SAINT FRANCIS MEDICAL CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: SAINT FRANCIS MEDICAL CENTER (EIN 23-7246265)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-02-14
IRS object ID: 201440459349300449
Schema version: 2012v2.3
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule H
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-02-14T09:37:02-06:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KERBER ECK & BRAECKEL LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	1116 W MAIN ST	AddressLine1
City	CARBONDALE	City
State	IL	State
ZIP Code	629012335	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	237246265	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SAINT FRANCIS MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	SAIN	NameControl
Phone	5733313000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	211 SAINT FRANCIS DRIVE	AddressLine1
City	CAPE GIRARDEAU	City
State	MO	State
ZIP Code	63703	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	WILLIAM A BALSANO	Name
Title	VICE PRESIDENT OF FINANCE	Title
Phone	5733313000	Phone
Date Signed	2014-02-14	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	DAVID SCHNAKE	Name
Phone	6185291040	Phone
Date Prepared	2014-02-14	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	STEVEN C BJELICH	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	211 SAINT FRANCIS DRIVE	AddressLine1
City	CAPE GIRARDEAU	City
State	MO	State
ZIP Code	63703	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	509224120	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.SFMC.NET	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1972	YearFormation
State Legal Domicile	MO	StateLegalDomicile
Activity Or Mission Description	FORM 990, PART I, LINE 1 - THE MISSION OF SAINT FRANCIS MEDICAL CENTER IS TO PROVIDE A MINISTRY OF HEALING AND WELLNESS INSPIRED BY ITS CHRISTIAN PHILOSOPHY AND VALUES. FORM 990, PART III, LINE 1 - SAINT FRANCIS MEDICAL CENTER IS A 282-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 SERVICE, ONCOLOGY, DISEASE MANAGEMENT, GASTROENTEROLOGY, MATERNAL-CHILD HEALTH AND NEUROLOGY.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	5	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	5	NbrIndependentVotingMembers
Total Nbr Employees	2700	TotalNbrEmployees
Total Nbr Volunteers	370	TotalNbrVolunteers
Total Gross UBI	6576112	TotalGrossUBI
Contributions Grants Prior Year	904526	ContributionsGrantsPriorYear
Contributions Grants Current Year	772261	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	441074584	ProgramServiceRevenuePriorYear
Program Service Revenue CY	424095820	ProgramServiceRevenueCY
Investment Income Prior Year	12232367	InvestmentIncomePriorYear
Investment Income Current Year	10580442	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2166516	OtherRevenuePriorYear
Other Revenue Current Year	3013883	OtherRevenueCurrentYear
Total Revenue Prior Year	456377993	TotalRevenuePriorYear
Total Revenue Current Year	438462406	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	174719548	SalariesEtcPriorYear
Salaries Etc Current Year	193059772	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	249913656	OtherExpensePriorYear
Other Expenses Current Year	202428076	OtherExpensesCurrentYear
Total Expenses Prior Year	424633204	TotalExpensesPriorYear
Total Expenses Current Year	395487848	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	31744789	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	42974558	RevenuesLessExpensesCY
Total Assets BOY	606782122	TotalAssetsBOY
Total Assets EOY	740301033	TotalAssetsEOY
Total Liabilities BOY	207661930	TotalLiabilitiesBOY
Total Liabilities EOY	286221582	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	399120192	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	454079451	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	FORM 990, PART I, LINE 1 - THE MISSION OF SAINT FRANCIS MEDICAL CENTER IS TO PROVIDE A MINISTRY OF HEALING AND WELLNESS INSPIRED BY ITS CHRISTIAN PHILOSOPHY AND VALUES. FORM 990, PART III, LINE 1 - SAINT FRANCIS MEDICAL CENTER IS A 282-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 SERVICE, ONCOLOGY, DISEASE MANAGEMENT, GASTROENTEROLOGY, MATERNAL-CHILD HEALTH AND NEUROLOGY.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	395487848	Expense
Revenue	427654314	Revenue
Description	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 79.1 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 11,765 INPATIENTS, 30,237 EMERGENCY PATIENTS AND 127,034 OUTPATIENTS DURING THE FISCAL YEAR (FY) ENDING JUNE 30, 2013. DURING FY 2013, SFMC HAD A TOTAL OF 62,856 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 65.9 MILLION IN FY 2013. 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 8,500 DURING FY 2013. -SFMC SPONSORS THE REGIONAL ARTHRITIS CENTER, OFFERING INFORMATION AND ASSISTANCE TO PEOPLE THROUGHOUT SOUTHEAST MISSOURI. -FREE OR DISCOUNTED HEALTH SCREENINGS (CHOLESTEROL, BLOOD PRESSURE, GLAUCOMA, BLOOD SUGAR, ETC.) PROVIDED AT HEALTH FAIRS AND COMMUNITY HEALTH EDUCATION PROGRAMS, AS WELL AS OUR WEEKLY WEDNESDAY MORNING HEART HEALTH SCREENINGS. -COMMUNITY HEALTH FORUMS WERE OFFERED ON TOPICS SUCH AS ARTHRITIS, DIABETES, CARDIOVASCULAR FITNESS, CHILDREN'S HEALTH AND SAFETY, NUTRITION, BREAST CANCER AND OSTEOPOROSIS. OTHER WELLNESS PROGRAMS SUCH AS WEIGHT MANAGEMENT AND SMOKING CESSATION ARE SUBSIDIZED BY SFMC AND OFFERED FOR A NOMINAL FEE. -CHILDBIRTH, SIBLINGS, BREASTFEEDING AND INFANT CARE CLASSES ARE PROVIDED FREE OF CHARGE TO EXPECTANT MOTHERS AND YOUNG FAMILIES. -SFMC SPONSORS HEALTHCARE SPEAKERS FOR COMMUNITY EVENTS AND CIVIC MEETINGS. SFMC STAFF PRESENTS FREE PROGRAMS ON A VARIETY OF HEALTH AND WELLNESS TOPICS TO VARIOUS COMMUNITY, SCHOOL AND CHURCH GROUPS THROUGHOUT THE YEAR. -SEVERAL SFMC OUTPATIENT CLINICS ARE OFFERED AT REDUCED FEE OR NO COST TO PATIENTS AND THEIR FAMILIES. THE CLINICS ADDRESS DIABETIC FOOT CARE, GENETICS, ORTHOPEDICS AND SPORTS INJURIES. -SFMC PROVIDES FREE FIRST AID SERVICES AT THE WEEKLONG SEMO DISTRICT FAIR IN CAPE GIRARDEAU. MEDICAL CENTER PERSONNEL STAFF THE FIRST AID STATION AND PROVIDE MINOR MEDICAL SERVICES TO HUNDREDS OF PEOPLE DURING THE COURSE OF THE WEEK. SFMC ALSO PROVIDES STAFF AND FIRST AID MATERIALS FOR OTHER CIVIC FUNCTIONS DURING THE FISCAL YEAR. -SFMC PROVIDES FREE MEETING ROOM SPACE AND RELATED ASSISTANCE TO MANY HEALTHCARE SUPPORT GROUPS. SEVERAL HUNDRED PEOPLE REGULARLY PARTICIPATE IN THESE SUPPORT GROUPS FOR DISEASES AND DISORDERS INCLUDING BREAST CANCER, MUSCULAR DYSTROPHY, SLEEP DISTURBANCE, HEAD INJURIES, LARYNGECTOMY, HEART SURGERY, DIGESTIVE DISEASES, PARKINSON'S, ARTHRITIS, MULTIPLE SCLEROSIS AND STROKES, AS WELL AS GRIEF SUPPORT FOR PEOPLE WHO HAVE LOST A LOVED ONE TO ILLNESS, INJURY OR DISEASE. -SFMC PROVIDES FINANCIAL AND IN-KIND SUPPORT FOR ACTIVITIES OF LOCAL CHARITIES SUCH AS THE AMERICAN CANCER SOCIETY, THE AMERICAN DIABETES ASSOCIATION, THE AMERICAN ARTHRITIS ASSOCIATION, THE MARCH OF DIMES, THE AMERICAN HEART ASSOCIATION AND THE AMERICAN LUNG ASSOCIATION. -SCHOLARSHIPS AND TUITION REIMBURSEMENT ARE AWARDED ANNUALLY BY SFMC TO UNDERGRADUATE AND GRADUATE STUDENTS ENROLLED IN VARIOUS HEALTHCARE CURRICULUMS. THE VALUE OF THIS INVESTMENT IN THE ADVANCEMENT OF EXISTING CARE PROVIDERS AND THE EDUCATION OF FUTURE CARE PROVIDERS WAS 159,402 IN FY 2013. -SFMC SPONSORS MEDICAL MINUTE. THIS WEEKLY EDUCATIONAL PROGRAM, PRODUCED IN COOPERATION WITH MEMBERS OF THE MEDICAL COMMUNITY, PROVIDES INFORMATION ON NEW TECHNOLOGY AND PROCEDURES, TREATMENT FOR DISEASES AND DISORDERS, AND GENERAL MEDICAL EDUCATION TO AREA PATIENTS. -SFMC PROVIDES FREE INTERNET LIBRARY SEARCHES ON HEALTHCARE TOPICS TO AREA RESIDENTS WHO DO NOT HAVE OTHER ACCESS. HOSPITAL EDUCATION STAFF CONDUCTS THE SEARCH AND FAX OR MAIL MATERIALS. -SFMC PROVIDES EMERGENCY CARE, CLOTHING AND PHARMACEUTICALS TO CHILDREN IN NEED THROUGH THE SAINT FRANCIS FOUNDATION CHILDREN HELPING CHILDREN FUND. -DURING FY 2013 SFMC VOLUNTEERS CONTRIBUTED APPROXIMATELY 45,000 HOURS OF SERVICE TO OUR PATIENTS, THEIR FAMILIES AND THE COMMUNITY. THE VALUE OF THIS CONTRIBUTION IS ESTIMATED AT OVER 337,500 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 2013 SFMC PROVIDED 435 FREE MAMMOGRAMS TO AREA WOMEN WHO COULD NOT AFFORD THIS POTENTIALLY LIFESAVING SCREENING. THE VALUE OF THIS CONTRIBUTION IS ESTIMATED AT MORE THAN 47,850.	Description
Total Program Service Expense	395487848	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	true	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	true	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	131	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	2700	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	true	QuidProQuoContributions
Quid Pro Quo Disclosure	true	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	5	NbrVotingGoverningBodyMembers
Number Independent Voting Members	5	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	true	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	WILLIAM A BALSANO	NamePerson
Telephone Number	5733313000	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	211 SAINT FRANCIS DR	AddressLine1
Address Line2	211 SAINT FRANCIS DRIVE	AddressLine2
City	CAPE GIRARDEAU	City
State	MO	State
ZIP Code	63703	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee
DENNIS MARCHI
CHAIR OF THE	2.00	2.00	X	2767	0	0
JOHN A LAYTON
SECRETARY/TR	2.00	2.00	X	2649	0	0
MAURICE R SANDFORT
BOARD OF DIR	2.00	2.00	X	1830	0	0
CLYDE NENNINGER
VICE CHAIR O	2.00	2.00	X	0	0	0
L R ROPER JR
BOARD OF DIR	2.00	2.00	X	0	0	0
MARILYN K CURTIS VP OF PROF SERVIC
	40.00			1333400	0	23522	X
STEVEN C BJELICH PRESIDENT CEO
	40.00	2.00		981417	0	27843	X
WILLIAM A BALSANO VP OF FINANCE
	40.00	2.00		458624	0	21286	X
JAMES SCHELLMDVP OF MEDICAL AFFAIR
	40.00			455467	0	22141	X
BARBARA THOMPSON VP OF MARKETING
	20.00			401084	0	0	X
JEANNETTE K FADLERVP OF PATIENT CAR
	40.00			321614	0	23410	X
MICHAEL FREEMANMD GASTRONENTEROLOG
	40.00			1195468	0	26931		X
EDWARD BENDERMDCARDIOTHORASIC SURG
	40.00			795780	0	20925		X
LOUIS CARAGINE JRMDPHD ENDOV SURG
	40.00			789598	0	26638		X
PAUL HOLCOMB JR MD CARDIOLOGIST
	40.00			733197	0	23947		X
BRANDON SCOTT DO NEUROSURGEON
	40.00			643006	0	19759		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	8115901	TotalReportableCompFromOrg
Total Other Compensation	236402	TotalOtherCompensation
Number Individuals GT100 K	212	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	true	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
THE ROBERTS GROUP
730 NORTH GRAND AVENUE	WAUKESKA	WI	53186	ADVERTISING	11519083
CAPE ANESTHESIA GROUP INC
PO BOX 1777	CAPE GIRARDEAU	MO	637021777	ANESTHESIA SERV	5746203
KIEFNER BROTHERS INC
1459 NORTH KINGSHIGHWAY STREET	CAPE GIRARDEAU	MO	63701	CONSTUCTION	4777571
OHLSON LAVOIE CORPORATION
616 E SPEER BLVD	DENVER	CO	80203	ARCHITECTURE	4275247
AON RISK SERVICES INC
75 REMITTANCE DR STE 1943	CHICAGO	IL	60675	RISK MANAGEMENT	2795986

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	196	NumberOfContractorsGT100K
Fundraising Events	170999	FundraisingEvents
Related Organizations	601262	RelatedOrganizations
Noncash Contributions	30840	NoncashContributions
Total Contributions	772261	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Business CodeBusinessCode	Unrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICE REVENUE	414362564	414362564
PHARMACY	5758323		446110	5758323
AUXILLIARY SERVICES	2415392	2415392
WELLNESS PROGRAMS	741752	741752
LAB FEES	546788		621500	546788

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	271001	TotalRevenueColumn
Unrelated Business Revenue	271001	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Program Service Revenue	424095820	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	4841660	TotalRevenueColumn
Related Or Exempt Function Income	4395824	RelatedOrExemptFunctionIncome
Exclusion	$445,836	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	499196	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	499196	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	499196	TotalRevenueColumn
Exclusion	$499,196	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	76450372	Securities
Other	3357	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	70445822	Securities
Other	269125	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	6004550	Securities
Other	-265768	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	5738782	TotalRevenueColumn
Related Or Exempt Function Income	5738782	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	31020	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	170999	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	46767	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-15747	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
CAFETERIA SALES	1454753	$1,454,753
MISCELLANEOUS	1037242	$1,037,242
MEDICAL RECORDS	29268	$29,268

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	9171	TotalRevenueColumn
Exclusion	$9,171	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	2530434	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	438462406	TotalRevenueColumn
Related Or Exempt Function Income	427654314	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	6576112	UnrelatedBusinessRevenue
Exclusion	$3,475,466	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	4077054	Total
Program Services	4077054	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	149350705	Total
Program Services	149350705	ProgramServices

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	4598675	Total
Program Services	4598675	ProgramServices

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	25038968	Total
Program Services	25038968	ProgramServices

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	9994370	Total
Program Services	9994370	ProgramServices

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	578173	Total
Program Services	578173	ProgramServices

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	90380	Total
Program Services	90380	ProgramServices

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	3593661	Total
Program Services	3593661	ProgramServices

Advertising Advertising

Field	Value	IRS element (for citing)
Total	13027862	Total
Program Services	13027862	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	53039833	Total
Program Services	53039833	ProgramServices

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	2730780	Total
Program Services	2730780	ProgramServices

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	2995636	Total
Program Services	2995636	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	570252	Total
Program Services	570252	ProgramServices

Interest Interest

Field	Value	IRS element (for citing)
Total	5544047	Total
Program Services	5544047	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	7800000	Total
Program Services	7800000	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	26383941	Total
Program Services	26383941	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	3144985	Total
Program Services	3144985	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
MEDICAL SUPPLIES	43077436	43077436
DRUGS	24986298	24986298
EQUIP. RENTAL & MAIN	7110672	7110672
COGS	4133920	4133920

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	3620200	Total
Program Services	3620200	ProgramServices

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	395487848	Total
Program Services	395487848	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	22410869	BOY
EOY	57774623	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	23177347	BOY
EOY	15024594	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	55271578	BOY
EOY	62996414	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	10782962	BOY
EOY	11104116	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	10785554	BOY
EOY	9713545	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	408494950	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	185148172	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	217326689	BOY
EOY	223346778	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	261442889	BOY
EOY	354798343	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	3176288	BOY
EOY	2934422	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	2407946	BOY
EOY	2608198	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	606782122	BOY
EOY	740301033	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	70124023	BOY
EOY	79181819	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	137537907	BOY
EOY	207039763	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	207661930	BOY
EOY	286221582	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	399120192	BOY
EOY	454079451	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	399120192	BOY
EOY	454079451	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	606782122	BOY
EOY	740301033	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	42974558	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	14187214	ReconciliationUnrealizedInvest
Reconcilation Other Changes	-2202513	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Both	X	FinancialStatementBoth

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3100168	OtherCostOrOtherBasis
Book Value	3100168	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	150299380	OtherCostOrOtherBasis
Depreciation	56192267	Depreciation
Book Value	94107113	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	228176279	OtherCostOrOtherBasis
Depreciation	123518999	Depreciation
Book Value	104657280	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	26919123	OtherCostOrOtherBasis
Depreciation	5436906	Depreciation
Book Value	21482217	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	223346778	TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt	450447107	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	14187214	NetUnrealizedGainsInvestments
Other Revenues	-2202513	OtherRevenues
Revenue Not Rptd F990	11984701	RevenueNotRptdF990
Revenue Subtotal	438462406	RevenueSubtotal
Total Revenue Per Form990	438462406	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	395487848	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	395487848	ExpensesSubtotal
Total Expenses Per Form990	395487848	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
LIABILITY UNDER FIN 48 FOOTNOTE	SCHEDULE D, PAGE 3, PART X	LIABILITY UNDER FIN 48 FOOTNOTE THERE WERE NO UNCERTAIN TAX BENEFITS IDENTIFIED AND RECORDED AS A LIABILITY UPON THE ADOPTION OF ASC TOPIC 740-10-25 OR AT JUNE 30, 2013
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER	SCHEDULE D, PAGE 4, PART XI, LINE 2D	LOSS ON EXTINGUISHMENT OF DEBT -2,402,765 CHANGE IN INTEREST IN NET ASSETS OF 0 SAINT FRANCIS FOUNDATION 200,252
SUPPLEMENTAL FINANCIAL INFORMATION	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 LOSS FROM THE AUXILIARY OF 75,106 AND CASH OF 223,803.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	ANNUAL GOLF TOU	NameOfEvent1
Gross Receipts Event1	153588	GrossReceiptsEvent1
Charitable Contributions Event1	134088	CharitableContributionsEvent1
Gross Revenue Event1	19500	GrossRevenueEvent1
Non Cash Prizes Event1	15308	NonCashPrizesEvent1
Rent Facility Costs Event1	11500	RentFacilityCostsEvent1
Food And Beverage Event1	6284	FoodAndBeverageEvent1
Other Direct Expenses Event1	823	OtherDirectExpensesEvent1
Name Of Event2	HAYDEN MEMORIAL	NameOfEvent2
Gross Receipts Event2	48431	GrossReceiptsEvent2
Charitable Contributions Event2	36911	CharitableContributionsEvent2
Gross Revenue Event2	11520	GrossRevenueEvent2
Non Cash Prizes Event2	4200	NonCashPrizesEvent2
Rent Facility Costs Event2	7520	RentFacilityCostsEvent2
Food And Beverage Event2	1132	FoodAndBeverageEvent2
Gross Receipts Total	202019	GrossReceiptsTotal
Charitable Contributions Total	170999	CharitableContributionsTotal
Gross Revenue Total Events	31020	GrossRevenueTotalEvents
Non Cash Prizes Total Events	19508	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	19020	RentFacilityCostsTotalEvents
Food And Beverage Total Events	7416	FoodAndBeverageTotalEvents
Other Direct Expenses Total Events	823	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	46767	DirectExpenseSummaryEvents
Net Income Summary	-15747	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	4.00000	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	6.00000	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	11396523	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7980613	DirectOffsettingRevenue
Net Community Benefit Expense	3415910	NetCommunityBenefitExpense
Percent Of Total Expense	0.00860	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	73375629	TotalCommunityBenefitExpense
Direct Offsetting Revenue	50244711	DirectOffsettingRevenue
Net Community Benefit Expense	23130918	NetCommunityBenefitExpense
Percent Of Total Expense	0.05850	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	84772152	TotalCommunityBenefitExpense
Direct Offsetting Revenue	58225324	DirectOffsettingRevenue
Net Community Benefit Expense	26546828	NetCommunityBenefitExpense
Percent Of Total Expense	0.06710	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2624982	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5910	DirectOffsettingRevenue
Net Community Benefit Expense	2619072	NetCommunityBenefitExpense
Percent Of Total Expense	0.00660	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	20972	TotalCommunityBenefitExpense
Net Community Benefit Expense	20972	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	10088062	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4110804	DirectOffsettingRevenue
Net Community Benefit Expense	5977258	NetCommunityBenefitExpense
Percent Of Total Expense	0.01510	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	711335	TotalCommunityBenefitExpense
Net Community Benefit Expense	711335	NetCommunityBenefitExpense
Percent Of Total Expense	0.00180	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	13445351	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4116714	DirectOffsettingRevenue
Net Community Benefit Expense	9328637	NetCommunityBenefitExpense
Percent Of Total Expense	0.02360	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	98217503	TotalCommunityBenefitExpense
Direct Offsetting Revenue	62342038	DirectOffsettingRevenue
Net Community Benefit Expense	35875465	NetCommunityBenefitExpense
Percent Of Total Expense	0.09070	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	20783	TotalCommunityBuildingExpense
Net Community Building Expense	20783	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	29552	TotalCommunityBuildingExpense
Net Community Building Expense	29552	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	13589	TotalCommunityBuildingExpense
Net Community Building Expense	13589	NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	32487	TotalCommunityBuildingExpense
Net Community Building Expense	32487	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	407993	TotalCommunityBuildingExpense
Net Community Building Expense	407993	NetCommunityBuildingExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	504404	TotalCommunityBuildingExpense
Net Community Building Expense	504404	NetCommunityBuildingExpense
Percent Of Total Expense	0.00130	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$14,078,705	BadDebtExpenseAmount
Amount Attributable To	9072317	AmountAttributableTo
Amount Reimbursed By Medicare	128175158	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	171003010	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-42827852	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SAINT FRANCIS MEDICAL CENTER	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	211 SAINT FRANCIS DRIVE	AddressLine1
City	CAPE GIRARDEAU	City
State	MO	State
ZIP Code	63703	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	SAINT FRANCIS MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
CHNA Conducted	true	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	true	TakeIntoAccount
Other Facilities	true	OtherFacilities
CHNA Widely Available	true	CHNAWidelyAvailable
Own Website	X	OwnWebsite
Other Method	X	OtherMethod
Adopt Implement Strategy	X	AdoptImplementStrategy
Prioritize Health Needs	X	PrioritizeHealthNeeds
All Needs Addressed	false	AllNeedsAddressed
Organization Incur Excise Tax	false	OrganizationIncurExciseTax
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	400.0	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	600.0	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Other Factors	X	OtherFactors
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	true	ActionsOnNonpayment
Permit Lawsuit	X	PermitLawsuit
Permit Lien On Residence	X	PermitLienOnResidence
Permit Other Actions	X	PermitOtherActions
Collection Activities	false	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Other Actions Taken	X	OtherActionsTaken
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	true	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	22	NumberOfOtherFacilities

Other Facilities OtherFacilities (22 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
CAPE PHYSICIAN ASSOCIATES
3250 GORDONVILLE ROAD	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
CAPE CARDIOLOGY GROUP
211 SAINT FRANCIS DRIVE SUITE 15	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
CAPE GASTROENTEROLGY SPECIALISTS
18 DOCTORS PARK	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
CAPE CARE FOR WOMEN
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
CAPE ENT GROUP
150 S MT AUBURN ROAD	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
JACKSON FAMILY CARE
545 BROADRIDGE DRIVE	JACKSON	MO	63755	PHYSICIAN PRACTICE
CAPE PULMONOLOGY AND SLEEP MEDICINE
24 S MT AUBURN ROAD	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
CAPE NEUROLOGY SPECIALISTS
3004 GORDONVILLE ROAD	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
CAPE DIABETES & ENDOCRINOLOGY
150 S MT AUBURN ROAD	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
CAPE MEDICAL GROUP
150 S MT AUBURN ROAD	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
FITNESS PLUS
150 S MT AUBURN ROAD	CAPE GIRARDEAU	MO	63703	FITNESS CENTER
CAPE SPINE AND NEUROSURGERY
150 S MT AUBURN ROAD	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
CAPE GYNECOLOGIC ONCOLOGY
150 S MT AUBURN ROAD	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
CAPE CEREBROVASCULAR & ENDOVASCULAR
150 S MT AUBURN ROAD	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
SAINT FRANCIS OUTPATIENT REHAB
150 S MT AUBURN ROAD	CAPE GIRARDEAU	MO	63703	OUTPATIENT REHAB
SAINT FRANCIS HOME HEALTH
14 DOCTORS PARK	CAPE GIRARDEAU	MO	63703	HOME HEALTH
CAPE PERINATOLOGY SERVICES
150 S MT AUBURN ROAD	CAPE GIRARDEAU	MO	63703	PHYSICIAN PRACTICE
CHARLESTON FAMILY CARE
400 S MAIN STREET	CHARLESTON	MO	63834	PHYSICIAN PRACTICE
SIKESTON NEUROLOGY SPECIALISTS
807 N MAIN STREET	SIKESTON	MO	63801	PHYSICIAN PRACTICE
SIKESTON RADIATION ONCOLOGY
1124 N MAIN STREET	SIKESTON	MO	63801	PHYSICIAN PRACTICE

Form990 Schedule H Part VI Form990ScheduleHPartVI (23 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SUBSIDIZED HEALTH SERVICES EXPLANATION	PART I LINE 7G	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 10088062 ARE INCLUDED
EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE	PART I LINE 7 COLUMN F	BAD DEBTS WERE NOT EXCLUDED FROM THE CALCULATION IN COLUMN F
COSTING METHODOLOGY EXPLANATION	PART I LINE 7	A COSTTOCHARGE RATIO WAS USED IN ACCORDANCE WITH THE CALCULATION IN WORKSHEET 2 RATIO OF PATIENT CARE COST TO CHARGES
COMMUNITY BUILDING ACTIVITIES	PART II	SAINT FRANCIS MEDICAL CENTERS COMMUNITY BUILDING ACTIVITIES ARE TARGETED TO KEEP GOOD HEALTH IN THE FOREFRONT THROUGH NONTRADITIONAL 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 LIFESAVING INFORMATION TO AN AUDIENCE NOT TYPICALLY REACHED BY COMMUNITY HEALTH AGENCIES OR SCREENINGS
BAD DEBT EXPENSE EXPLANATION	PART III LINE 4	A COSTTOCHARGE 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 PATIENTS ACCOUNT BEFORE BAD DEBT DETERMINATION IS MADE AN ESTIMATE OF BAD DEBT EXPENSE AT COST ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE MEDICAL CENTERS CHARITY CARE POLICY WAS CALCULATED BASED ON A STUDY OF POVERTY RATES IN THE MEDICAL CENTERS SERVICE AREA THE PERCENTAGE OF THE POPULATION WITH INCOME LEVELS AT OR BELOW 400 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 9072317 AT COST IS CHARITY CARE ELIGIBLE AND IS INCLUDED IN BAD DEBT EXPENSE PART III LINE 4 BAD DEBT EXPENSE EXPLANATION CONTINUED THE FOLLOWING IS TEXT FROM FOOTNOTE B OF THE AUDITED FINANCIAL STATEMENTS FOR SAINT FRANCIS MEDICAL CENTER FOR THE YEAR ENDED JUNE 30 2013 THE MEDICAL CENTER 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 2013 THE MEDICAL CENTER REPORTED BAD DEBT EXPENSE AT COST OF 14078000
MEDICARE EXPLANATION	PART III LINE 8	THE COSTING METHODOLOGY USED FOR PART III LINE 6 IS A COST TO CHARGE RATIO DERIVED FROM THE PRIOR YEARS MEDICARE COST REPORT WHICH USES ONLY MEDICARE ALLOWABLE COSTS IRS REV RUL 69545 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 FORPROFIT SPECIALTY HOSPITALS HAVE BEEN CARVING OUT CERTAIN HIGHMARGIN SERVICES SUCH AS CARDIAC ORTHOPEDICS AND ONCOLOGY LEAVING GENERAL ACUTE CARE HOSPITALS WITH LOWERMARGIN MEDICARE SERVICES THIS INDICATES THAT MEDICARE LOSSES CAN BE A RESULT OF RENDERING THESE LOWERMARGIN 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 LOWINCOME CONSUMERS RECEIVING MEDICARE BENEFITS THE ELDERLY ARE OFTEN AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES WITHOUT TAXEXEMPT 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
COLLECTION PRACTICES EXPLANATION	PART III LINE 9B	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
NEEDS ASSESSMENT	PART VI	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 CENTERS SERVICE AREA
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	PART VI	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
COMMUNITY INFORMATION	PART VI	SAINT FRANCIS MEDICAL CENTER IS A LEADING TERTIARY CARE PROVIDER FOR A PORTION OF THE FIVESTATE REGION OF MISSOURI ARKANSAS ILLINOIS KENTUCKY AND TENNESSEE AND OFFERS SERVICES TO MORE THAN 650000 PEOPLE PRIMARY SERVICE AREA CONSISTS OF CAPE GIRARDEAU COUNTY WITH A POPULATION OF 76950 ACCORDING TO THE MISSOURI OFFICE OF ADMINISTRATION BUDGET AND PLANNING CAPE GIRARDEAU COUNTYS POPULATION IS EXPECTED TO INCREASE TO 84612 BY 2030 SECONDARY SERVICE AREA HAS A TOTAL POPULATION OF ALMOST 177900 AND INCLUDES THE COUNTIES OF ALEXANDER 8314 PULASKI 6184 JOHNSON 12666AND UNION 17883 IN ILLINOIS AND BOLLINGER 12382 MISSISSIPPI14322 NEW MADRID 18488 PERRY 19018 SCOTT 39139 AND STODDARD 29795 IN MISSOURI TERTIARY SERVICE AREA HAS A TOTAL POPULATION OF NEARLY 400000 AND INCLUDES THE COUNTIES OF BUTLER 43053 CARTER 6262 DUNKLIN 31826 IRON 10656 MADISON 12448 PEMISCOT 18114 REYNOLDS 6667 RIPLEY 14036 SAINT FRANCOIS 65917 SAINTE GENEVIEVE 17704 AND WAYNE 13402 IN MISSOURI AND JACKSON 60230 RANDOLPH 33218 AND WILLIAMSON 66590 IN ILLINOIS THE SOUTHEAST REGION OF MISSOURI IS GROWING SLOWLY AND HAS A HIGHER THAN AVERAGE PERCENTAGE OF RETIREEAGED 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 4554 THIS REGION IS 88 PERCENT CAUCASIAN 73 PERCENT BLACK AND 2 PERCENT HISPANIC TOTAL PERSONAL INCOME FOR CAPE GIRARDEAU COUNTY FOR 2011 WAS 2742848000 OR 35702 PER CAPITA TOTAL PERSONAL INCOME FOR THE SOUTHEAST REGION WAS 117 BILLION WITH AN AVERAGE PER CAPITA OF 32098 OF THE ENTIRE SOUTHEAST REGION POPULATION AGE 25 AND OLDER 19 PERCENT DID NOT OBTAIN A HIGH SCHOOL DIPLOMA 532 PERCENT GRADUATED FROM HIGH SCHOOL 20 PERCENT HAVE RECEIVED A COLLEGE DEGREE AND 78 PERCENT HAVE COMPLETED A GRADUATE DEGREE ACCORDING TO EMPLOYMENT STATISTICS IN OCTOBER 2013 CAPE GIRARDEAU COUNTY HAD AN UNEMPLOYMENT RATE OF 57 PERCENT THE SOUTHEAST REGION UNEMPLOYMENT RATE WAS 61 PERCENT STATISTICS COURTESY OF THE MISSOURI ECONOMIC RESEARCH AND INFORMATION CENTER AND US CENSUS BUREAU
HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE	PART VI	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
AFFILIATED HEALTH CARE INFORMATION	PART VI	SAINT FRANCIS HEALTHCARE SYSTEM INC IS A HOLDING COMPANY WHICH OWNS SAINT FRANCIS MEDICAL CENTER SAINT FRANCIS MEDICAL CENTER OPERATES A 282BED 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 HEALTHCARE SYSTEM ALSO OWNS IMMEDIATE CONVENIENT CARE LLC AND IMMEDIATE CONVENIENT CARE PERRYVILLE LLC BOTH OF WHICH OPERATE WALKIN HEALTH CLINICS WHICH HAVE BEEN DESIGNATED AS A RURAL HEALTH CLINICS SAINT FRANCIS HEALTH DEVELOPMENT SERVICES INC FORMED IN 2002 OWNS A 51 INTEREST IN PHYSICIANS ALLIANCE SURGERY CENTER LLC 30 INTEREST IN POPLAR BLUFF MEDICAL PARTNERS LLC 30 INTEREST IN LANDMARK HOSPITAL OF CAPE GIRARDEAU LLC AND A 30 INTEREST IN DRXFC MANAGEMENT 001 LLC WHICH OPERATES A DOCTORS EXPRESS URGENT CARE CENTER
LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILED	PART VI	MISSOURI
SAINT FRANCIS MEDICAL CENTER LINE NUMBER 1 PART V LINE 3	PART V LINE 3	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 GROUPS 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 AREAS 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 CHILDRENS 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
SAINT FRANCIS MEDICAL CENTER LINE NUMBER 1 PART V LINE 4	PART V LINE 4	SECTION B FACILITY POLICIES AND PRACTICES THE TWO NOTFORPROFIT HOSPITALS IN THE CITY OF CAPE GIRARDEAU MISSOURI SAINT FRANCIS HEALTHCARE SYSTEM AND SOUTHEASTHEALTH WERE PARTNERS IN CONDUCTING THIS COMMUNITY HEALTH NEEDS ASSESSMENT CHNA
SAINT FRANCIS MEDICAL CENTER LINE NUMBER 1 PART V LINE 5C	PART V LINE 5C	SECTION B FACILITY POLICIES AND PRACTICES THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS PLACED ON THE SAINT FRANCIS MEDICAL CENTERS 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 HTTPWWWSFMCNETSAINTFRANCISMEDICALCENTERSCOMMUNITYHEALTH NEEDSASSESSMENT
SAINT FRANCIS MEDICAL CENTER LINE NUMBER 1 PART V LINE 7	PART V LINE 7	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 20132016 CHNA IMPLEMENTATION PLAN FOR THE FOLLOWING REASONS 1 CONSIDERABLE RESOURCES ARE ALREADY ALLOCATED TO ADDRESS THE OTHER TOPPRIORITY 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 ANDOR 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
SAINT FRANCIS MEDICAL CENTER LINE NUMBER 1 PART V LINE 12H	PART V LINE 12H	SECTION B FACILITY POLICIES AND PRACTICES ALL PATIENTS RECEIVE THE SAME CHARGES REGARDLESS OF FINANCIAL STATUS DISCOUNTS VARY DEPENDING ON INCOME LEVEL ASSETS LEVEL MEDICAL INDIGENCY AND INSURANCE STATUS
SAINT FRANCIS MEDICAL CENTER LINE NUMBER 1 PART V LINE 14G	PART V LINE 14G	SECTION B FACILITY POLICIES AND PRACTICES ALL PATIENTS ARE PROVIDED PATIENT HANDBOOKS UPON ADMISSION THAT DETAIL THE FINANCIAL ASSISTANCE POLICY ALL SELF PAY PATIENTS ARE PERSONALLY CONTACTED AFTER ADMISSION AND INFORMED OF THE FINANCIAL ASSISTANCE AVAILABLE THROUGH THE MEDICAL CENTERS FINANCIAL ASSISTANCE POLICY
SAINT FRANCIS MEDICAL CENTER LINE NUMBER 1 PART V LINE 16E	PART V LINE 16E	SECTION B FACILITY POLICIES AND PRACTICES REFERRAL TO A THIRD PARTY COLLECTION AGENCY IS ALSO PERMITTED UNDER THE COLLECTION POLICY
SAINT FRANCIS MEDICAL CENTER LINE NUMBER 1 PART V LINE 18E	PART V LINE 18E	SECTION B FACILITY POLICIES AND PRACTICES THIRD PARTY REPRESENTATIVES WORK WITH SELF PAY 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
SAINT FRANCIS MEDICAL CENTER LINE NUMBER 1 PART V LINE 20D	PART V LINE 20D	SECTION B FACILITY POLICIES AND PRACTICES ALL PATIENTS RECEIVE THE SAME CHARGES REGARDLESS OF FINANCIAL STATUS DISCOUNTS VARY DEPENDING ON INCOME LEVEL ASSETS LEVEL MEDICAL INDIGENCY AND INSURANCE STATUS
SAINT FRANCIS MEDICAL CENTER LINE NUMBER 1 PART V LINE 22	PART V LINE 22	SECTION B FACILITY POLICIES AND PRACTICES ALL PATIENTS RECEIVE THE SAME CHARGES REGARDLESS OF FINANCIAL STATUS DISCOUNTS VARY DEPENDING ON INCOME LEVEL ASSETS LEVEL MEDICAL INDIGENCY AND INSURANCE STATUS

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	X	FirstClassOrCharterTravel
Travel For Companions	X	TravelForCompanions
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	true	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg
MARILYN K CURTIS VP OF PROF SERVIC
298462	998035	36903	12298	11224	1356922
STEVEN C BJELICH PRESIDENT CEO
739189	145275	96953	12356	15487	1009260
WILLIAM A BALSANO VP OF FINANCE
366549	36563	55512	12346	8940	479910
JAMES SCHELLMDVP OF MEDICAL AFFAIR
361359	39000	55108	12308	9833	477608
BARBARA THOMPSON VP OF MARKETING
401084					401084
JEANNETTE K FADLERVP OF PATIENT CAR
259876	26813	34925	12298	11112	345024
MICHAEL FREEMANMD GASTRONENTEROLOG
1064986		130482	12250	14681	1222399
EDWARD BENDERMDCARDIOTHORASIC SURG
760721		35059	12250	8675	816705
LOUIS CARAGINE JRMDPHD ENDOV SURG
754849		34749	12250	14388	816236
PAUL HOLCOMB JR MD CARDIOLOGIST
723919		9278	11967	11980	757144
BRANDON SCOTT DO NEUROSURGEON
620789		22217	12490	7269	662765

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
FRINGE OR EXPENSE EXPLANATION	SCHEDULE J, PAGE 1, PART I, LINE 1A	EXECUTIVES AND BOARD MEMBERS RECEIVE TRAVEL FOR THEIR SPOUSES. SPOUSAL TRAVEL VALUE 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.
COMPENSATION CONTINGENT UPON NET EARNINGS OF ORGANIZATION	SCHEDULE J, PAGE 1, PART I, LINE 6A	ALL EXECUTIVE BONUSES ARE BASED ON FINANCIAL PERFORMANCE.
OTHER ADDITIONAL INFORMATION	SCHEDULE J, PART III	BARBARA THOMPSON, VP OF MARKETING IS NOT AN EMPLOYEE OF SAINT FRANCIS MEDICAL CENTER. SHE IS THE OWNER OF THE ROBERTS GROUP WHO PROVIDES ADVERTISING AND MARKETING SERVICES TO THE MEDICAL CENTER. HER COMPENSATION IS PAID BY THE ROBERTS GROUP.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
IND DEV AUTH OF CAPE GIRARDEAUM
A	431193901	139404EH6	2009-05-28	49238638	CAPITAL EXPENDITURES	true	false	false
IND DEV AUTH OF CAPE GIRARDEAU
B	431193901	139404FJ1	2013-05-01	40290000	EXTINGUISH/DEFEASE OUTSTANDING BONDS	false	false	false
IND DEV AUTH OF CAPE GIRARDEAU
C	431193901	139404FH5	2013-05-01	131833295	CAPITAL EXPENDITURES	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Amount Bond DefeasedAmountBondDefeased	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Refunding EscrowRefundingEscrow	Capitalized InterestCapitalizedInterest	Amount UnspentAmountUnspent
A	1700000	11745000	49238638	4821405	950781	43467033	2011	false	false	true	true
B	1050000		40290000					false	true	true	true	40290000
C			131833295		1380910	2306961		false	true	false	true	55448875	575440	72696549

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Remedial Action TakenRemedialActionTaken	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	false	false	false	false	false	false	false	true
B	false	false	false	false	false	false	false	false
C	false	false	false	false	false	false	false	false

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
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

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Proc To Undertk Corrective Action	false	ProcToUndertkCorrectiveAction

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	B THOMPSON-OWNS THE ROBERTS GROUP	BusinessNameLine1

Field	Value	IRS element (for citing)
Relationship	VP OF MARKETING	Relationship
Amount Of Transaction	11519083	AmountOfTransaction
Description Of Transaction	ADVERTISING FEES	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Schedule M IRS990ScheduleM

Food Inventory FoodInventory

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	11	NumberOfContributions
Noncash Contribs Rptd F990	9446	NoncashContribsRptdF990
Method Of Determining Revenues	COST/SELLING PRICE/FMV	MethodOfDeterminingRevenues

Drugs And Medical Supplies DrugsAndMedicalSupplies

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	1350	NoncashContribsRptdF990
Method Of Determining Revenues	COST/SELLING PRICE/FMV	MethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Noncash Contribs Rptd F990NoncashContribsRptdF990	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	DOOR PRIZES	55	10100	COST/SELLING PRICE/FMV
X	PHOTOGRAPHY	1	9944	COST/SELLING PRICE/FMV

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	true	ReviewProcessUnusualNCGifts
Third Parties Used	false	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S MISSION	FORM 990 - ORGANIZATION'S MISSION	FORM 990, PART I, LINE 1 - THE MISSION OF SAINT FRANCIS MEDICAL CENTER IS TO PROVIDE A MINISTRY OF HEALING AND WELLNESS INSPIRED BY ITS CHRISTIAN PHILOSOPHY AND VALUES. FORM 990, PART III, LINE 1 - SAINT FRANCIS MEDICAL CENTER IS A 282-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 SERVICE, ONCOLOGY, DISEASE MANAGEMENT, GASTROENTEROLOGY, MATERNAL-CHILD HEALTH AND NEUROLOGY.
FIRST ACCOMPLISHMENT DESCRIPTION	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 11,765 INPATIENTS, 30,237 EMERGENCY PATIENTS AND 127,034 OUTPATIENTS DURING THE FISCAL YEAR (FY) ENDING JUNE 30, 2013. DURING FY 2013, SFMC HAD A TOTAL OF 62,856 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 65.9 MILLION IN FY 2013. 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 8,500 DURING FY 2013. -SFMC SPONSORS THE REGIONAL ARTHRITIS CENTER, OFFERING INFORMATION AND ASSISTANCE TO PEOPLE THROUGHOUT SOUTHEAST MISSOURI. -FREE OR DISCOUNTED HEALTH SCREENINGS (CHOLESTEROL, BLOOD PRESSURE, GLAUCOMA, BLOOD SUGAR, ETC.) PROVIDED AT HEALTH FAIRS AND COMMUNITY HEALTH EDUCATION PROGRAMS, AS WELL AS OUR WEEKLY WEDNESDAY MORNING HEART HEALTH SCREENINGS. -COMMUNITY HEALTH FORUMS WERE OFFERED ON TOPICS SUCH AS ARTHRITIS, DIABETES, CARDIOVASCULAR FITNESS, CHILDREN'S HEALTH AND SAFETY, NUTRITION, BREAST CANCER AND OSTEOPOROSIS. OTHER WELLNESS PROGRAMS SUCH AS WEIGHT MANAGEMENT AND SMOKING CESSATION ARE SUBSIDIZED BY SFMC AND OFFERED FOR A NOMINAL FEE. -CHILDBIRTH, SIBLINGS, BREASTFEEDING AND INFANT CARE CLASSES ARE PROVIDED FREE OF CHARGE TO EXPECTANT MOTHERS AND YOUNG FAMILIES. -SFMC SPONSORS HEALTHCARE SPEAKERS FOR COMMUNITY EVENTS AND CIVIC MEETINGS. SFMC STAFF PRESENTS FREE PROGRAMS ON A VARIETY OF HEALTH AND WELLNESS TOPICS TO VARIOUS COMMUNITY, SCHOOL AND CHURCH GROUPS THROUGHOUT THE YEAR. -SEVERAL SFMC OUTPATIENT CLINICS ARE OFFERED AT REDUCED FEE OR NO COST TO PATIENTS AND THEIR FAMILIES. THE CLINICS ADDRESS DIABETIC FOOT CARE, GENETICS, ORTHOPEDICS AND SPORTS INJURIES. -SFMC PROVIDES FREE FIRST AID SERVICES AT THE WEEKLONG SEMO DISTRICT FAIR IN CAPE GIRARDEAU. MEDICAL CENTER PERSONNEL STAFF THE FIRST AID STATION AND PROVIDE MINOR MEDICAL SERVICES TO HUNDREDS OF PEOPLE DURING THE COURSE OF THE WEEK. SFMC ALSO PROVIDES STAFF AND FIRST AID MATERIALS FOR OTHER CIVIC FUNCTIONS DURING THE FISCAL YEAR. -SFMC PROVIDES FREE MEETING ROOM SPACE AND RELATED ASSISTANCE TO MANY HEALTHCARE SUPPORT GROUPS. SEVERAL HUNDRED PEOPLE REGULARLY PARTICIPATE IN THESE SUPPORT GROUPS FOR DISEASES AND DISORDERS INCLUDING BREAST CANCER, MUSCULAR DYSTROPHY, SLEEP DISTURBANCE, HEAD INJURIES, LARYNGECTOMY, HEART SURGERY, DIGESTIVE DISEASES, PARKINSON'S, ARTHRITIS, MULTIPLE SCLEROSIS AND STROKES, AS WELL AS GRIEF SUPPORT FOR PEOPLE WHO HAVE LOST A LOVED ONE TO ILLNESS, INJURY OR DISEASE. -SFMC PROVIDES FINANCIAL AND IN-KIND SUPPORT FOR ACTIVITIES OF LOCAL CHARITIES SUCH AS THE AMERICAN CANCER SOCIETY, THE AMERICAN DIABETES ASSOCIATION, THE AMERICAN ARTHRITIS ASSOCIATION, THE MARCH OF DIMES, THE AMERICAN HEART ASSOCIATION AND THE AMERICAN LUNG ASSOCIATION. -SCHOLARSHIPS AND TUITION REIMBURSEMENT ARE AWARDED ANNUALLY BY SFMC TO UNDERGRADUATE AND GRADUATE STUDENTS ENROLLED IN VARIOUS HEALTHCARE CURRICULUMS. THE VALUE OF THIS INVESTMENT IN THE ADVANCEMENT OF EXISTING CARE PROVIDERS AND THE EDUCATION OF FUTURE CARE PROVIDERS WAS 159,402 IN FY 2013. -SFMC SPONSORS MEDICAL MINUTE. THIS WEEKLY EDUCATIONAL PROGRAM, PRODUCED IN COOPERATION WITH MEMBERS OF THE MEDICAL COMMUNITY, PROVIDES INFORMATION ON NEW TECHNOLOGY AND PROCEDURES, TREATMENT FOR DISEASES AND DISORDERS, AND GENERAL MEDICAL EDUCATION TO AREA PATIENTS. -SFMC PROVIDES FREE INTERNET LIBRARY SEARCHES ON HEALTHCARE TOPICS TO AREA RESIDENTS WHO DO NOT HAVE OTHER ACCESS. HOSPITAL EDUCATION STAFF CONDUCTS THE SEARCH AND FAX OR MAIL MATERIALS. -SFMC PROVIDES EMERGENCY CARE, CLOTHING AND PHARMACEUTICALS TO CHILDREN IN NEED THROUGH THE SAINT FRANCIS FOUNDATION CHILDREN HELPING CHILDREN FUND. -DURING FY 2013 SFMC VOLUNTEERS CONTRIBUTED APPROXIMATELY 45,000 HOURS OF SERVICE TO OUR PATIENTS, THEIR FAMILIES AND THE COMMUNITY. THE VALUE OF THIS CONTRIBUTION IS ESTIMATED AT OVER 337,500 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 2013 SFMC PROVIDED 435 FREE MAMMOGRAMS TO AREA WOMEN WHO COULD NOT AFFORD THIS POTENTIALLY LIFESAVING SCREENING. THE VALUE OF THIS CONTRIBUTION IS ESTIMATED AT MORE THAN 47,850.
RELATED PARTY INFORMATION AMONG OFFICERS	FORM 990, PAGE 6, PART VI, LINE 2	SAINT FRANCIS HEALTH DEVLPMENT=SFHD SAINTFRANCIS HEALTHCARE SYSTEM=SFHS J WILFERTH - DIRECTOR OF SFHD L.R.ROPER, JR-DIRECTOR OF SFMC&SFHS FAMILY RELATIONSHIP
MANAGEMENT DELEGATED	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.
CLASSES OF MEMBERS OR STOCKHOLDERS	FORM 990, PAGE 6, PART VI, LINE 6	SAINT FRANCIS HEALTHCARE SYSTEMS IS THE SOLE MEMBER OF THE SAINT FRANCIS MEDICAL CENTER.
ELECTION OF MEMBERS AND THEIR RIGHTS	FORM 990, PAGE 6, PART VI, LINE 7A	SAINT FRANCIS HEALTHCARE SYSTEM, INC. IS 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.
DECISIONS SUBJECT TO APPROVAL OF MEMBERS	FORM 990, PAGE 6, PART VI, LINE 7B	DECISIONS ARE SUBJECT TO THE BISHOP'S APPROVAL.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	A COPY OF THE FORM 990 IS PROVIDED TO THE ALL MEMBERS OF THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO BEING FILED WITH THE INTERNAL REVENUE SERVICE.
ENFORCEMENT OF CONFLICTS POLICY	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.
COMPENSATION PROCESS FOR TOP OFFICIAL	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.
COMPENSATION PROCESS FOR OFFICERS	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.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	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.
RECONCILIATION OF CHANGES - OTHER	FORM 990, PART XI, LINE 9	LOSS ON EXTINGUISHMENT OF DEBT -2,402,765 CHANGE IN INTEREST IN NET ASSETS OF 0 SAINT FRANCIS FOUNDATION 200,252

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	MEDICAL PARTNERS OF CAPE GIRARDEAU	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	211 SAINT FRANCIS DRIVE	AddressLine1
City	CAPE GIRARDEAU	City
State	MO	State
ZIP Code	63703	ZIPCode

Field	Value	IRS element (for citing)
EIN	431869973	EIN
Primary Activities	PHYS. PRAC	PrimaryActivities
Legal Domicile State	MO	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SFMC	BusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
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

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	SAINT FRANCIS HEALTH DEVELOP SRVC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	211 SAINT FRANCIS DRIVE	AddressLine1
City	CAPE GIRARDEAU	City
State	MO	State
ZIP Code	63703	ZIPCode

Field	Value	IRS element (for citing)
EIN	470849798	EIN
Primary Activity	HOLDING CO	PrimaryActivity
Legal Domicile State	MO	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SFHS	BusinessNameLine1

Field	Value	IRS element (for citing)
Type Of Entity	C CORP	TypeOfEntity
Controlled Org	true	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg