2014-02-14T09:37:02-06:00 2013-06-30 KERBER ECK & BRAECKEL LLP 1116 W MAIN ST CARBONDALE IL 629012335 990 2012-07-01 237246265 SAINT FRANCIS MEDICAL CENTER SAIN 5733313000 211 SAINT FRANCIS DRIVE CAPE GIRARDEAU MO 63703 WILLIAM A BALSANO 5733313000 2014-02-14 true DAVID SCHNAKE 6185291040 2014-02-14 2012 2015-11-30 17:44:51Z STEVEN C BJELICH 211 SAINT FRANCIS DRIVE CAPE GIRARDEAU MO 63703 509224120 false X WWW.SFMC.NET X 1972 MO 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. 5 5 2700 370 6576112 904526 772261 441074584 424095820 12232367 10580442 2166516 3013883 456377993 438462406 0 0 174719548 193059772 0 0 249913656 202428076 424633204 395487848 31744789 42974558 606782122 740301033 207661930 286221582 399120192 454079451 X 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. false false 395487848 427654314 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. 395487848 true true false false false false false false false false true false false false false true true true false false false false false false true false true true false false true true false true false false false false false true false true true false false false true true false false false true 131 0 2700 true true true false false false false true true false false false false X 5 5 true true false false true true true true true false false true true true true true true true true false X WILLIAM A BALSANO 5733313000 211 SAINT FRANCIS DR 211 SAINT FRANCIS DRIVE CAPE GIRARDEAU MO 63703 DENNIS MARCHI 2.00 2.00 X 2767 0 0 JOHN A LAYTON 2.00 2.00 X 2649 0 0 MAURICE R SANDFORT 2.00 2.00 X 1830 0 0 CLYDE NENNINGER 2.00 2.00 X 0 0 0 L R ROPER JR 2.00 2.00 X 0 0 0 MARILYN K CURTIS VP OF PROF SERVIC 40.00 X 1333400 0 23522 STEVEN C BJELICH PRESIDENT CEO 40.00 2.00 X 981417 0 27843 WILLIAM A BALSANO VP OF FINANCE 40.00 2.00 X 458624 0 21286 JAMES SCHELLMDVP OF MEDICAL AFFAIR 40.00 X 455467 0 22141 BARBARA THOMPSON VP OF MARKETING 20.00 X 401084 0 0 JEANNETTE K FADLERVP OF PATIENT CAR 40.00 X 321614 0 23410 MICHAEL FREEMANMD GASTRONENTEROLOG 40.00 X 1195468 0 26931 EDWARD BENDERMDCARDIOTHORASIC SURG 40.00 X 795780 0 20925 LOUIS CARAGINE JRMDPHD ENDOV SURG 40.00 X 789598 0 26638 PAUL HOLCOMB JR MD CARDIOLOGIST 40.00 X 733197 0 23947 BRANDON SCOTT DO NEUROSURGEON 40.00 X 643006 0 19759 8115901 236402 212 false true true 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 196 170999 601262 30840 772261 PATIENT SERVICE REVENUE 414362564 414362564 PHARMACY 446110 5758323 5758323 AUXILLIARY SERVICES 2415392 2415392 WELLNESS PROGRAMS 741752 741752 LAB FEES 621500 546788 546788 271001 271001 424095820 4841660 4395824 445836 499196 499196 499196 499196 76450372 3357 70445822 269125 6004550 -265768 5738782 5738782 31020 170999 46767 -15747 CAFETERIA SALES 1454753 1454753 MISCELLANEOUS 1037242 1037242 MEDICAL RECORDS 29268 29268 9171 9171 2530434 438462406 427654314 6576112 3475466 4077054 4077054 149350705 149350705 4598675 4598675 25038968 25038968 9994370 9994370 578173 578173 90380 90380 3593661 3593661 13027862 13027862 53039833 53039833 2730780 2730780 2995636 2995636 570252 570252 5544047 5544047 7800000 7800000 26383941 26383941 3144985 3144985 MEDICAL SUPPLIES 43077436 43077436 DRUGS 24986298 24986298 EQUIP. 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PHYSICIAN PRACTICE 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 X X X true true X X X X X false false false false false true false false false 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 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. A IND DEV AUTH OF CAPE GIRARDEAUM 431193901 139404EH6 2009-05-28 49238638 CAPITAL EXPENDITURES true false false B IND DEV AUTH OF CAPE GIRARDEAU 431193901 139404FJ1 2013-05-01 40290000 EXTINGUISH/DEFEASE OUTSTANDING BONDS false false false C IND DEV AUTH OF CAPE GIRARDEAU 431193901 139404FH5 2013-05-01 131833295 CAPITAL EXPENDITURES false false false A 1700000 11745000 49238638 4821405 950781 43467033 2011 false false true true B 1050000 40290000 40290000 false true true true C 131833295 575440 55448875 1380910 2306961 72696549 false true false true 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 A false true false false false false false false false B false true false false true false false false false C false true false false false false false false false A false B THOMPSON-OWNS THE ROBERTS GROUP VP OF MARKETING 11519083 ADVERTISING FEES false X 11 9446 COST/SELLING PRICE/FMV X 1 1350 COST/SELLING PRICE/FMV X DOOR PRIZES 55 10100 COST/SELLING PRICE/FMV X PHOTOGRAPHY 1 9944 COST/SELLING PRICE/FMV false true false 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 MEDICAL PARTNERS OF CAPE GIRARDEAU 211 SAINT FRANCIS DRIVE CAPE GIRARDEAU MO 63703 431869973 PHYS. PRAC MO SFMC SAINT FRANCIS HEALTHCARE SYSTEM 211 SAINT FRANCIS DRIVE CAPE GIRARDEAU MO 63703 430662499 HOLDING CO MO 501C3 11B NA false SAINT FRANCIS FOUNDATION 211 SAINT FRANCIS DRIVE CAPE GIRARDEAU MO 63703 431111276 FUND DEV. MO 501C3 11B NA false SAINT FRANCIS HEALTH DEVELOP SRVC 211 SAINT FRANCIS DRIVE CAPE GIRARDEAU MO 63703 470849798 HOLDING CO MO SFHS C CORP true false false true false false false false false false false true false true true true true true true false