2013-11-11T11:42:22-06:00 2012-12-31 KERBER ECK & BRAECKEL LLP 1116 W MAIN ST CARBONDALE IL 629012335 990 2012-01-01 430654874 SOUTHEAST MISSOURI HOSPITAL ASSOCIATION SOUT 5733344822 1701 LACEY STREET CAPE GIRARDEAU MO 63701 HUGH U KING 5733344822 2013-10-25 true MARK DALLAS 6185291040 2013-11-11 2012 2016-02-24 21:20:13Z SOUTHEASTHEALTH HUGH U KING 1701 LACEY ST CAPE GIRARDEAU MO 637015230 397820904 false X WWW.SEHEALTH.ORG X 1926 MO PROVIDER OF HEALTHCARE SERVICE 31 29 2758 220 9815019 -2420175 63117 212241 342266085 315798769 2841119 7242823 903559 -870392 346073880 322383441 0 0 142645575 140876943 0 0 196495704 160413857 339141279 301290800 6932601 21092641 361999708 381812031 153880430 152657180 208119278 229154851 X PROVIDER OF HEALTHCARE SERVICE false false 301290800 315798769 SOUTHEAST MISSOURI HOSPITAL ASSOCIATION (SOUTHEASTHEALTH) PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. SOUTHEAST MISSOURI HOSPTIAL ASSOCIATION RECORDED 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. 301290800 true false false false false false false false false false true false false false true true false true false false false false false false false false true true false false true true false true false false false true false true false false false false false false true true false false false true 120 0 2758 true true true false false false false false false false false false X 31 29 true false false false true false false true true false false true true true true true true true true false X SOUTHEAST MISSOURI HOSPITAL 5733344822 1701 LACEY ST CAPE GIRARDEAU MO 63701 GABRIEL SOTO MD 1.00 X 761418 0 28568 DIANNE WOOLARD MD 1.00 X 607917 0 24618 ILENA ASLIN 1.00 X 0 0 0 MICHAEL BENNETT DDS 1.00 X 0 0 0 JAMES DUFEK 1.00 X 0 0 0 ROBERT W ERLBACHER II 1.00 X 0 0 0 ROBERT W ERLBACHER III 1.00 X 0 0 0 STEVEN M GREEN 1.00 X 0 0 0 W CLIFF FORD 1.00 1.00 X 0 0 0 KEVIN E FORD 1.00 X 0 0 0 JOHN W GRIMM 4.00 1.00 X 0 0 0 T RONALD HAHS 1.00 X 0 0 0 AUGUST RITTER III MD 1.00 X 0 0 0 CHRISTOPHER L HUTSON 4.00 1.00 X 0 0 0 FRANK KINDER 4.00 1.00 X 0 0 0 JAY B KNUDTSON 4.00 1.00 X 0 0 0 MICHAEL D KOHLFELD 4.00 1.00 X 0 0 0 PETE D POE 1.00 1.00 X 0 0 0 BENJAMIN F LEWIS 1.00 X 0 0 0 DAVID S LIMBAUGH 1.00 X 0 0 0 FRANK H MCGINTY MD 1.00 X 0 0 0 ROBERT G NEFF 4.00 1.00 X 0 0 0 ALLEN B TOOLE 1.00 1.00 X 0 0 0 NARVOL A RANDOL JR 4.00 2.00 X 0 0 0 JAMES A RUST 4.00 1.00 X 0 0 0 PAUL W SANDER 1.00 X 0 0 0 PAUL J SHORT 1.00 X 0 0 0 W RAY SILLIMAN MD 1.00 X 0 0 0 AM SPRADLING III 4.00 1.00 X 0 0 0 JOHN M THOMPSON 4.00 1.00 X 0 0 0 JERRY R ZIMMER 4.00 1.00 X 0 0 0 A WAYNE SMITH 50.00 2.00 X 402108 0 39361 HUBERT U KING 50.00 1.00 X 320158 0 39387 SYLVIA C MOORE 50.00 1.00 X 327076 0 28272 JAMES P LIMBAUGH 50.00 1.00 X 310183 0 49199 JUDY ASLIN 50.00 1.00 X 196402 0 34731 DANIEL BERRY 50.00 1.00 X 193191 0 33461 LINCOLN SCOTT 50.00 1.00 X 188028 0 26739 MICHAEL DOZIER 50.00 1.00 X 180183 0 7354 MATTHEW D GAETA 40.00 X 951468 0 42758 WILLIAM R M OGLE 40.00 X 853833 0 43334 RANDY G BROWN 40.00 X 845899 0 36689 EMAD M ABUHAMDA 40.00 X 844704 0 34730 JAMES C MOSLEY III MD 40.00 X 721437 0 40576 DEBRA W LINNES 0.00 X 465026 0 33064 KAREN S HENDRICKSON 0.00 X 167921 0 8967 GREGORY L HUDSON 0.00 X 152609 0 7520 8489561 559328 172 true true false ANESTHESIA ASSOCIATES PO BOX 751 CAPE GIRARDEAU MO 63702 CRNA 823701 FINCH LAW FIRM PO BOX 818 CAPE GIRARDEAU MO 63702 LEGAL & COLLECT 371248 CAPE RADIOLOGY GROUP PO BOX 1330 CAPE GIRARDEAU MO 63702 MEDICAL SERVICE 179864 HOFMANN MEDICAL 820 COUNTRY CLUB ROAD CENTRALIA IL 62801 MAINTENANCE 131792 BRYAN CAVE LLP PO BOX 503089 ST LOUIS MO 63150 CONSULTING 129484 10 9741 202500 212241 PATIENT SERVICE REVENUE 295158373 295158373 REFERENCE LAB 621500 4072938 4072938 HEALTHPOINT FITNESS 3305995 3305995 PLAZA PHARMACY 446110 2448002 2448002 NURSING SCHOOL TUITION 2190743 2190743 8622718 3245901 3294079 2082738 315798769 1713468 1713468 615791 1486183 -870392 -870392 -870392 79468735 11900 73304002 647278 6164733 -635378 5529355 5529355 322383441 309430367 9815019 2925814 3798354 3798354 835107 835107 107971880 107971880 5165824 5165824 15721282 15721282 7384496 7384496 1223972 1223972 101034 101034 325837 325837 15221622 15221622 3246361 3246361 11166254 11166254 1472590 1472590 3075926 3075926 204885 204885 863724 863724 4868398 4868398 18744947 18744947 4284977 4284977 MEDICAL SUPPLIES 32947000 32947000 DRUGS & PHARMACEUTICALS 20164282 20164282 MEDICAID FRA ASSESSMENT 19697092 19697092 REPAIRS & MAINTENANCE 6234740 6234740 16570216 16570216 301290800 301290800 0 0 1913378 852441 43682938 45475762 48736673 49285656 69504 19663 1268724 819978 10280833 10726801 10252249 6542436 335991271 153604154 177590823 182387117 45283009 56854020 664227 471018 10370740 22257350 18006399 361999708 381812031 37917883 30718145 110108377 107773517 609158 13618074 5245012 547444 153880430 152657180 X 208119278 229154851 208119278 229154851 361999708 381812031 X 21092641 -846960 789892 X false true X true true true X 14797231 14797231 112169635 43491582 68678053 179981283 103664427 76316856 29043122 6448145 22594977 182387117 ACCUM POST RETIRE BENEFITS 514717 BUILDING CONTRACTS PAYABLE 32727 547444 X LIABILITY UNDER FIN 48 FOOTNOTE SCHEDULE D, PAGE 3, PART X THERE WERE NO PENALTIES, INTEREST, OR UNCERTAIN TAX BENEFITS IDENTIFIED AND RECORDED AS A LIABILITY AT DECEMBER 31, 2012. true true true X true X false false true true 6790656 6790656 0.02250 49953583 44802050 5151533 0.01710 56744239 44802050 11942189 0.03960 84268 40359 43909 0.00010 5158339 2412049 2746290 0.00910 5242607 2452408 2790199 0.00930 61986846 47254458 14732388 0.04890 true 9031444 3161005 78915997 98852510 -19936513 X true true 1 1 SOUTHEAST MISSOURI HOSPITAL ASSOCIATION

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X X X SOUTHEAST MISSOURI HOSPITAL 1 true true 100.0 true 200.0 true X X X true true X X true X X false X X true X false false 32 SOUTHEAST CANCER CENTER

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OUTPATIENT REHAB SERVICES HEALTHPOINT REHAB - JACKSON

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OUTPATIENT REHAB SERVICES WOUND CARE & HYPERBARIC MEDICINE

310 S SILVER SPRINGS DR CAPE GIRARDEAU MO 63701

OUTPATIENT MEDCIAL SERVICES DOCTORS PARK LAB

37 DOCTORS PARK CAPE GIRARDEAU MO 63703

OUTPATIENT LABORATORY SERVICES HOME HEALTH AND HOSPICE SERVICES

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HOME CARE SERVICES BREAST CARE & DIAGNOSTIC CENTER

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OUTPATIENT MEDICAL SERVICES GASTROENTEROLOGY SERVICES OF

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OUTPATIENT PHYSICIAN CLINIC OBSTETRICS & GYNECOLOGY SERVICES OF

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OUTPATIENT PHYSICIAN CLINIC CARDIAC AND VASCULAR SURGEONS OF

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RETAIL PHARMACY SOUTHEAST COLLEGE OF NURSING &

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FITNESS FACILITY SEMO CAMPUS CLINIC

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LAUNDRY FACILITY SHOW MOBILE

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OUTPATIENT CLINIC SOUTHEAST INTERNAL MEDICINE

817 S MT AUBURN RD CAPE GIRARDEAU MO 63703

OUTPATIENT PHYSICIAN CLINIC COSTING METHODOLOGY EXPLANATION PART I LINE 7 SOUTHEASTHEALTH 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 EXPLANATION PART III LINE 4 SOUTHEASTHEALTH CALCULATED BAD DEBT EXPENSE AT COST USING THE COST TO CHARGE RATIO AS CALCULATED USING WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS PATIENT ACCOUNTS ARE WRITTEN OFF TO BAD DEBT ONLY AFTER ALL COLLECTION PROCEDURES HAVE BEEN EXHAUSTED AS OUTLINED IN SCHEDULE H PART III LINE 9B PATIENT ACCOUNTS ARE WRITTEN OFF TO BAD DEBT AFTER ALL DISCOUNTS AND PAYMENTS HAVE BEEN APPLIED 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 EXPLANATION PART III LINE 8 THE 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 EXPLANATION PART III LINE 9B BILLING CREDIT AND COLLECTION POLICY THE BUSINESS OFFICE OF SOUTHEASTHEALTH WILL ASSIST ALL PATIENTS IN THE BILLING OF INSURANCE CLAIMS TO GOVERNMENTAL AGENCIES COMMERCIAL INSURANCE CARRIERS AND OTHER THIRD PARTIES FOR THE PURPOSE OF INSURING PROMPT RECEIPT OF PATIENT OBLIGATIONS 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 ASSESSMENT PART VI O FORMED COLLABORATIVE PARTNERSHIP WITH ST FRANCIS MEDICAL CENTER THE OTHER MAJOR HOSPITAL IN THE REGION IN JANUARY 2012 O DEFINED COMMUNITY AS OUR PRIMARY SERVICE AREA BASED ON PATIENT ORIGIN DATA MADE CONTACT AND DISCUSSED CHNA COMMUNITY HEALTH NEEDS ASSESSMENT WITH COUNTY HEALTH CENTERS SCHOOL SYSTEMS OTHER 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 ASSISTANCE PART VI ALL PATIENT BILLING STATEMENTS FOR SOUTHEASTHEALTH INCLUDE A STATEMENT THAT THE PATIENT MAY CONTACT THE ASSOCIATION WITH ANY QUESTIONS OR PAYMENT ISSUES REGARDING THEIR BILL IF A PATIENT CONTACTS SOUTHEASTHEALTH WITH AN INABILITY TO MAKE PAYMENT ISSUE THEY INFORM THE PATIENT OF THE AVAILABLE OPTIONS INCLUDING CHARITY CARE AND OTHER ASSISTANCE THEY ALSO EXPLAIN HOW THE PATIENT CAN APPLY FOR ASSISTANCE COMMUNITY INFORMATION PART VI SOUTHEASTHEALTH HAS A PRIMARY SERVICE AREA CONSISTING OF CAPE GIRARDEAU COUNTY BOLLINGER COUNTY SCOTT COUNTY AND STODDARD COUNTY ALL LOCATED IN SOUTHEAST MISSOURI THE COMMUNITIES ARE DESCRIBED BELOW CAPE GIRARDEAU COUNTY IS LOCATED IN SOUTHEAST MISSOURI ALONG THE MISSISSIPPI RIVER THE POPULATION OF THE COUNTY IS CURRENTLY 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 PURPOSE PART VI SOUTHEASTHEALTH PROVIDES A VARIETY OF PROGRAMS DESIGNED TO IMPROVE COMMUNITY HEALTH INCLUDING WEIGHT LOSS AND WEIGHT MANAGEMENT PROGRAMS WITH A SPECIAL EMPHASIS ON CHILDHOOD OBESITY SMOKING CESSATION PROGRAMS AND DIABETES MANAGEMENT PROGRAMS SOUTHEASTHEALTH IS THE ONLY PROVIDER IN THE AREA PARTICIPATING IN THE 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 FILED PART VI MISSOURI ADDITIONAL INFORMATION PART VI SOUTHEASTHEALTH 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 12H PART V LINE 12H ADDITIONAL CRITERIA USED IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE OTHER THAN INCOME AND ASSETS ALREADY SPECIFIED INCLUDE THE AMOUNT OWED TO THE HOSPITAL AND OTHER HEALTHCARE PROVIDERS COST OF ROUTINE MONTHLY NECESSITIES REQUIRED FOR HEALTH OR SAFETY INCLUDING PRESCRIPTIONS PATIENTS EFFORT TO PAY ANY PORTION OF DOLLARS OWED FINANCIAL AND PERSONAL CONSIDERATION OF OTHERS IN THE HOUSEHOLD SOUTHEAST MISSOURI HOSPITAL LINE NUMBER 1 PART V LINE 20D PART V LINE 20D SOUTHEASTHEALTH BILLS ALL PATIENTS WITH EMERGENCY OR MEDICALLY NECESSARY CARE AT THE SAME RATES REGARDLESS OF THE PATIENTS INSURED STATUS X true true X X X true false false false false false false false false GABRIEL SOTO MD 761418 28568 789986 DIANNE WOOLARD MD 607917 24618 632535 A WAYNE SMITH 402108 13859 25502 441469 HUBERT U KING 320158 13604 25783 359545 SYLVIA C MOORE 327076 14323 13949 355348 JAMES P LIMBAUGH 310183 14328 34871 359382 JUDY ASLIN 196402 11975 22756 231133 DANIEL BERRY 193191 11581 21880 226652 LINCOLN SCOTT 188028 10049 16690 214767 MICHAEL DOZIER 180183 7354 187537 MATTHEW D GAETA 842842 108626 13673 29085 994226 WILLIAM R M OGLE 771146 82687 16656 26678 897167 RANDY G BROWN 762377 83522 16656 20033 882588 EMAD M ABUHAMDA 844704 13654 21076 879434 JAMES C MOSLEY III MD 425186 296251 13317 27259 762013 DEBRA W LINNES 465026 13394 19670 498090 KAREN S HENDRICKSON 167921 8967 176888 GREGORY L HUDSON 152609 7323 197 160129 FRINGE OR EXPENSE EXPLANATION SCHEDULE J, PAGE 1, PART I, LINE 1A DURING 2012, THE VICE PRESIDENT OF MARKETING WAS REIMBURSED FOR CLUB DUES. THE REIMBURSEMENT WAS NOT TREATED AS TAXABLE INCOME. SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SCHEDULE J, PAGE 1, PART I, LINE 4 DEBRA W LINNES 498,090 0 0 KAREN S HENDRICKSON 176,888 0 0 GREGORY L HUDSON 160,129 0 0 A INDUSTRIAL DEVELOPMENT AUTHORITY 431193901 139404DD6 2007-04-12 101802089 REFUND EXISTING DEBT & CAPITAL PROJECT true false false A 100036261 9484152 798559 35252309 30469119 2010 true true true true A false false false false false false false true A true false false true BANK OF NEWYORK MELLON TRUST COMPANY 3.0 true false false A false WILLIAM RAY SILLIMAN MD BOARD TRUSTEE RECRUITMENT INCENTIVE X 98283 12716 false true true MATTHEW GAETA MD HIGHLY COMPENSATED RECRUITMENT INCENTIVE X 128009 6947 false true true 19663 FKINDER (CEO OF RED LETTER COMM) BOARD TRUSTEE 1760846 ADVERTISING SERVICES false R NEFF (OWNER OF FORD GROVES) BOARD TRUSTEE 65293 VEHICLE PURCHASES false FIRST ACCOMPLISHMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4A 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. RELATED PARTY INFORMATION AMONG OFFICERS FORM 990, PAGE 6, PART VI, LINE 2 SOUTHEAST MISSOURI HOSPITAL ASSOC. = SEHOSP ROBERT W ERLBACHER II - SEHOSP ROBERT W ERLBACHER III - SEHOSP TRUSTEE TRUSTEE FAMILY RELATIONSHIP KEVIN FORD - SEHOSP CLIFF FORD - SEHOSP TRUSTEE TRUSTEE FAMILY & BUSINESS RELATIONSHIP CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PAGE 6, PART VI, LINE 6 SOUTHEAST 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 990 FORM 990, PAGE 6, PART VI, LINE 11B A COPY OF THE FEDERAL FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD OF TRUSTEES FOR REVIEW PRIOR TO BEING FILED WITH THE INTERNAL REVENUE SERVICE. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C ALL TRUSTEES AND KEY EMPLOYEES (ADMINISTRATIVE STAFF) ARE REQUIRED TO READ THE ORGANIZATIONAL ETHICS STATEMENT ANNUALLY AND COMPLETE A CERTIFICATION STATEMENT TO THAT EFFECT. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A DATA FROM TWO ORGANIZATIONS (MO HOSPITAL ASSOCIATION AND ANOTHER INDEPENDENT AGENCY) ARE USED FOR COMPARISON. RECOMMENDATIONS ARE MADE FROM THAT INFORMATION TO THE BOARD OF TRUSTEES, WHO THEN DETERMINE THE COMPENSATION FOR THE CEO AND KEY EMPLOYEES. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B DATA FROM TWO ORGANIZATIONS (MO HOSPITAL ASSOCIATION AND ANOTHER INDEPENDENT AGENCY) ARE USED FOR COMPARISON. RECOMMENDATIONS ARE MADE FROM THAT INFORMATION TO THE BOARD OF TRUSTEES, WHO THEN DETERMINE THE COMPENSATION FOR THE CEO AND KEY EMPLOYEES. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 COPIES OF THE SOUTHEAST HOSPITAL ASSOCIATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND FEDERAL FORM 990 ARE AVAILABLE AT THE ADMINISTRATIVE OFFICE UPON REQUEST. OTHER CHANGES IN NET ASSETS EXPLANATION FORM 990, PART XI, LINE 9 GAIN 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. SEH PHYSICIANS LLC 1701 LACEY STREET CAPE GIRARDEAU MO 63701 431912860 PHYSICIANS MO -12892003 N/A SEH BREAST CARE & DIAGNOSTIC CENTER 1701 LACEY STREET CAPE GIRARDEAU MO 63701 202745540 BREAST CAR MO 3367467 N/A SOUTHEASTHEALTH CENTER OF REYNOLDS 100 HIGHWAY 21 SOUTH ELLINGTON MO 63638 461480575 HEALTHCARE MO -7234 -7234 NA SOUTHEASTHEALTH CENTER OF STODDARD 1200 NORTH ONE MILE ROAD DEXTER MO 63841 461481133 HEALTHCARE MO 3100000 NA SOUTHEAST MO HOSPITAL FOUNDATION 1701 LACEY STREET CAPE GIRARDEAU MO 63701 431122759 SUPPORT MO 501C3 11A N/A false SOUTHEAST HEALTH OF RIPLEY COUNTY 109 PLUM STREET DONIPHAN MO 63935 273868479 MANAGEMENT MO 501C3 11A N/A false false false true false false false false false false false false false true true true false true false false