MUTUAL UNDERSTANDING BETWEEN THE PATIENTS WE SERVE AND OURSELVES WILL BE MAINTAINED AT ALL TIMES. SOUTHEASTHEALTH WILL BILL PATIENTS OR THIRD PARTIES ONLY FOR SERVICES ACTUALLY PROVIDED TO PATIENTS AND WILL PROVIDE ASSISTANCE TO PATIENTS SEEKING TO UNDERSTAND THE COST RELATIVE TO THEIR CARE. STAFF WILL ALSO ATTEMPT TO RESOLVE QUESTIONS AND OBJECTIONS TO THE SATISFACTION OF THE PATIENT WHILE CONSIDERING THE 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. PART VI, LINE 2 - NEEDS ASSESSMENT O FORMED COLLABORATIVE PARTNERSHIP WITH ST. FRANCIS MEDICAL CENTER (THE OTHER MAJOR HOSPITAL IN THE REGION) IN JANUARY 2012. O 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. O COLLECTED SECONDARY DATA. O HELD FOCUS GROUPS. 6 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. WE INCLUDED EMS, LAW ENFORCEMENT, EDUCATORS, HEALTH CARE PROVIDERS, SOCIAL WORKERS, NON-PROFIT ORGANIZATIONS, AND OTHERS. O ADMINISTERED APPROXIMATELY 650 SURVEYS, MOSTLY IN SMALL GROUPS AND ONE- ON-ONE. APPROX. 525 WERE USED. O ASSESSED ALL PRIMARY & SECONDARY DATA; COUNTY BY COUNTY. O 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. O 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 EFFECT CHANGE. O CREATED A LIST OF PRIORITIZED HEALTH NEEDS AND BEHAVIORS. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE ALL PATIENT BILLING STATEMENTS FOR SOUTHEASTHEALTH INCLUDE A STATEMENT THAT THE PATIENT MAY CONTACT THE ASSOCIATION WITH ANY QUESTIONS OR PAYMENT ISSUES REGARDING THEIR BILL. IF A PATIENT CONTACTS SOUTHEASTHEALTH WITH AN INABILITY TO MAKE PAYMENT ISSUE, THEY INFORM THE PATIENT OF THE AVAILABLE OPTIONS INCLUDING CHARITY CARE AND OTHER ASSISTANCE. THEY ALSO EXPLAIN HOW THE PATIENT CAN APPLY FOR ASSISTANCE. 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 WITH A MOSTLY RURAL POPULATION OF 12,363. WHITES COMPRISE 97.9% OF THE TOTAL POPULATION AND 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 HAS19.7% 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% OF THE 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 26.1% ON MEDICAID, 17.96% ON FOOD STAMPS, AND 17% UNINSURED. STODDARD COUNTY IS LOCATED IN SOUTHEAST MISSOURI WITH A MOSTLY RURAL POPULATION OF 29,968. WHITES COMPRISE 97.3% OF THE TOTAL POPULATION AND THE COUNTY HAS A HIGHER PERCENTAGE OF THE 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 ONLY 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. SOUTHEASTHEALTH ALSO PROVIDES SERVICES TO AN AREA CONSISTING OF 18 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. 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 (WITH A SPECIAL EMPHASIS ON CHILDHOOD OBESITY), SMOKING CESSATION PROGRAMS 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. PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT MISSOURI ADDITIONAL INFORMATION 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. SOUTHEAST OFFERS A TOLL-FREE HEALTHLINE WHICH PROVIDES FREE INFORMATION ABOUT HOSPITAL AND COMMUNITY HEALTH SERVICES AS WELL AS FREE PHYSICIAN REFERRAL INFORMATION. IN ADDITION, SOUTHEASTHEALTH COLLABORATES WITH SOUTHEAST MISSOURI STATE UNIVERSITY TO PROVIDE THE S.H.O.W. (SOUTHEAST HEALTH ON WHEELS) MOBILE TO COMMUNITIES THROUGHOUT THE 8TH CONGRESSIONAL DISTRICT OF SOUTHEAST MISSOURI. THE S.H.O.W. MOBILE PROVIDES PRIMARY CARE AND HEALTH SCREENING SERVICES TO NUMEROUS COMMUNITIES IN SOUTHEAST MISSOURI, MANY OF WHICH ARE UNDERSERVED IN TERMS OF ACCESS TO PRIMARY HEALTH CARE. false PELL GRANTS 159 364308 FEDERAL STUDENT LOANS 242 1525394 NURSING SCHOLARSHIPS 19 15000 SCHEDULE I, PAGE 1, PART I, LINE 2 FEDERAL STUDENT LOANS AND PELL GRANTS: PROCEDURES IN PLACE TO MONITOR THE FEDERAL STUDENT LOANS AND PELL GRANTS ARE VIRTUALLY THE SAME AND AS FOLLOWS: THESE LOANS AND GRANTS ARE ADMINISTERED BY THE SOUTHEASTHEALTH 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 (SARS) 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 SUPPORTING DOCUMENTATION TO VERIFY THE INFORMATION THEY PROVIDED ON THE FASFA. THE STUDENT SERVICE COORDINATOR DRAWS UP A FINANCIAL AWARD 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 SERVICE 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 APPLICANTS NEED AND THEREFORE HOW MUCH OF A FINANCIAL AWARD TO OFFER. EACH 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 UN-SUBSIDIZED LOANS. THE INTEREST ON THE SUBSIDIZED LOAN IS PAID BY THE LENDER WHILE THE UN-SUBSIDIZED LOANS INTEREST IS PAID BY THE DEBTOR. THE STUDENT SERVICE COORDINATOR MAINTAINS FINANCIAL FILES FOR ALL THE STUDENTS WHO RECEIVE AID. THE COLLEGE IS RESPONSIBLE FOR THE FOLLOWING 1.DETERMINING STUDENT ELIGIBILITY 2.VERIFYING STUDENT DATA 3.CALCULATING, AS REQUIRED, THE AMOUNT OF FINANCIAL AID A STUDENT CAN RECEIVE 4.COMPLETING AND/OR CERTIFYING PARTS OF VARIOUS LOAN APPLICATIONS AND/OR PROMISSORY NOTES 5.DRAWING FUNDS FROM THE FEDERAL GOVERNMENT AND DISBURSING OR DELIVERING SFA FUNDS TO STUDENTS DIRECTLY OR BY CREDITING STUDENTS ACCOUNTS 6.MAKING BORROWERS AWARE OF LOAN REPAYMENT RESPONSIBILITIES 7.SUBMITTING, AS REQUESTED, DATA ON BORROWERS LISTED ON NATIONAL STUDENT LOAN DATA SYSTEM (NSLDS) ROSTER 8.RETURNING FUNDS TO STUDENTS, 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, AND 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 RE-VISIT THIS WEBSITE UPON COMPLETION OF THE PROGRAM TO COMPLETE LOAN EXIT COUNSELING. SCHOLARSHIPS: THE SCHOLARSHIPS ARE ADMINISTERED BY THE AUXILLIARY AND ARE GENERALLY PAID DIRECTLY TO THE COLLEGE OR UNIVERSITY THE STUDENT WHO RECEIVES THE SCHOLARSHIP IS ATTENDING. X X X true false false false false false false false false GABRIEL SOTO MD CARDIOLOGIST/BOARD 463121 388106 481 8093 34225 859801 WAYNE SMITH PRESIDENT/CEO 425006 12222 12617 19032 449845 HUBERT U KING CHIEF FINANCIAL OFFI 320008 20336 12554 18372 352898 JAMES P LIMBAUGH EXECUTIVE VP 310003 19375 24472 14328 18232 368178 SYLVIA MOORE CHIEF OPERATING OFFI 341760 4432 12547 16281 358739 D MATT SHOEMAKER DO VP & CMO 288460 254 21669 288714 PAULA HARRIS VP OF REGIONAL OPERA 242885 207 21540 243092 LINCOLN SCOTT VP OF HUMAN RESOURCE 219379 1106 15195 18554 235680 JUDY ASLIN CHIEF NURSING OFFICE 205218 380 12313 25450 217911 DANIEL L BERRY VP/GENERAL COUNSEL 198844 768 11931 24363 211543 MICHAEL DOZIER CHIEF INFORMATION OF 190106 127 11917 190233 WILLIAM R OGLE CARDIO-THORACIC SURG 753595 134970 1518 15273 27835 905356 DAVID A LAW CARDIOLOGIST 327968 561243 759 11005 24092 900975 BRYAN S BECK CARDIOLOGIST 485568 346322 517 1269 15663 833676 RANDY G BROWN CARDIO-THORACIC SURG 732614 62246 990 17448 32042 813298 MATTHEW D GAETA GASTROENTEROLOGIST 750741 43715 594 12179 26166 807229 DEBRA W LINNES FORMER PRESIDENT/CEO 346981 1816 12662 19037 361459 GREGORY L HUDSON FORMER VP 3078 38 154 109 3270 SCHEDULE J, PAGE 1, PART I, LINE 4 DEBRA W LINNES 380,496 0 0 GREGORY L HUDSON 3,379 0 0 A INDUSTRIAL DEVELOPMENT AUTHORITY 431193901 139404DD6 2007-04-12 101802089 REFUND EXISTING DEBT & CAPITAL PROJECT true false false B REVENUE BONDS SERIES 2013A 431193901 2013-10-17 40000000 REFINANCE EXISTING DEBT & CAPITAL PROJECTS false false false C REVENUE BONDS SERIES 2013B 431282203 2013-10-17 20000000 REFINANCE EXISTING DEBT & CAPITAL PROJECTS false false false A 100036261 8576383 798559 35252309 30469119 2010 true true true true B 40000000 2792425 180200 6729400 30297975 true false false true C 20000000 115800 1646458 9741930 8495812 false false false true A false false false false false false true B false false false false false false false C false false false false false false false A true false false true BANK OF NEWYORK MELLON TRUST COMPANY 3.000000000000 true false false B false true false false false false false false false C false true false false false false false false false FKINDER (CEO OF RED LETTER COMM) BOARD TRUSTEE 2198355 ADVERTISING SERVICES false R NEFF (OWNER OF FORD GROVES) BOARD TRUSTEE 99473 VEHICLE PURCHASES false NARANDOL (TRUSTEE OF D RANDOL TRU BOARD TRUSTEE 55740 PROPERTY LEASE false FORM 990, PAGE 2, PART III, LINE 4A - FREE CARE AND/OR SUBSIDIZED CARE, - CARE PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST, AND - HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, PROFESSIONAL EDUCATION PROGRAMS, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. SOUTHEASTHEALTH PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS (MEDICARE AND MEDICAID) AT BELOW ACTUAL COST. SOUTHEASTHEALTH USES AN OVERALL HOSPITAL COST TO CHARGE RATIO TO CALCULATE THE UNPAID COST OF CHARITY CARE AND USES THE MEDICARE/MEDICAID COST REPORTS TO DETERMINE THE UNPAID COST OF THESE GOVERNMENT PROGRAMS. THE AMOUNTS BELOW REFLECT THE QUANTIFIABLE COSTS OF SOUTHEASTHEALTH'S COMMUNITY BENEFIT FOR THE YEAR ENDED DECEMBER 31, 2013. BENEFITS FOR THE POOR AND THE BROADER COMMUNITY CHARITY CARE AT COST 5,340,126 UNPAID COST OF MEDICARE 25,686,900 UNPAID COST OF MEDICAID 8,776,774 COMMUNITY HEALTH SERVICES 5,079 COLLEGE AND HEALTH SCIENCES SUBSIDY 2,321,813 CASH CONTRIBUTIONS TO COMMUNITY GROUPS 6,693 TOTAL COMMUNITY BENEFIT 42,137,385 BENEFITS FOR THE POOR REPRESENT THE COST OF SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTH CARE BECAUSE OF INADEQUATE RESOURCES AND WHO ARE UNINSURED OR UNDERINSURED. BENEFITS FOR THE BROADER COMMMUNITY REPRESENT THE COST OF SERVICES PROVIDED TO OTHER NEEDY POPULATIONS THAT MAY NOT QUALIFY AS POOR, BUT THAT NEED SPECIAL SERVICES AND SUPPORT. THESE PROGRAMS ARE NOT FINANCIALLY SELF-SUPPORTING. COMMUNITY HEALTH SERVICES ARE ACTIVITIES AND SERVICES FOR WHICH NO PATIENT BILL EXISTS, ALTHOUGH THERE MAY BE NOMINAL PATIENT FEES. THESE SERVICES ARE NOT EXPECTED TO BE FINANCIALLY SELF-SUPPORTING, ALTHOUGH SOME MAY BE PARTIALLY SUPPORTED BY OUTSIDE GRANTS OR FUNDING. THE COLLEGE OF NURSING AND HEALTH SCIENCES IS AN INSTITUTION OF HIGHER LEARNING THAT SPECIALIZES IN THE PREPARATION OF INDIVIDUALS FOR HEALTH CARE CAREERS. THE PRIMARY MISSION OF THE COLLEGE IS TO RESPOND TO THE NEEDS OF THE COMMUNITY AND REGION THROUGH THE DEVELOPMENT OF PROGRAMS DESIGNED TO PREPARE QUALIFIED HEALTH CARE PROFESSIONALS IN CONTINUING IN HIGH DEMAND FIELDS. SOUTHEASTHEALTH ALSO PROVIDES A SIGNIFICANT AMOUNT OF UNCOMPENSATED CARE FOR PATIENTS WHICH IS NOT INCLUDED ABOVE, 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 THE ASSOCIATION REPORTED A PROVISION FOR UNCOLLECTIBLE ACCOUNTS OF 16,767,765 AT COST. CHARITY CARE IS ALSO PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR. FORM 990, PAGE 6, PART VI, LINE 2 SOUTHEAST MISSOURI HOSPITAL ASSOC. = SEHOSP ROBERT W ERLBACHER II - SEHOSP ROBERT W ERLBACHER III - SEHOSP TRUSTEE TRUSTEE FAMILY RELATIONSHIP KEVIN FORD - SEHOSP CLIFF FORD - SEHOSP TRUSTEE TRUSTEE FAMILY & BUSINESS RELATIONSHIP FORM 990, PAGE 6, PART VI, LINE 6 FOR THE FIRST PART OF THE FISCAL YEAR, SOUTHEAST MISSOURI HOSPITAL ASSOCIATION HAD MEMBERS WHOSE RIGHTS WERE LIMITED TO ATTENDING REGULAR MEETINGS OF THE MEMBERS AND AND VOTING ON ANY MOTIONS BROUGHT BEFORE THEM. BUSINESS MATTERS WERE CONDUCTED BY THE BOARD OF TRUSTEES, NOT THE ASSOCIATION MEMBERS. EFFECTIVE FOR THE LAST QUARTER IN THE FISCAL YEAR, A CHANGE WAS MADE FROM AN ASSOCIATION TO A 13 MEMBER SYSTEM BOARD. FORM 990, PAGE 6, PART VI, LINE 11B A COPY OF THE FEDERAL FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD OF TRUSTEES FOR REVIEW PRIOR TO BEING FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PAGE 6, PART VI, LINE 12C ALL TRUSTEES AND KEY EMPLOYEES (ADMINISTRATIVE STAFF) ARE REQUIRED TO READ THE ORGANIZATIONAL ETHICS STATEMENT ANNUALLY AND COMPLETE A CERTIFICATION STATEMENT TO THAT EFFECT. FORM 990, PAGE 6, PART VI, LINE 15A 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. FORM 990, PAGE 6, PART VI, LINE 15B 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. FORM 990, PAGE 6, PART VI, LINE 19 COPIES OF THE SOUTHEAST HOSPITAL ASSOCIATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND FEDERAL FORM 990 ARE AVAILABLE AT THE ADMINISTRATIVE OFFICE UPON REQUEST. SOUTHEAST MISSOURI HOSPITAL PHYSICI 1701 LACEY STREET CAPE GIRARDEAU MO 63701 431912860 PHYSICIANS MO -15495745 SEH SOUTHEASTHEALTH CENTER OF REYNOLDS 100 HIGHWAY 21 SOUTH ELLINGTON MO 63638 461480575 HEALTHCARE MO -5263061 SEH SOUTHEASTHEALTH CENTER OF STODDARD 1200 NORTH ONE MILE ROAD DEXTER MO 63841 461481133 HEALTHCARE MO -2178105 SEH SOUTHEASTHEALTH HOSPITAL HOLDINGS 2002 KANELL BOULEVARD POPLAR BLUFF MO 63901 461480915 HOLDING CO MO -974342 SEH SOUTHEASTHEALTH PHARMACY LLC 2002 KANELL BOULEVARD SUITE 102 POPLAR BLUFF MO 63901 461606996 PHARMACY MO 117751 SEH SERVIR LLC 1701 LACEY STREET CAPE GIRARDEAU MO 63701 452912066 IT MO -9604445 SEH SOUTHEAST HOSPITAL BASED PHYSICIANS 1701 LACEY STREET CAPE GIRARDEAU MO 63701 464717170 PHYSICIANS MO SEH SOUTHEAST MO HOSPITAL FOUNDATION 1701 LACEY STREET CAPE GIRARDEAU MO 63701 431122759 SUPPORT MO 501C3 11A N/A false SOUTHEAST HEALTH OF RIPLEY COUNTY 109 PLUM STREET DONIPHAN MO 63935 273868479 MANAGEMENT MO 501C3 11A SEH false false false true true false false false false false false false false true true true true true false false