SOUTHEAST HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
SOUTHEAST HOSPITAL (EIN 43-0654874)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-11
IRS object ID
201313169349300126
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-11T11:42:22-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KERBER ECK & BRAECKEL LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11116 W MAIN STAddressLine1
CityCARBONDALECity
StateILState
ZIP Code629012335ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN430654874EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SOUTHEAST MISSOURI HOSPITALBusinessNameLine1
Business Name Line2ASSOCIATIONBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlSOUTNameControl
Phone5733344822Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11701 LACEY STREETAddressLine1
CityCAPE GIRARDEAUCity
StateMOState
ZIP Code63701ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameHUGH U KINGName
TitleVICE PRESIDENT/CFOTitle
Phone5733344822Phone
Date Signed2013-10-25DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMARK DALLASName
Phone6185291040Phone
Date Prepared2013-11-11DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1SOUTHEASTHEALTHBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonHUGH U KINGNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11701 LACEY STAddressLine1
CityCAPE GIRARDEAUCity
StateMOState
ZIP Code637015230ZIPCode
FieldValueIRS element (for citing)
Gross Receipts397820904GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SEHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1926YearFormation
State Legal DomicileMOStateLegalDomicile
Activity Or Mission DescriptionPROVIDER OF HEALTHCARE SERVICEActivityOrMissionDescription
Nbr Voting Members Governing Body31NbrVotingMembersGoverningBody
Nbr Independent Voting Members29NbrIndependentVotingMembers
Total Nbr Employees2758TotalNbrEmployees
Total Nbr Volunteers220TotalNbrVolunteers
Total Gross UBI9815019TotalGrossUBI
Net Unrelated Business Txbl Income-2420175NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year63117ContributionsGrantsPriorYear
Contributions Grants Current Year212241ContributionsGrantsCurrentYear
Program Service Revenue Prior Year342266085ProgramServiceRevenuePriorYear
Program Service Revenue CY315798769ProgramServiceRevenueCY
Investment Income Prior Year2841119InvestmentIncomePriorYear
Investment Income Current Year7242823InvestmentIncomeCurrentYear
Other Revenue Prior Year903559OtherRevenuePriorYear
Other Revenue Current Year-870392OtherRevenueCurrentYear
Total Revenue Prior Year346073880TotalRevenuePriorYear
Total Revenue Current Year322383441TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year142645575SalariesEtcPriorYear
Salaries Etc Current Year140876943SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year196495704OtherExpensePriorYear
Other Expenses Current Year160413857OtherExpensesCurrentYear
Total Expenses Prior Year339141279TotalExpensesPriorYear
Total Expenses Current Year301290800TotalExpensesCurrentYear
Revenues Less Expenses Prior Year6932601RevenuesLessExpensesPriorYear
Revenues Less Expenses CY21092641RevenuesLessExpensesCY
Total Assets BOY361999708TotalAssetsBOY
Total Assets EOY381812031TotalAssetsEOY
Total Liabilities BOY153880430TotalLiabilitiesBOY
Total Liabilities EOY152657180TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY208119278NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY229154851NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionPROVIDER OF HEALTHCARE SERVICEMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense301290800Expense
Revenue315798769Revenue
DescriptionSOUTHEAST MISSOURI HOSPITAL ASSOCIATION (SOUTHEASTHEALTH) PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. SOUTHEAST MISSOURI HOSPTIAL ASSOCIATION RECORDED 45,106 ADULT AND CHILDREN PATIENT DAYS AND 1,588 NEWBORN PATIENT DAYS DURING 2012. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF SOUTHEASTHEALTH, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES AND FURTHER THAT THE MISSION IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. THEREFORE, THE HOSPITAL SERVES ALL MEMBERS OF THE COMMUNITY WITH: - FREE CARE AND/OR SUBSIDIZED CARE, - CARE PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST, AND - HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, PROFESSIONAL EDUCATION PROGRAMS, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. SOUTHEASTHEALTH PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS (MEDICARE AND MEDICAID) AT BELOW ACTUAL COST. SOUTHEASTHEALTH USES AN OVERALL HOSPITAL COST TO CHARGE RATIO TO CALCULATE THE UNPAID COST OF CHARITY CARE AND USES THE MEDICARE/MEDICAID COST REPORTS TO DETERMINE THE UNPAID COST OF THESE GOVERNMENT PROGRAMS. THE AMOUNTS BELOW REFLECT THE QUANTIFIABLE COSTS OF SOUTHEASTHEALTH'S COMMUNITY BENEFIT FOR THE YEAR ENDED DECEMBER 31, 2012. BENEFITS FOR THE POOR AND THE BROADER COMMUNITY CHARITY CARE AT COST 6,790,656 UNPAID COST OF MEDICARE 19,936,513 UNPAID COST OF MEDICAID 5,151,533 COMMUNITY HEALTH SERVICES 43,909 COLLEGE AND HEALTH SCIENCES SUBSIDY 2,746,290 TOTAL COMMUNITY BENEFIT 34,668,901 BENEFITS FOR THE POOR REPRESENT THE COST OF SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTH CARE BECAUSE OF INADEQUATE RESOURCES AND WHO ARE UNINSURED OR UNDERINSURED. BENEFITS FOR THE BROADER COMMMUNITY REPRESENT THE COST OF SERVICES PROVIDED TO OTHER NEEDY POPULATIONS THAT MAY NOT QUALIFY AS POOR, BUT THAT NEED SPECIAL SERVICES AND SUPPORT. THESE PROGRAMS ARE NOT FINANCIALLY SELF-SUPPORTING. COMMUNITY HEALTH SERVICES ARE ACTIVITIES AND SERVICES FOR WHICH NO PATIENT BILL EXISTS, ALTHOUGH THERE MAY BE NOMINAL PATIENT FEES. THESE SERVICES ARE NOT EXPECTED TO BE FINANCIALLY SELF-SUPPORTING, ALTHOUGH SOME MAY BE PARTIALLY SUPPORTED BY OUTSIDE GRANTS OR FUNDING. THE COLLEGE OF NURSING AND HEALTH SCIENCES IS AN INSTITUTION OF HIGHER LEARNING THAT SPECIALIZES IN THE PREPARATION OF INDIVIDUALS FOR HEALTH CARE CAREERS. THE PRIMARY MISSION OF THE COLLEGE IS TO RESPOND TO THE NEEDS OF THE COMMUNITY AND REGION THROUGH THE DEVELOPMENT OF PROGRAMS DESIGNED TO PREPARE QUALIFIED HEALTH CARE PROFESSIONALS IN CONTINUING IN HIGH DEMAND FIELDS. SOUTHEASTHEALTH ALSO PROVIDES A SIGNIFICANT AMOUNT OF UNCOMPENSATED CARE FOR PATIENTS WHICH IS NOT INCLUDED ABOVE, BUT IS REPORTED ON THE STATEMENT OF OPERATIONS AS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANY OF THOSE PATIENTS ARE UNINSURED OR UNDERINSURED, BUT DID NOT APPLY FOR OR QUALIFY FOR CHARITY CARE. DURING THE YEAR THE ASSOCIATION REPORTED A PROVISION FOR UNCOLLECTIBLE ACCOUNTS OF 10,182,619 AT COST. CHARITY CARE IS ALSO PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR.Description
Total Program Service Expense301290800TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccounttrueEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPtrueLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096120NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees2758NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members31NbrVotingGoverningBodyMembers
Number Independent Voting Members29NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSOUTHEAST MISSOURI HOSPITALNamePerson
Telephone Number5733344822TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11701 LACEY STAddressLine1
CityCAPE GIRARDEAUCity
StateMOState
ZIP Code63701ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (47 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per Week RelatedAverageHoursPerWeekRelatedOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
GABRIEL SOTO MD
TRUSTEE1.00X761418028568
DIANNE WOOLARD MD
TRUSTEE1.00X607917024618
ILENA ASLIN
TRUSTEE1.00X000
MICHAEL BENNETT DDS
TRUSTEE1.00X000
JAMES DUFEK
TRUSTEE1.00X000
ROBERT W ERLBACHER II
TRUSTEE1.00X000
ROBERT W ERLBACHER III
TRUSTEE1.00X000
STEVEN M GREEN
TRUSTEE1.00X000
W CLIFF FORD
TRUSTEE1.00X0001.00
KEVIN E FORD
TRUSTEE1.00X000
JOHN W GRIMM
TRUSTEE4.00X0001.00
T RONALD HAHS
TRUSTEE1.00X000
AUGUST RITTER III MD
TRUSTEE1.00X000
CHRISTOPHER L HUTSON
TRUSTEE4.00X0001.00
FRANK KINDER
2ND VICE CHA4.00X0001.00
JAY B KNUDTSON
SECRETARY/TR4.00X0001.00
MICHAEL D KOHLFELD
TRUSTEE4.00X0001.00
PETE D POE
TRUSTEE1.00X0001.00
BENJAMIN F LEWIS
TRUSTEE1.00X000
DAVID S LIMBAUGH
TRUSTEE1.00X000
FRANK H MCGINTY MD
TRUSTEE1.00X000
ROBERT G NEFF
1ST VICE CHA4.00X0001.00
ALLEN B TOOLE
TRUSTEE1.00X0001.00
NARVOL A RANDOL JR
TRUSTEE4.00X0002.00
JAMES A RUST
TRUSTEE4.00X0001.00
PAUL W SANDER
TRUSTEE1.00X000
PAUL J SHORT
TRUSTEE1.00X000
W RAY SILLIMAN MD
TRUSTEE1.00X000
AM SPRADLING III
CHAIRMAN4.00X0001.00
JOHN M THOMPSON
TRUSTEE4.00X0001.00
JERRY R ZIMMER
TRUSTEE4.00X0001.00
A WAYNE SMITH
PRESIDENT/CE50.004021080393612.00X
HUBERT U KING
ASST TREAS/V50.003201580393871.00X
SYLVIA C MOORE
CHIEF OPERAT50.003270760282721.00X
JAMES P LIMBAUGH
EXEC VICE PR50.003101830491991.00X
JUDY ASLIN
CHIEF NURSIN50.001964020347311.00X
DANIEL BERRY
VP LEGAL AFF50.001931910334611.00X
LINCOLN SCOTT
VP OF HUMAN50.001880280267391.00X
MICHAEL DOZIER
INFORMATION50.00180183073541.00X
MATTHEW D GAETA
GASTROENTERO40.00951468042758X
WILLIAM R M OGLE
CARDIO-THORA40.00853833043334X
RANDY G BROWN
CARDIO-THORA40.00845899036689X
EMAD M ABUHAMDA
GASTROENTERO40.00844704034730X
JAMES C MOSLEY III MD
ONCOLOGIST40.00721437040576X
DEBRA W LINNES
FORMER PRESI0.00465026033064X
KAREN S HENDRICKSON
CHIEF NURSIN0.0016792108967X
GREGORY L HUDSON
VICE PRESIDE0.0015260907520X
FieldValueIRS element (for citing)
Total Reportable Comp From Org8489561TotalReportableCompFromOrg
Total Other Compensation559328TotalOtherCompensation
Number Individuals GT100 K172NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ANESTHESIA ASSOCIATES
PO BOX 751CAPE GIRARDEAUMO63702CRNA823701
FINCH LAW FIRM
PO BOX 818CAPE GIRARDEAUMO63702LEGAL & COLLECT371248
CAPE RADIOLOGY GROUP
PO BOX 1330CAPE GIRARDEAUMO63702MEDICAL SERVICE179864
HOFMANN MEDICAL
820 COUNTRY CLUB ROADCENTRALIAIL62801MAINTENANCE131792
BRYAN CAVE LLP
PO BOX 503089ST LOUISMO63150CONSULTING129484
FieldValueIRS element (for citing)
Number Of Contractors GT100 K10NumberOfContractorsGT100K
Membership Dues9741MembershipDues
Government Grants202500GovernmentGrants
Total Contributions212241TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeBusiness CodeBusinessCodeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICE REVENUE295158373295158373
REFERENCE LAB40729386215004072938
HEALTHPOINT FITNESS33059953305995
PLAZA PHARMACY24480024461102448002
NURSING SCHOOL TUITION21907432190743

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column8622718TotalRevenueColumn
Related Or Exempt Function Income3245901RelatedOrExemptFunctionIncome
Unrelated Business Revenue3294079UnrelatedBusinessRevenue
Exclusion$2,082,738ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue315798769TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1713468TotalRevenueColumn
Exclusion$1,713,468ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real615791Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real1486183Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-870392Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-870392TotalRevenueColumn
Exclusion-$870,392ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities79468735Securities
Other11900Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities73304002Securities
Other647278Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities6164733Securities
Other-635378Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column5529355TotalRevenueColumn
Related Or Exempt Function Income5529355RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column322383441TotalRevenueColumn
Related Or Exempt Function Income309430367RelatedOrExemptFunctionIncome
Unrelated Business Revenue9815019UnrelatedBusinessRevenue
Exclusion$2,925,814ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3798354Total
Program Services3798354ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total835107Total
Program Services835107ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total107971880Total
Program Services107971880ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total5165824Total
Program Services5165824ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total15721282Total
Program Services15721282ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7384496Total
Program Services7384496ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1223972Total
Program Services1223972ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total101034Total
Program Services101034ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total325837Total
Program Services325837ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total15221622Total
Program Services15221622ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total3246361Total
Program Services3246361ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total11166254Total
Program Services11166254ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1472590Total
Program Services1472590ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3075926Total
Program Services3075926ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total204885Total
Program Services204885ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total863724Total
Program Services863724ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total4868398Total
Program Services4868398ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total18744947Total
Program Services18744947ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total4284977Total
Program Services4284977ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
MEDICAL SUPPLIES3294700032947000
DRUGS & PHARMACEUTICALS2016428220164282
MEDICAID FRA ASSESSMENT1969709219697092
REPAIRS & MAINTENANCE62347406234740

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total16570216Total
Program Services16570216ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total301290800Total
Program Services301290800ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1913378BOY
EOY852441EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY43682938BOY
EOY45475762EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY48736673BOY
EOY49285656EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY69504BOY
EOY19663EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1268724BOY
EOY819978EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY10280833BOY
EOY10726801EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY10252249BOY
EOY6542436EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis335991271LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec153604154LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY177590823BOY
EOY182387117EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY45283009BOY
EOY56854020EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY664227BOY
EOY471018EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY10370740EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY22257350BOY
EOY18006399EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY361999708BOY
EOY381812031EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY37917883BOY
EOY30718145EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY110108377BOY
EOY107773517EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY609158BOY
EOY13618074EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY5245012BOY
EOY547444EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY153880430BOY
EOY152657180EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY208119278BOY
EOY229154851EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY208119278BOY
EOY229154851EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY361999708BOY
EOY381812031EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses21092641ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-846960ReconciliationUnrealizedInvest
Reconcilation Other Changes789892ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis14797231OtherCostOrOtherBasis
Book Value14797231BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis112169635OtherCostOrOtherBasis
Depreciation43491582Depreciation
Book Value68678053BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis179981283OtherCostOrOtherBasis
Depreciation103664427Depreciation
Book Value76316856BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis29043122OtherCostOrOtherBasis
Depreciation6448145Depreciation
Book Value22594977BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings182387117TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ACCUM POST RETIRE BENEFITS$514,717
BUILDING CONTRACTS PAYABLE$32,727
FieldValueIRS element (for citing)
Total Of Amounts547444TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierLIABILITY UNDER FIN 48 FOOTNOTEIdentifier
Return ReferenceSCHEDULE D, PAGE 3, PART XReturnReference
ExplanationTHERE WERE NO PENALTIES, INTEREST, OR UNCERTAIN TAX BENEFITS IDENTIFIED AND RECORDED AS A LIABILITY AT DECEMBER 31, 2012.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically IndigentfalseFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CarefalseAmountsBudgetedForCharityCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense6790656TotalCommunityBenefitExpense
Net Community Benefit Expense6790656NetCommunityBenefitExpense
Percent Of Total Expense0.02250PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense49953583TotalCommunityBenefitExpense
Direct Offsetting Revenue44802050DirectOffsettingRevenue
Net Community Benefit Expense5151533NetCommunityBenefitExpense
Percent Of Total Expense0.01710PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense56744239TotalCommunityBenefitExpense
Direct Offsetting Revenue44802050DirectOffsettingRevenue
Net Community Benefit Expense11942189NetCommunityBenefitExpense
Percent Of Total Expense0.03960PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense84268TotalCommunityBenefitExpense
Direct Offsetting Revenue40359DirectOffsettingRevenue
Net Community Benefit Expense43909NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense5158339TotalCommunityBenefitExpense
Direct Offsetting Revenue2412049DirectOffsettingRevenue
Net Community Benefit Expense2746290NetCommunityBenefitExpense
Percent Of Total Expense0.00910PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense5242607TotalCommunityBenefitExpense
Direct Offsetting Revenue2452408DirectOffsettingRevenue
Net Community Benefit Expense2790199NetCommunityBenefitExpense
Percent Of Total Expense0.00930PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense61986846TotalCommunityBenefitExpense
Direct Offsetting Revenue47254458DirectOffsettingRevenue
Net Community Benefit Expense14732388NetCommunityBenefitExpense
Percent Of Total Expense0.04890PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$9,031,444BadDebtExpenseAmount
Amount Attributable To3161005AmountAttributableTo
Amount Reimbursed By Medicare78915997AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare98852510CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-19936513MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1SOUTHEAST MISSOURI HOSPITALBusinessNameLine1
Business Name Line2ASSOCIATIONBusinessNameLine2

Address Address

FieldValueIRS element (for citing)
Address Line11701 LACEY STREETAddressLine1
CityCAPE GIRARDEAUCity
StateMOState
ZIP Code63701ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SOUTHEAST MISSOURI HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent100.0FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent200.0FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Other FactorsXOtherFactors
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Provided On AdmissionXProvidedOnAdmission
Actions On NonpaymenttrueActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Permit LawsuitXPermitLawsuit
Collection ActivitiesfalseCollectionActivities
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities32NumberOfOtherFacilities

Other Facilities OtherFacilities (32 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityTypeAddress Line2Address/AddressLine2
SOUTHEAST CANCER CENTER
817 S MT AUBURN RDCAPE GIRARDEAUMO63703OUTPATIENT MEDICAL SERVICES
HEMATOLOGY-ONCOLOGY SERVICES OF
SOUTHEAST MISSOURI HOSPITALCAPE GIRARDEAUMO63701OUTPATIENT PHYSICIAN CLINIC1723 BROADWAY SUITE 315
WEST CAMPUS IMAGINING
817 S MT AUBURN RDCAPE GIRARDEAUMO63703OUTPATIENT MEDICAL SERVICES
HEALTHPOINT REHAB - CAPE
2126 INDEPENDENCECAPE GIRARDEAUMO63701OUTPATIENT REHAB SERVICES
HEALTHPOINT REHAB - JACKSON
410 WEST MAIN STREETJACKSONMO63755OUTPATIENT REHAB SERVICES
WOUND CARE & HYPERBARIC MEDICINE
310 S SILVER SPRINGS DRCAPE GIRARDEAUMO63701OUTPATIENT MEDCIAL SERVICES
DOCTORS PARK LAB
37 DOCTORS PARKCAPE GIRARDEAUMO63703OUTPATIENT LABORATORY SERVICES
HOME HEALTH AND HOSPICE SERVICES
10 DOCTORS PARKCAPE GIRARDEAUMO63703HOME CARE SERVICES
BREAST CARE & DIAGNOSTIC CENTER
60 DOCTORS PARKCAPE GIRARDEAUMO63703OUTPATIENT MEDICAL SERVICES
GASTROENTEROLOGY SERVICES OF
SOUTEASTH MISSOURI HOSPITALCAPE GIRARDEAUMO63701OUTPATIENT PHYSICIAN CLINIC1723 BROADWAY SUITE 220
OBSTETRICS & GYNECOLOGY SERVICES OF
SOUTHEAST MISSOURI HOSPITALCAPE GIRARDEAUMO63701OUTPATIENT PHYSICIAN CLINIC1723 BROADWAY SUITE 315
CARDIAC AND VASCULAR SURGEONS OF
SOUTHEAST MISSOURI HOSPITALCAPE GIRARDEAUMO63701OUTPATIENT PHYSICIAN CLINIC1723 BROADWAY SUITE 310
PLAZA PRIMARY CARE WEST
817 SOUTH MT AUBURN ROADCAPE GIRARDEAUMO63703OUTPATIENT PHYSICIAN CLINIC
HEALTHPOINT FITNESS - CAPE
2126 INDEPENDENCECAPE GIRARDEAUMO63701FITNESS FACILITY
PLAZA PHARMACY
1723 BROADWAY SUITE 110CAPE GIRARDEAUMO63701RETAIL PHARMACY
SOUTHEAST COLLEGE OF NURSING &
HEALTH SCIENCESCAPE GIRARDEAUMO63703EDUCATION AL FACILITY2001 WILLIAM ST
NEUROSCIENCES CENTER OF SOUTHEAST
MISSOURI HOSPITALCAPE GIRARDEAUMO63701OUTPATIENT PHYSICIAN CLINIC1723 BROADWAY SUITE 210
MAIN STREET PHARMACY
2685 EAST MAIN STREETJACKSONMO63755RETAIL PHARMACY
PLAZA PRIMARY CARE
1723 BROADWAY SUITE 205CAPE GIRARDEAUMO63701OUTPATIENT PHYSICIAN CLINIC
SOUTHEAST PEDIATRICS
817 S MT AUBURN RDCAPE GIRARDEAUMO63703OUTPATIENT PHYSICIAN CLINIC
ENDOCRONOLOGY SERVICES OF SOUTHEAST
MISSOURI HOSPITALCAPE GIRARDEAUMO63703OUTPATIENT PHYSICIAN CLINIC15 DOCTORS PARK
PULMONOLOGY SERVICES OF
SOUTHEAST MISSOURI HOSPITALCAPE GIRARDEAUMO63701OUTPATIENT PHYSICIAN CLINIC1723 BROADWAY SUITE 305
PLAZA PHARMACY WEST
817 S MT AUBURN RDCAPE GIRARDEAUMO63703RETAIL PHARMACY
WEST CAMPUS LAB
817 S MT AUBURN RDCAPE GIRARDEAUMO63703OUTPATIENT LABORATORY SERVICES
PHYSICAL MEDICINE AND REHAB SERVICE
OF SOUTHEAST MISSOURI HOSPITALCAPE GIRARDEAUMO63701OUTPATIENT PHYSICIAN CLINIC2126 INDEPENDENCE
OCCUPATIONAL MEDICINE SERVICES OF
SOUTHEAST MISSOURI HOSPITALCAPE GIRARDEAUMO63701OUTPATIENT PHYSICIAN CLINIC2126 INDEPENDENCE
HEATLHPOINT FITNESS - JACKSON
410 WEST MAIN STREETJACKSONMO63755FITNESS FACILITY
SEMO CAMPUS CLINIC
SOUTHEAST MO STATE UNIVERSITYCAPE GIRARDEAUMO63701OUTPATIENT CLINIC
DIABETES CENTER OF SOUTHEAST
SOUTHEAST MISSOURI HOSPITALCAPE GIRARDEAUMO63703OUTPATIENT MEDICAL SERVICES15 DOCTORS PARK
LAUNDRY SERVICES
122 S SPANISHCAPE GIRARDEAUMO63703LAUNDRY FACILITY
SHOW MOBILE
MOBILE CLINICCAPE GIRARDEAUMO63701OUTPATIENT CLINIC
SOUTHEAST INTERNAL MEDICINE
817 S MT AUBURN RDCAPE GIRARDEAUMO63703OUTPATIENT PHYSICIAN CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COSTING METHODOLOGY EXPLANATIONPART I LINE 7SOUTHEASTHEALTH USED A COST TO CHARGE RATIO AS CALCULATED FROM WORKSHEET 2 RATIO OF PATIENT CARE COSTTOCHARGES INCLUDED IN THE SCHEDULE H INSTRUCTIONS TO DETERMINE THE AMOUNTS ON LINES 7A AND 7B OF PART I OF SCHEDULE H SOUTHEASTHEALTH USED ACTUAL COSTS AS REPORTED IN THE GENERAL LEDGER SYSTEM TO DETERMINE THE AMOUNTS ON LINES 7E AND 7J OF PART I OF SCHEDULE H SCHEDULE H PART I LINE 7F WAS DETERMINED USING BOTH ACTUAL AMOUNTS FROM SOUTHEASTHEALTHS GENERAL LEDGER PLUS AN ALLOCATION OF OVERHEAD COSTS THE OVERHEAD COSTS WERE DETERMINED BY USING OVERHEAD ALLOCATED ON THE MEDICARE COST REPORT TO CALCULATE AN OVERHEAD PERCENTAGE
BAD DEBT EXPENSE EXPLANATIONPART III LINE 4SOUTHEASTHEALTH CALCULATED BAD DEBT EXPENSE AT COST USING THE COST TO CHARGE RATIO AS CALCULATED USING WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS PATIENT ACCOUNTS ARE WRITTEN OFF TO BAD DEBT ONLY AFTER ALL COLLECTION PROCEDURES HAVE BEEN EXHAUSTED AS OUTLINED IN SCHEDULE H PART III LINE 9B PATIENT ACCOUNTS ARE WRITTEN OFF TO BAD DEBT AFTER ALL DISCOUNTS AND PAYMENTS HAVE BEEN APPLIED BASED ON THE ASSOCIATIONS EXPERIENCE WITH ALL ITS PATIENTS THEY ESTIMATE THAT IT IS LIKELY THAT UP TO 35 OF THE PATIENT ACCOUNTS WRITTEN OFF TO BAD DEBTS MAY QUALIFY FOR CHARITY CARE OR OTHER ASSISTANCE BUT CHOSE NOT TO APPLY THEREFORE 35 OF THE BAD DEBT EXPENSE WAS INCLUDED ON PART III LINE 3 AT COST FOLLOWING IS THE TEXT OF THE BAD DEBT EXPENSE FOOTNOTE EXACTLY AS IT APPEARS IN THE FISCAL YEAR 2012 FINANCIAL STATEMENTS SOUTHEASTHEALTH ALSO PROVIDES A SIGNIFICANT AMOUNT OF UNCOMPENSATED CARE FOR PATIENTS WHICH IS NOT INCLUDED ABOVE BUT IS REPORTED ON THE STATEMENT OF OPERATIONS AS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS MANY OF THOSE PATIENTS ARE UNINSURED OR UNDERINSURED BUT DID NOT APPLY FOR OR QUALIFY FOR CHARITY CARE DURING THE YEAR ENDED DECEMBER 31 2012 SOUTHEASTHEALTH REPORTED BAD DEBT EXPENSE AT COST OF 10182619
MEDICARE EXPLANATIONPART III LINE 8THE FISCAL YEAR 2011 MEDICARE COST REPORT WAS USED TO DETERMINE THE UNPAID COST OF MEDICARE UNPAID COST OF MEDICARE REPRESENTS THE COST OF PROVIDING SERVICES TO PRIMARILY ELDERLY BENEFICIARIES OF THE MEDICARE PROGRAM IN EXCESS OF PAYMENTS FOR THOSE SERVICES IRS REVENUE RULING 69545 WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFTIS INCLUDING MEDICARE THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY THIS IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT
COLLECTION PRACTICES EXPLANATIONPART III LINE 9BBILLING CREDIT AND COLLECTION POLICY THE BUSINESS OFFICE OF SOUTHEASTHEALTH WILL ASSIST ALL PATIENTS IN THE BILLING OF INSURANCE CLAIMS TO GOVERNMENTAL AGENCIES COMMERCIAL INSURANCE CARRIERS AND OTHER THIRD PARTIES FOR THE PURPOSE OF INSURING PROMPT RECEIPT OF PATIENT OBLIGATIONS SELFPAY PATIENTS PATIENTS WITHOUT HEALTH CARE INSURANCE WILL BE COOPERATED WITH FULLY WHILE BEING ENCOURAGED TO SATISFY THEIR FINANCIAL OBLIGATIONS TO SOUTHEASTHEALTH ON A TIMELY BASIS AN ATMOSPHERE OF MUTUAL UNDERSTANDING BETWEEN THE PATIENTS WE SERVE AND OURSELVES WILL BE MAINTAINED AT ALL TIMES SOUTHEASTHEALTH WILL BILL PATIENTS OR THIRD PARTIES ONLY FOR SERVICES ACTUALLY PROVIDED TO PATIENTS AND WILL PROVIDE ASSISTANCE TO PATIENTS SEEKING TO UNDERSTAND THE COST RELATIVE TO THEIR CARE STAFF WILL ALSO ATTEMPT TO RESOLVE QUESTIONS AND OBJECTIONS TO THE SATISFACTION OF THE PATIENT WHILE CONSIDERING THE INSTITUTIONS NEEDS PROCEDURES 1SELFPAY PATIENTS ARE MAILED A STATEMENT THREE DAYS AFTER BILLING HAS BEEN COMPLETED 2PATIENTS WITH INSURANCE ARE MAILED A STATEMENT ONE DAY AFTER INSURANCE PAYMENTS AND ADJUSTMENTS HAVE BEEN APPLIED TO THE ACCOUNT LEAVING A BALANCE FOR THE PATIENT 3SOUTHEASTHEALTH OFFERS PATIENTS SEVERAL DIFFERENT PAYMENT OPTIONS TO SATISFY THEIR ACCOUNT ACASHCHECK FOR THE FULL PAYMENT BMASTERCARDVISADISCOVERAMERICANEXPRESS CSHORTTERM MONTHLY INSTALLMENTS ABALANCES OF 500 TO 2500 MINIMUM OF 100MONTH AND REEVALUATE IN 12 MONTHS BBALANCES OF 2501 TO 5000 MINIMUM OF 250MONTH AND REEVALUATE IN 12 MONTHS CBALANCES OF 5001 AND OVER MINIMUM OF 300MONTH AND REEVALUATE IN 12 MONTHS DNEW BANK LOANS ARE AVAILABLE ON ALL ACCOUNTS OVER 1000 FOR LONGTERM ARRANGEMENTS EFINANCIAL ASSISTANCE IS AVAILABLE PATIENT STATEMENTS LIST WHERE TO CALL OR GO ONLINE TO GET THE APPLICATION 4FOURTEEN DAYS AFTER THE SECOND PATIENT STATEMENT IS MAILED A COURTESY CALL IS PLACED UP TO THREE COURTESY CALLS ARE PLACED BEFORE THE NEXT STATEMENT IS MAILED 5FOURTEEN DAYS AFTER THE THIRD PATIENT STATEMENT IS MAILED ANOTHER COURTESY CALL IS PLACED 6IF PAYMENT OR SATISFACTORY PAYMENT ARRANGEMENTS AS OUTLINED ABOVE ARE NOT MADE WITHIN FOUR MONTHS THE ACCOUNT WILL PROCEED THROUGH A COLLECTION PROCESS AS FOLLOWS AACCOUNTS ARE SENT TO A PRE COLLECTIONS AGENCY ADAY 1 PATIENT STATEMENT IS MAILED BDAY 10 BEGIN DILIGENT COURTESY CALL CAMPAIGN CALLS MADE EVERY THREE DAYS CDAY 30 SECOND PATIENT STATEMENT IS MAILED CONTINUE WITH COURTESY CALLS DDAY 60 IF NO PAYMENTS OR PAYMENT ARRANGEMENTS ARE MADE THEN ACCOUNTS ARE FORWARDED TO A PRIMARY COLLECTION AGENCY BPRIMARY COLLECTION AGENCY ADAY 1 PATIENT STATEMENT IS MAILED BDAY 10 BEGIN DILIGENT COURTESY CALL CAMPAIGN CALLS MADE EVERY THREE DAYS CSTATEMENTS AND COURTESY CALLS CONTINUE FOR SIX MONTHS DDAY 180 IF NO PAYMENTS OR PAYMENT ARRANGEMENTS ARE MADE THEN ACCOUNTS ARE FORWARDED TO A SECONDARY COLLECTION AGENCY CSECONDARY COLLECTION AGENCY REPORTS TO CREDIT BUREAU ADAY 1 PATIENT STATEMENT IS MAILED BDAY 10 BEGIN DILIGENT COURTESY CALL CAMPAIGN CALLS MADE EVERY THREE DAYS CSTATEMENTS AND COURTESY CALLS CONTINUE FOR TWELVE MONTHS DDAY 365 IF NO PAYMENTS OR PAYMENT ARRANGEMENTS ARE MADE THEN ACCOUNTS ARE TURNED BACK OVER TO SOUTHEASTHEALTH FOR FURTHER COLLECTION REVIEW 7ANY ACCOUNT THAT BECOMES DELINQUENT MAY BE TURNED OVER TO AN ATTORNEY OR COLLECTION AGENCY ANY ADDITIONAL COSTS INCURRED IN COLLECTING DELINQUENT BALANCES SUCH AS ATTORNEY FEES AND COURT COSTS WILL BE ADDED TO THE COLLECTION BALANCE
NEEDS ASSESSMENTPART VIO FORMED COLLABORATIVE PARTNERSHIP WITH ST FRANCIS MEDICAL CENTER THE OTHER MAJOR HOSPITAL IN THE REGION IN JANUARY 2012 O DEFINED COMMUNITY AS OUR PRIMARY SERVICE AREA BASED ON PATIENT ORIGIN DATA MADE CONTACT AND DISCUSSED CHNA COMMUNITY HEALTH NEEDS ASSESSMENT WITH COUNTY HEALTH CENTERS SCHOOL SYSTEMS OTHER NONPROFIT ORGANIZATIONS EMS ETC O COLLECTED SECONDARY DATA O HELD FOCUS GROUPS 6 IN CAPE COUNTY 1 IN BOLLINGER 1 IN SCOTT 1 IN STODDARD WE INCLUDED PEOPLE WHO HAD SPECIAL KNOWLEDGE OF HEALTH ISSUES COMMUNITY LEADERS COMMUNITY MEMBERS THAT COULD REPRESENT THE UNDERSERVED AND THE UNDERSERVED THEMSELVES WHENEVER POSSIBLE WE INCLUDED EMS LAW ENFORCEMENT EDUCATORS HEALTH CARE PROVIDERS SOCIAL WORKERS NONPROFIT ORGANIZATIONS AND OTHERS O ADMINISTERED APPROXIMATELY 650 SURVEYS MOSTLY IN SMALL GROUPS AND ONE ONONE APPROX 525 WERE USED O ASSESSED ALL PRIMARY SECONDARY DATA COUNTY BY COUNTY O CREATED A COMPREHENSIVE LIST OF COMMUNITY HEALTH ISSUES BEHAVIOR AND LIFESTYLE ISSUES CONTRIBUTING TO HEALTH AND ENVIRONMENTAL SOCIAL ISSUES RELATED TO HEALTH FOR EACH COUNTY O PRIORITIZED THE LIST BASED ON COMMONALITY BETWEEN COUNTIES INPUT FROM HEALTH CENTERS CONSISTENCY BETWEEN SECONDARY AND PRIMARY DATA OUR ABILITY TO ADDRESS AND THE POTENTIAL TO EFFECT CHANGE O CREATED A LIST OF PRIORITIZED HEALTH NEEDS AND BEHAVIORS
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEPART VIALL PATIENT BILLING STATEMENTS FOR SOUTHEASTHEALTH INCLUDE A STATEMENT THAT THE PATIENT MAY CONTACT THE ASSOCIATION WITH ANY QUESTIONS OR PAYMENT ISSUES REGARDING THEIR BILL IF A PATIENT CONTACTS SOUTHEASTHEALTH WITH AN INABILITY TO MAKE PAYMENT ISSUE THEY INFORM THE PATIENT OF THE AVAILABLE OPTIONS INCLUDING CHARITY CARE AND OTHER ASSISTANCE THEY ALSO EXPLAIN HOW THE PATIENT CAN APPLY FOR ASSISTANCE
COMMUNITY INFORMATIONPART VISOUTHEASTHEALTH HAS A PRIMARY SERVICE AREA CONSISTING OF CAPE GIRARDEAU COUNTY BOLLINGER COUNTY SCOTT COUNTY AND STODDARD COUNTY ALL LOCATED IN SOUTHEAST MISSOURI THE COMMUNITIES ARE DESCRIBED BELOW CAPE GIRARDEAU COUNTY IS LOCATED IN SOUTHEAST MISSOURI ALONG THE MISSISSIPPI RIVER THE POPULATION OF THE COUNTY IS CURRENTLY 75674 WHITES COMPRISE 887 AND AFRICANAMERICANS REPRESENT 7 OF THE TOTAL POPULATION THE COUNTY HAS A HIGHER PERCENTAGE OF THE YOUNGER POPULATION AGES 15 24 THAN AVERAGE FOR THE STATE OF MISSOURI NEARLY 86 OF CAPE GIRARDEAU COUNTY RESIDENTS 25 YEARS AND OVER HAVE GRADUATED FROM HIGH SCHOOL WITH 315 GOING ON TO RECEIVE A POSTSECONDARY DEGREE THE UNEMPLOYMENT RATE WAS 76 IN 2010 WHICH IS CONSIDERABLY LOWER THAN MISSOURIS 94 CAPE GIRARDEAU COUNTY HAS 142 OF RESIDENTS IN POVERTY WITH NEARLY 14 ON MEDICAID 12 ON FOOD STAMPS AND 15 UNINSURED BOLLINGER COUNTY IS LOCATED IN SOUTHEAST MISSOURI WITH A MOSTLY RURAL POPULATION OF 12363 WHITES COMPRISE 979 OF THE TOTAL POPULATION AND THE COUNTY HAS A HIGHER PERCENTAGE OF THE OLDER POPULATION AGES 45 84 THAN DOES THE STATE OF MISSOURI NEARLY 75 OF BOLLINGER COUNTY RESIDENTS 25 YEARS AND OVER HAVE GRADUATED FROM HIGH SCHOOL WITH ONLY 149 GOING ON TO RECEIVE A POSTSECONDARY DEGREE THE UNEMPLOYMENT RATE WAS 99 IN 2010 WHICH IS HIGHER THAN MISSOURIS 94 BOLLINGER COUNTY HAS197 OF RESIDENTS IN POVERTY WITH NEARLY 22 ON MEDICAID 20 ON FOOD STAMPS AND 18 UNINSURED SCOTT COUNTY IS LOCATED IN SOUTHEAST MISSOURI ALONG THE MISSISSIPPI RIVER THE POPULATION OF THE COUNTY IS CURRENTLY 39191 WHITES COMPRISE 858 AND AFRICAN AMERICANS COMPRISE 114 OF THE TOTAL POPULATION THE COUNTY HAS A HIGHER PERCENTAGE OF THE YOUNGEST POPULATION AGES 0 14 AND THE OLDER POPULATION AGES 55 84 THAN DOES THE STATE OF MISSOURI APPROXIMATELY 75 OF SCOTT COUNTY RESIDENTS 25 YEARS AND OVER HAVE GRADUATED FROM HIGH SCHOOL WITH 162 GOING ON TO RECEIVE A POST SECONDARY DEGREE THE UNEMPLOYMENT RATE WAS 88 IN 2010 WHICH IS LOWER THAN MISSOURIS 94 SCOTT COUNTY HAS 18 OF RESIDENTS IN POVERTY WITH 261 ON MEDICAID 1796 ON FOOD STAMPS AND 17 UNINSURED STODDARD COUNTY IS LOCATED IN SOUTHEAST MISSOURI WITH A MOSTLY RURAL POPULATION OF 29968 WHITES COMPRISE 973 OF THE TOTAL POPULATION AND THE COUNTY HAS A HIGHER PERCENTAGE OF THE OLDER POPULATION AGE 55 THAN DOES THE STATE OF MISSOURI ABOUT 75 OF STODDARD COUNTY RESIDENTS 25 YEARS AND OVER HAVE GRADUATED FROM HIGH SCHOOL WITH ONLY 166 GOING ON TO RECEIVE A POSTSECONDARY DEGREE THE UNEMPLOYMENT RATE WAS 89 IN 2010 WHICH IS LOWER THAN MISSOURIS 94 STODDARD COUNTY HAS 18 OF RESIDENTS IN POVERTY WITH NEARLY 25 ON MEDICAID 19 ON FOOD STAMPS AND 19 UNINSURED SOUTHEASTHEALTH ALSO PROVIDES SERVICES TO AN AREA CONSISTING OF 18 COUNTIES IN SOUTHEAST MISSOURI AND SOUTHERN ILLINOIS SOUTHEASTHEALTH SERVES ALL PATIENTS WITHOUT REGARD TO AGE GENDER INCOME ETHNIC ORIGIN INSURANCE COVERAGE OR ABILITY TO PAY
HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSEPART VISOUTHEASTHEALTH PROVIDES A VARIETY OF PROGRAMS DESIGNED TO IMPROVE COMMUNITY HEALTH INCLUDING WEIGHT LOSS AND WEIGHT MANAGEMENT PROGRAMS WITH A SPECIAL EMPHASIS ON CHILDHOOD OBESITY SMOKING CESSATION PROGRAMS AND DIABETES MANAGEMENT PROGRAMS SOUTHEASTHEALTH IS THE ONLY PROVIDER IN THE AREA PARTICIPATING IN THE NURSEFAMILY PARTNERSHIP PROGRAM WHEREBY NURSES ARE ASSIGNED AS HEALTH COUNSELORS TO TEENAGE MOTHERS AND ADVISE THEM ON NUTRITION PRENATAL CARE AND CHILDRENS HEALTH ISSUES
LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILEDPART VIMISSOURI
ADDITIONAL INFORMATIONPART VISOUTHEASTHEALTH REGULARLY PROVIDES FREE OR LOWCOST HEALTH SCREENINGS AND HEALTH EDUCATION PROGRAMS TO THE GENERAL PUBLIC ON A VARIETY OF TOPICS RANGING FROM HEART HEALTH AND DIABETES TO NUTRITION AND STROKE SYMPTOM AWARENESS SOUTHEAST OFFERS A TOLLFREE HEALTHLINE WHICH PROVIDES FREE INFORMATION ABOUT HOSPITAL AND COMMUNITY HEALTH SERVICES AS WELL AS FREE PHYSICIAN REFERRAL INFORMATION IN ADDITION SOUTHEASTHEALTH COLLABORATES WITH SOUTHEAST MISSOURI STATE UNIVERSITY TO PROVIDE THE SHOW SOUTHEAST HEALTH ON WHEELS MOBILE TO COMMUNITIES THROUGHOUT THE 8TH CONGRESSIONAL DISTRICT OF SOUTHEAST MISSOURI THE SHOW MOBILE PROVIDES PRIMARY CARE AND HEALTH SCREENING SERVICES TO NUMEROUS COMMUNITIES IN SOUTHEAST MISSOURI MANY OF WHICH ARE UNDERSERVED IN TERMS OF ACCESS TO PRIMARY HEALTH CARE
SOUTHEAST MISSOURI HOSPITAL LINE NUMBER 1 PART V LINE 12HPART V LINE 12HADDITIONAL CRITERIA USED IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE OTHER THAN INCOME AND ASSETS ALREADY SPECIFIED INCLUDE THE AMOUNT OWED TO THE HOSPITAL AND OTHER HEALTHCARE PROVIDERS COST OF ROUTINE MONTHLY NECESSITIES REQUIRED FOR HEALTH OR SAFETY INCLUDING PRESCRIPTIONS PATIENTS EFFORT TO PAY ANY PORTION OF DOLLARS OWED FINANCIAL AND PERSONAL CONSIDERATION OF OTHERS IN THE HOUSEHOLD
SOUTHEAST MISSOURI HOSPITAL LINE NUMBER 1 PART V LINE 20DPART V LINE 20DSOUTHEASTHEALTH BILLS ALL PATIENTS WITH EMERGENCY OR MEDICALLY NECESSARY CARE AT THE SAME RATES REGARDLESS OF THE PATIENTS INSURED STATUS

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (18 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgBonus Filing OrgBonusFilingOrg
GABRIEL SOTO MD
TRUSTEE76141828568789986
DIANNE WOOLARD MD
TRUSTEE60791724618632535
A WAYNE SMITH
PRESIDENTCEO4021082550244146913859
HUBERT U KING
ASST TREASVPCFO3201582578335954513604
SYLVIA C MOORE
CHIEF OPERATING OFFI3270761394935534814323
JAMES P LIMBAUGH
EXEC VICE PRESIDENT3101833487135938214328
JUDY ASLIN
CHIEF NURSING OFFICE1964022275623113311975
DANIEL BERRY
VP LEGAL AFFAIRS1931912188022665211581
LINCOLN SCOTT
VP OF HUMAN RESOURCE1880281669021476710049
MICHAEL DOZIER
INFORMATION OFFICER1801837354187537
MATTHEW D GAETA
GASTROENTEROLOGIST8428422908599422613673108626
WILLIAM R M OGLE
CARDIO-THORACIC SURG771146266788971671665682687
RANDY G BROWN
CARDIO-THORACIC SURG762377200338825881665683522
EMAD M ABUHAMDA
GASTROENTEROLOGIST8447042107687943413654
JAMES C MOSLEY III MD
ONCOLOGIST4251862725976201313317296251
DEBRA W LINNES
FORMER PRESIDENTCEO4650261967049809013394
KAREN S HENDRICKSON
CHIEF NURSING OFFICE1679218967176888
GREGORY L HUDSON
VICE PRESIDENT1526091971601297323

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FRINGE OR EXPENSE EXPLANATIONSCHEDULE J, PAGE 1, PART I, LINE 1ADURING 2012, THE VICE PRESIDENT OF MARKETING WAS REIMBURSED FOR CLUB DUES. THE REIMBURSEMENT WAS NOT TREATED AS TAXABLE INCOME.
SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTSSCHEDULE J, PAGE 1, PART I, LINE 4DEBRA W LINNES 498,090 0 0 KAREN S HENDRICKSON 176,888 0 0 GREGORY L HUDSON 160,129 0 0

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1INDUSTRIAL DEVELOPMENT AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN431193901IssuerEIN
CUSIP Number139404DD6CUSIPNumber
Date Issued2007-04-12DateIssued
Issue Price101802089IssuePrice
Description Of PurposeREFUND EXISTING DEBT & CAPITAL PROJECTDescriptionOfPurpose
DefeasedtrueDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds100036261TotalProceeds
Amount In Reserve Fund9484152AmountInReserveFund
Capitalized Interest798559CapitalizedInterest
Refunding Escrow35252309RefundingEscrow
Capital Expenditures30469119CapitalExpenditures
Year Of Subst Completion2010YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingtrueAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Bond Iss Meet Prvt Security Pay TestfalseBondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed PropfalseChangeInUseBondFinancedProp
Remedial Action TakenfalseRemedialActionTaken
Non Qualified Bond Remed ProcdrstrueNonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledtrueForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICtrueGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line1BANK OF NEWYORKBusinessNameLine1
Business Name Line2MELLON TRUST COMPANYBusinessNameLine2
FieldValueIRS element (for citing)
Term Of GIC3.0TermOfGIC
Regulatory Safe Harbor SatisfiedtrueRegulatorySafeHarborSatisfied
Gross Proceeds InvestedfalseGrossProceedsInvested
Written Proc To Monitor ReqsfalseWrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective ActionfalseProcToUndertkCorrectiveAction

Schedule L IRS990ScheduleL

Loan Table LoanTable (2 entries)

Relationship With OrganizationRelationshipWithOrganizationPurpose Of LoanPurposeOfLoanLoan From OrganizationLoanFromOrganizationOriginal PrincipalOriginalPrincipalAmountBalance DueBalanceDueDefaultDefaultApproved By BoardApprovedByBoardWritten AgreementWrittenAgreement
WILLIAM RAY SILLIMAN MD
BOARD TRUSTEERECRUITMENT INCENTIVEX$98,28312716falsetruetrue
MATTHEW GAETA MD
HIGHLY COMPENSATEDRECRUITMENT INCENTIVEX$128,0096947falsetruetrue
FieldValueIRS element (for citing)
Total Balance Due19663TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
FKINDER (CEO OF RED LETTER COMM)
BOARD TRUSTEE1760846ADVERTISING SERVICESfalse
R NEFF (OWNER OF FORD GROVES)
BOARD TRUSTEE65293VEHICLE PURCHASESfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FIRST ACCOMPLISHMENT DESCRIPTIONFORM 990, PAGE 2, PART III, LINE 4ATHEREFORE, THE HOSPITAL SERVES ALL MEMBERS OF THE COMMUNITY WITH: - FREE CARE AND/OR SUBSIDIZED CARE, - CARE PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST, AND - HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, PROFESSIONAL EDUCATION PROGRAMS, AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. SOUTHEASTHEALTH PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS (MEDICARE AND MEDICAID) AT BELOW ACTUAL COST. SOUTHEASTHEALTH USES AN OVERALL HOSPITAL COST TO CHARGE RATIO TO CALCULATE THE UNPAID COST OF CHARITY CARE AND USES THE MEDICARE/MEDICAID COST REPORTS TO DETERMINE THE UNPAID COST OF THESE GOVERNMENT PROGRAMS. THE AMOUNTS BELOW REFLECT THE QUANTIFIABLE COSTS OF SOUTHEASTHEALTH'S COMMUNITY BENEFIT FOR THE YEAR ENDED DECEMBER 31, 2012. BENEFITS FOR THE POOR AND THE BROADER COMMUNITY CHARITY CARE AT COST 6,790,656 UNPAID COST OF MEDICARE 19,936,513 UNPAID COST OF MEDICAID 5,151,533 COMMUNITY HEALTH SERVICES 43,909 COLLEGE AND HEALTH SCIENCES SUBSIDY 2,746,290 TOTAL COMMUNITY BENEFIT 34,668,901 BENEFITS FOR THE POOR REPRESENT THE COST OF SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTH CARE BECAUSE OF INADEQUATE RESOURCES AND WHO ARE UNINSURED OR UNDERINSURED. BENEFITS FOR THE BROADER COMMMUNITY REPRESENT THE COST OF SERVICES PROVIDED TO OTHER NEEDY POPULATIONS THAT MAY NOT QUALIFY AS POOR, BUT THAT NEED SPECIAL SERVICES AND SUPPORT. THESE PROGRAMS ARE NOT FINANCIALLY SELF-SUPPORTING. COMMUNITY HEALTH SERVICES ARE ACTIVITIES AND SERVICES FOR WHICH NO PATIENT BILL EXISTS, ALTHOUGH THERE MAY BE NOMINAL PATIENT FEES. THESE SERVICES ARE NOT EXPECTED TO BE FINANCIALLY SELF-SUPPORTING, ALTHOUGH SOME MAY BE PARTIALLY SUPPORTED BY OUTSIDE GRANTS OR FUNDING. THE COLLEGE OF NURSING AND HEALTH SCIENCES IS AN INSTITUTION OF HIGHER LEARNING THAT SPECIALIZES IN THE PREPARATION OF INDIVIDUALS FOR HEALTH CARE CAREERS. THE PRIMARY MISSION OF THE COLLEGE IS TO RESPOND TO THE NEEDS OF THE COMMUNITY AND REGION THROUGH THE DEVELOPMENT OF PROGRAMS DESIGNED TO PREPARE QUALIFIED HEALTH CARE PROFESSIONALS IN CONTINUING IN HIGH DEMAND FIELDS. SOUTHEASTHEALTH ALSO PROVIDES A SIGNIFICANT AMOUNT OF UNCOMPENSATED CARE FOR PATIENTS WHICH IS NOT INCLUDED ABOVE, BUT IS REPORTED ON THE STATEMENT OF OPERATIONS AS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANY OF THOSE PATIENTS ARE UNINSURED OR UNDERINSURED, BUT DID NOT APPLY FOR OR QUALIFY FOR CHARITY CARE. DURING THE YEAR THE ASSOCIATION REPORTED A PROVISION FOR UNCOLLECTIBLE ACCOUNTS OF 10,182,619 AT COST. CHARITY CARE IS ALSO PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR.
RELATED PARTY INFORMATION AMONG OFFICERSFORM 990, PAGE 6, PART VI, LINE 2SOUTHEAST MISSOURI HOSPITAL ASSOC. = SEHOSP ROBERT W ERLBACHER II - SEHOSP ROBERT W ERLBACHER III - SEHOSP TRUSTEE TRUSTEE FAMILY RELATIONSHIP KEVIN FORD - SEHOSP CLIFF FORD - SEHOSP TRUSTEE TRUSTEE FAMILY & BUSINESS RELATIONSHIP
CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PAGE 6, PART VI, LINE 6SOUTHEAST MISSOURI HOSPITAL ASSOCATION HAS MEMBERS WHOSE RIGHTS ARE LIMITED TO ATTENDING REGULAR MEETINGS OF THE MEMBERS AND VOTING ON ANY MOTIONS BROUGHT BEFORE THEM. BUSINESS MATTERS ARE CONDUCTED BY THE BOARD OF TRUSTEES, NOT THE ASSOCIATION MEMBERS.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BA COPY OF THE FEDERAL FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD OF TRUSTEES FOR REVIEW PRIOR TO BEING FILED WITH THE INTERNAL REVENUE SERVICE.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CALL TRUSTEES AND KEY EMPLOYEES (ADMINISTRATIVE STAFF) ARE REQUIRED TO READ THE ORGANIZATIONAL ETHICS STATEMENT ANNUALLY AND COMPLETE A CERTIFICATION STATEMENT TO THAT EFFECT.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ADATA FROM TWO ORGANIZATIONS (MO HOSPITAL ASSOCIATION AND ANOTHER INDEPENDENT AGENCY) ARE USED FOR COMPARISON. RECOMMENDATIONS ARE MADE FROM THAT INFORMATION TO THE BOARD OF TRUSTEES, WHO THEN DETERMINE THE COMPENSATION FOR THE CEO AND KEY EMPLOYEES.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BDATA FROM TWO ORGANIZATIONS (MO HOSPITAL ASSOCIATION AND ANOTHER INDEPENDENT AGENCY) ARE USED FOR COMPARISON. RECOMMENDATIONS ARE MADE FROM THAT INFORMATION TO THE BOARD OF TRUSTEES, WHO THEN DETERMINE THE COMPENSATION FOR THE CEO AND KEY EMPLOYEES.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19COPIES OF THE SOUTHEAST HOSPITAL ASSOCIATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND FEDERAL FORM 990 ARE AVAILABLE AT THE ADMINISTRATIVE OFFICE UPON REQUEST.
OTHER CHANGES IN NET ASSETS EXPLANATIONFORM 990, PART XI, LINE 9GAIN FROM CURTAILMENT OF POST RETIREMENT BENEFIT 789,892 THE ORGANIZATION HAD NET UNREALIZED LOSSES ON OTHER THAN TRADING SECURITIES OF 846,960 AND A GAIN FROM THE CURTAILMENT OF THE POST RETIREMENT BENEFIT PLAN.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeDirect Controlling Entity NADirectControllingEntityNAEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
SEH PHYSICIANS LLC
1701 LACEY STREETCAPE GIRARDEAUMO63701431912860PHYSICIANSMO-12892003N/A
SEH BREAST CARE & DIAGNOSTIC CENTER
1701 LACEY STREETCAPE GIRARDEAUMO63701202745540BREAST CARMO3367467N/A
SOUTHEASTHEALTH CENTER OF REYNOLDS
100 HIGHWAY 21 SOUTHELLINGTONMO63638461480575HEALTHCAREMO-7234-7234NA
SOUTHEASTHEALTH CENTER OF STODDARD
1200 NORTH ONE MILE ROADDEXTERMO63841461481133HEALTHCAREMO3100000NA

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
SOUTHEAST MO HOSPITAL FOUNDATION
1701 LACEY STREETCAPE GIRARDEAUMO63701431122759SUPPORTMO501C311AN/Afalse
SOUTHEAST HEALTH OF RIPLEY COUNTY
109 PLUM STREETDONIPHANMO63935273868479MANAGEMENTMO501C311AN/Afalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.