2013-02-14T19:19:50-06:00 2012-06-30 KERBER ECK & BRAECKEL LLP 1116 W MAIN ST CARBONDALE IL 629012335 990 2011-07-01 237246265 SAINT FRANCIS MEDICAL CENTER SAIN 5733313000 211 SAINT FRANCIS DRIVE CAPE GIRARDEAU MO 63703 WILLIAM A BALSANO 5733313000 2013-02-14 true DAVID SCHNAKE 6185291040 2013-02-14 2011 2016-03-07 17:11:31Z STEVEN C BJELICH 211 SAINT FRANCIS DRIVE CAPE GIRARDEAU MO 63703 532365398 false X WWW.SFMC.NET X 1972 MO THE MISSION OF SAINT FRANCIS MEDICAL CENTER IS TO PROVIDE A MINISTRY OF HEALING AND WELLNESS INSPIRED BY OUR CHRISTIAN PHILOSOPHY AND VALUES. FORM 990, PART III, LINE 1 - SAINT FRANCIS MEDICAL CENTER IS A 280-BED FACILITY SERVING MORE THAN 650,000 PEOPLE THROUGHOUT MISSOURI, ILLINOIS, KENTUCKY, TENNESSEE, AND ARKANSAS. THE MEDICAL CENTER PROVIDES COMPREHENSIVE INPATIENT ACUTE CARE SERVICES FOR MEDICAL AND SURGICAL PATIENTS SPECIALIZING IN ORTHOPEDICS, NEUROSURGERY, CARDIOVASCULAR SERVICES, ONCOLOGY, DISEASE MANAGEMENT, GASTROENTEROLOGY, MATERNAL-CHILD HEALTH AND NEUROLOGY. 6 6 2574 315 6391523 673035 904526 404467910 441074584 15946979 12232367 2028703 2166516 423116627 456377993 0 0 157501366 174719548 0 0 217462121 249913656 374963487 424633204 48153140 31744789 583824517 606782122 200882398 207661930 382942119 399120192 X THE MISSION OF SAINT FRANCIS MEDICAL CENTER IS TO PROVIDE A MINISTRY OF HEALING AND WELLNESS INSPIRED BY OUR CHRISTIAN PHILOSOPHY AND VALUES. FORM 990, PART III, LINE 1 - SAINT FRANCIS MEDICAL CENTER IS A 280-BED FACILITY SERVING MORE THAN 650,000 PEOPLE THROUGHOUT MISSOURI, ILLINOIS, KENTUCKY, TENNESSEE, AND ARKANSAS. THE MEDICAL CENTER PROVIDES COMPREHENSIVE INPATIENT ACUTE CARE SERVICES FOR MEDICAL AND SURGICAL PATIENTS SPECIALIZING IN ORTHOPEDICS, NEUROSURGERY, CARDIOVASCULAR SERVICES, ONCOLOGY, DISEASE MANAGEMENT, GASTROENTEROLOGY, MATERNAL-CHILD HEALTH AND NEUROLOGY. false false 424633204 446321172 SINCE ITS FOUNDING IN 1875, SAINT FRANCIS MEDICAL CENTER'S (SFMC) MISSION HAS BEEN TO PROVIDE HEALTH CARE SERVICES TO EVERYONE, REGARDLESS OF RACE, CREED, GENDER, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF SFMC, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. IN FULFILLING OUR MISSION TO SERVE RESIDENTS OF CAPE GIRARDEAU AND THE SURROUNDING REGION, SFMC PROVIDES: -FREE AND/OR SUBSIDIZED CARE WHEN NEED AND/OR AN INDIVIDUAL'S INABILITY TO PAY COEXIST. THIS PAST YEAR, SFMC PROVIDED OVER 72.7 MILLION IN FREE AND/OR SUBSIDIZED CARE. -CARE FOR PERSONS COVERED BY GOVERNMENTAL PROGRAMS THAT REIMBURSE BELOW ACTUAL COST. -HEALTH SCREENINGS AND EDUCATIONAL PROGRAMS TO SUPPORT THE HEALTHCARE NEEDS OF THE COMMUNITY. SFMC PROVIDES A VARIETY OF WELLNESS PROGRAMS, COMMUNITY HEALTH EDUCATION ACTIVITIES, SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDER-SERVED AND PARTICIPATES IN A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. SFMC SERVED 11,132 INPATIENTS, 29,741 EMERGENCY PATIENTS AND 115,270 OUTPATIENTS DURING THE FISCAL YEAR (FY) ENDING JUNE 30, 2012. DURING FY 2012, SFMC HAD A TOTAL OF 59,742 PATIENT DAYS IN ITS MEDICAL/SURGICAL, CRITICAL CARE, OBSTETRIC, AND REHABILITATION CARE UNITS. SFMC PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS, FOR WHICH IT IS REIMBURSED BELOW COST. RECOGNIZING ITS MISSION IN THE COMMUNITY, SFMC PROVIDES SERVICES TO BOTH MEDICARE AND MEDICAID PATIENTS. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS IN EXCESS OF 55.1 MILLION IN FY 2012. CHARITY CARE IS PROVIDED IN THE FORM OF MANY REDUCED-PRICE AND FREE SERVICES OFFERED THROUGHOUT THE YEAR. SFMC STRONGLY BELIEVES THESE PROGRAMS AND SERVICES FILL A REAL NEED IN THE COMMUNITY. THESE PROGRAMS AND SERVICES INCLUDE THE FOLLOWING: -PARTICIPATION IN AND/OR SPONSORSHIP OF MANY COMMUNITY HEALTH FAIRS. THESE EVENTS RANGE FROM CHILDREN'S SPECIAL EVENTS TO SENIOR HEALTH FAIRS. TOTAL ATTENDANCE AT THESE ACTIVITIES EXCEEDED 8,600 DURING FY 2012. -SFMC SPONSORS THE REGIONAL ARTHRITIS CENTER, OFFERING INFORMATION AND ASSISTANCE TO PEOPLE THROUGHOUT SOUTHEAST MISSOURI. -FREE OR DISCOUNTED HEALTH SCREENINGS (CHOLESTEROL, BLOOD PRESSURE, GLAUCOMA, BLOOD SUGAR, ETC.) PROVIDED AT HEALTH FAIRS AND COMMUNITY HEALTH EDUCATION PROGRAMS, AS WELL AS OUR WEEKLY WEDNESDAY MORNING HEART HEALTH SCREENINGS. -COMMUNITY HEALTH FORUMS WERE OFFERED ON TOPICS SUCH AS ARTHRITIS, DIABETES, CARDIOVASCULAR FITNESS, CHILDREN'S HEALTH AND SAFETY, NUTRITION, BREAST CANCER AND OSTEOPOROSIS. OTHER WELLNESS PROGRAMS SUCH AS WEIGHT MANAGEMENT AND SMOKING CESSATION ARE SUBSIDIZED BY SFMC AND OFFERED FOR A NOMINAL FEE. -CHILDBIRTH, SIBLINGS, BREASTFEEDING AND INFANT CARE CLASSES ARE PROVIDED FREE OF CHARGE TO EXPECTANT MOTHERS AND YOUNG FAMILIES. -SFMC SPONSORS HEALTHCARE SPEAKERS FOR COMMUNITY EVENTS AND CIVIC MEETINGS. SFMC STAFF PRESENTS FREE PROGRAMS ON A VARIETY OF HEALTH AND WELLNESS TOPICS TO VARIOUS COMMUNITY, SCHOOL AND CHURCH GROUPS THROUGHOUT THE YEAR. -SEVERAL SFMC OUTPATIENT CLINICS ARE OFFERED AT REDUCED FEE OR NO COST TO PATIENTS AND THEIR FAMILIES. THE CLINICS ADDRESS DIABETIC FOOT CARE, GENETICS, ORTHOPEDICS AND SPORTS INJURIES. -SFMC PROVIDES FREE FIRST AID SERVICES AT THE WEEKLONG SEMO DISTRICT FAIR IN CAPE GIRARDEAU. MEDICAL CENTER PERSONNEL STAFF THE FIRST AID STATION AND PROVIDE MINOR MEDICAL SERVICES TO HUNDREDS OF PEOPLE DURING THE COURSE OF THE WEEK. SFMC ALSO PROVIDES STAFF AND FIRST AID MATERIALS FOR OTHER CIVIC FUNCTIONS DURING THE FISCAL YEAR. -SFMC PROVIDES FREE MEETING ROOM SPACE AND RELATED ASSISTANCE TO MANY HEALTHCARE SUPPORT GROUPS. SEVERAL HUNDRED PEOPLE REGULARLY PARTICIPATE IN THESE SUPPORT GROUPS FOR DISEASES AND DISORDERS INCLUDING BREAST CANCER, MUSCULAR DYSTROPHY, SLEEP DISTURBANCE, HEAD INJURIES, LARYNGECTOMY, HEART SURGERY, DIGESTIVE DISEASES, PARKINSON'S, ARTHRITIS, MULTIPLE SCLEROSIS AND STROKES, AS WELL AS GRIEF SUPPORT FOR PEOPLE WHO HAVE LOST A LOVED ONE TO ILLNESS, INJURY OR DISEASE. -SFMC PROVIDES FINANCIAL AND IN-KIND SUPPORT FOR ACTIVITIES OF LOCAL CHARITIES SUCH AS THE AMERICAN CANCER SOCIETY, THE AMERICAN DIABETES ASSOCIATION, THE AMERICAN ARTHRITIS ASSOCIATION, THE MARCH OF DIMES, THE AMERICAN HEART ASSOCIATION AND THE AMERICAN LUNG ASSOCIATION. -SCHOLARSHIPS AND TUITION REIMBURSEMENT ARE AWARDED ANNUALLY BY SFMC TO UNDERGRADUATE AND GRADUATE STUDENTS ENROLLED IN VARIOUS HEALTHCARE CURRICULUMS. THE VALUE OF THIS INVESTMENT IN THE ADVANCEMENT OF EXISTING CARE PROVIDERS AND THE EDUCATION OF FUTURE CARE PROVIDERS WAS 135,000 IN FY 2012. -SFMC SPONSORS MEDICAL MINUTE. THIS WEEKLY EDUCATIONAL PROGRAM, PRODUCED IN COOPERATION WITH MEMBERS OF THE MEDICAL COMMUNITY, PROVIDES INFORMATION ON NEW TECHNOLOGY AND PROCEDURES, TREATMENT FOR DISEASES AND DISORDERS, AND GENERAL MEDICAL EDUCATION TO AREA PATIENTS. -SFMC PROVIDES FREE INTERNET LIBRARY SEARCHES ON HEALTHCARE TOPICS TO AREA RESIDENTS WHO DO NOT HAVE OTHER ACCESS. HOSPITAL EDUCATION STAFF CONDUCTS THE SEARCH AND FAX OR MAIL MATERIALS. -SFMC PROVIDES EMERGENCY CARE, CLOTHING AND PHARMACEUTICALS TO CHILDREN IN NEED THROUGH THE SAINT FRANCIS FOUNDATION CHILDREN HELPING CHILDREN FUND. -DURING FY 2012 SFMC VOLUNTEERS CONTRIBUTED APPROXIMATELY 49,000 HOURS OF SERVICE TO OUR PATIENTS, THEIR FAMILIES AND THE COMMUNITY. THE VALUE OF THIS CONTRIBUTION IS ESTIMATED AT OVER 368,000 AND IS GIVEN BACK TO THE COMMUNITY THROUGH LOWER COSTS IN PATIENT CARE SERVICES AND WELLNESS PROGRAMS SUCH AS THOSE DESCRIBED ELSEWHERE IN THIS DOCUMENT. -DURING FY 2012 SFMC PROVIDED 421 FREE MAMMOGRAMS TO AREA WOMEN WHO COULD NOT AFFORD THIS POTENTIALLY LIFESAVING SCREENING. THE VALUE OF THIS CONTRIBUTION IS ESTIMATED AT MORE THAN 46,800. 424633204 true true false false false false false false false false true false false false false true true true false false false false false false true false true true false false true true false true false false false false false true false true true false false false true true false false false false true 119 0 2574 true true true false false false false true true false false false false X 6 6 true true false false true true true true true false false true true true true true true true true false X WILLIAM A BALSANO 5733313000 211 SAINT FRANCIS DR 211 SAINT FRANCIS DRIVE CAPE GIRARDEAU MO 63703 DENNIS MARCHI 2.00 X 4553 0 0 L R ROPER JR 2.00 X 1614 0 0 JUDITH R WILFERTH 2.00 X 1503 0 0 CLYDE NENNINGER 2.00 X 0 0 0 MAURICE R SANDFORT 2.00 X 0 0 0 JOHN A LAYTON 2.00 X 0 0 0 STEVEN C BJELICH PRESIDENT CEO 40.00 X 889020 0 38685 JAMES SCHELLMDVP OF MEDICAL AFFAIR 40.00 X 423985 0 28944 WILLIAM A BALSANO VP OF FINANCE 40.00 X 407960 0 28689 MARILYN K CURTIS VP OF PROF SERVIC 40.00 X 332707 0 31093 BARBARA THOMPSON VP OF MARKETING 20.00 X 315311 0 0 JEANNETTE K FADLERVP OF PATIENT CAR 40.00 X 292333 0 30810 MICHAEL FREEMANMD GASTRONENTEROLOG 40.00 X 1185368 0 38475 EDWARD BENDERMDCARDIOTHORASIC SURG 40.00 X 799519 0 32399 LOUIS CARAGINE JRMDPHD ENDOV SURG 40.00 X 791677 0 37864 BRUCE JONES MD CARDIOTHORASIC SURG 40.00 X 647820 0 27259 RAFID HUSSEINDOGASTRONENTEROLOGIST 40.00 X 615424 0 24928 6708794 319146 196 false true true MCKESSON DRUG COMPANY PO BOX 848442 DALLAS TX 752848442 PHARMACEUTICAL 19396517 THE ROBERTS GROUP 730 NORTH GRAND AVENUE WAUKESKA WI 53186 ADVERTISING 10801542 KIEFNER BROTHERS INC 1459 NORTH KINGSHIGHWAY STREET CAPE GIRARDEAU MO 63701 CONSTUCTION 7598250 CAPE ANESTHESIA GROUP INC PO BOX 1777 CAPE GIRARDEAU MO 637021777 ANESTHESIA SERV 6195489 MEDLINE INDUSTRIES INC DEPT CH 14400 PALATINE IL 600554400 SUPPLIES 5964193 199 132694 771832 36805 904526 PATIENT SERVICE REVENUE 431425381 431425381 PHARMACY 446110 5584100 5584100 AUXILLIARY SERVICES 2508849 2508849 WELLNESS PROGRAMS 748831 748831 LAB FEES 621500 582829 582829 224594 224594 441074584 3809484 3215228 594256 595566 595566 595566 595566 84358217 3720 75515966 423088 8842251 -419368 8422883 8422883 27900 132694 48351 -20451 CAFETERIA SALES 1368243 1368243 MISCELLANEOUS 190254 190254 MEDICAL RECORDS 23352 23352 9552 9552 1591401 456377993 446321172 6391523 2781223 2668986 2668986 138365012 138365012 4137086 4137086 20564605 20564605 8983859 8983859 435704 435704 79550 79550 3732026 3732026 12548101 12548101 49955118 49955118 2414182 2414182 2807946 2807946 473960 473960 5931142 5931142 8700000 8700000 21884860 21884860 3090589 3090589 BAD DEBTS 55408193 55408193 MEDICAL SUPPLIES 41650380 41650380 DRUGS 25379980 25379980 EQUIP. RENTAL & MAIN 6311643 6311643 9110282 9110282 424633204 424633204 0 0 18866495 22410869 22102332 23177347 47072755 55271578 9770858 10782962 6026277 10785554 386577820 169251131 213751347 217326689 260280502 261442889 3313549 3176288 2640402 2407946 583824517 606782122 60784061 70124023 140098337 137537907 200882398 207661930 X 382942119 399120192 382942119 399120192 583824517 606782122 X 31744789 -15566716 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false 3195168 3195168 146429759 49549656 96880103 220514141 114641616 105872525 16438752 5059859 11378893 217326689 456377993 424633204 31744789 -15334260 -253333 -15587593 16157196 441022856 -15334260 -15334260 456357116 20877 20877 456377993 424865660 232456 232456 424633204 424633204 LIABILITY UNDER FIN 48 FOOTNOTE SCHEDULE D, PAGE 3, PART X LIABILITY UNDER FIN 48 FOOTNOTE THERE WERE NO UNCERTAIN TAX BENEFITS IDENTIFIED AND RECORDED AS A LIABILITY UPON THE ADOPTION OF ASC TOPIC 740-10-25 OR AT JUNE 30, 2012 RECONCILIATION OF CHANGES - OTHER SCHEDULE D, PAGE 4, PART XI, LINE 8 AUXILIARY INCOME -20,877 CHANGE IN INTEREST IN NET ASSETS OF 0 SAINT FRANCIS FOUNDATION -232,456 REVENUE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 4B AUXILIARY INCOME 20,877 EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XIII, LINE 2D CHANGE IN INTEREST IN NET ASSETS OF 0 SAINT FRANCIS FOUNDATION 232,456 ANNUAL GOLF TOU 105490 85690 19800 3780 11880 4052 14842 HAYDEN MEMORIAL 55104 47004 8100 3780 7200 927 1890 160594 132694 27900 7560 19080 4979 16732 48351 -20451 true true true X 4.00000 true X 6.00000 true true true false true true 12487517 9324258 3163259 0.00740 67767335 46810890 20956445 0.04940 80254852 56135148 24119704 0.05680 2424316 8655 2415661 0.00570 46165 2000 44165 0.00010 7174269 2269688 4904581 0.01160 197022 197022 0.00050 9841772 2280343 7561429 0.01780 90096624 58415491 31681133 0.07460 14332 14332 1184 1184 991 991 37895 37895 0.00010 712 712 551854 551854 0.00130 606968 606968 0.00140 true 14045673 9628969 117724980 156380172 -38655192 X true true 1 1 SAINT FRANCIS MEDICAL CENTER

211 SAINT FRANCIS DRIVE CAPE GIRARDEAU MO 63703

X X X SAINT FRANCIS MEDICAL CENTER 1 true true 400.0 true 600.0 true X true true X X X X X X true X X X true X X X X X X X X true X false true 23 CAPE PHYSICIAN ASSOCIATES

3250 GORDONVILLE ROAD CAPE GIRARDEAU MO 63703

PHYSICIAN PRACTICE CAPE CARDIOLOGY GROUP

211 SAINT FRANCIS DRIVE SUITE 15 CAPE GIRARDEAU MO 63703

PHYSICIAN PRACTICE CAPE GASTROENTEROLGY SPECIALISTS

18 DOCTORS PARK CAPE GIRARDEAU MO 63703

PHYSICIAN PRACTICE CAPE CARE FOR WOMEN

150 S MT AUBURN ROAD CAPE GIRARDEAU MO 63703

PHYSICIAN PRACTICE CAPE THORACIC & CARDIOVASCULAR SURG

3250 GORDONVILLE ROAD CAPE GIRARDEAU MO 63703

PHYSICIAN PRACTICE CAPE MEDICAL ONCOLOGY

211 SAINT FRANCIS DR CAPE GIRARDEAU MO 63703

PHYSICIAN PRACTICE CAPE ENT GROUP

150 S MT AUBURN ROAD CAPE GIRARDEAU MO 63703

PHYSICIAN PRACTICE JACKSON FAMILY CARE

545 BROADRIDGE DRIVE JACKSON MO 63755

PHYSICIAN PRACTICE CAPE PULMONOLOGY AND SLEEP MEDICINE

24 S MT AUBURN ROAD CAPE GIRARDEAU MO 63703

PHYSICIAN PRACTICE CAPE NEUROLOGY SPECIALISTS

3004 GORDONVILLE ROAD CAPE GIRARDEAU MO 63703

PHYSICIAN PRACTICE CAPE DIABETES & ENDOCRINOLOGY

17 DOCTORS PARK CAPE GIRARDEAU MO 63703

PHYSICIAN PRACTICE CAPE MEDICAL GROUP

150 S MT AUBURN ROAD CAPE GIRARDEAU MO 63703

PHYSICIAN PRACTICE FITNESS PLUS

150 S MT AUBURN ROAD CAPE GIRARDEAU MO 63703

FITNESS CENTER CAPE SPINE AND NEUROSURGERY

150 S MT AUBURN ROAD CAPE GIRARDEAU MO 63703

PHYSICIAN PRACTICE CAPE GYNECOLOGIC ONCOLOGY

150 S MT AUBURN ROAD CAPE GIRARDEAU MO 63703

PHYSICIAN PRACTICE CAPE CEREBROVASCULAR & ENDOVASCULAR

150 S MT AUBURN ROAD CAPE GIRARDEAU MO 63703

PHYSICIAN PRACTICE CAPE PRIMARY CARE

1702 N KINGSHIGHWAY ST CAPE GIRARDEAU MO 63703

PHYSICIAN PRACTICE SAINT FRANCIS OUTPATIENT REHAB

150 S MT AUBURN ROAD CAPE GIRARDEAU MO 63703

OUTPATIENT REHAB SAINT FRANCIS HOME HEALTH

14 DOCTORS PARK CAPE GIRARDEAU MO 63703

HOME HEALTH CAPE PERINATOLOGY SERVICES

150 S MT AUBURN ROAD CAPE GIRARDEAU MO 63703

PHYSICIAN PRACTICE CHARLESTON FAMILY CARE

400 S MAIN STREET CHARLESTON MO 63834

PHYSICIAN PRACTICE SIKESTON NEUROLOGY SPECIALISTS

807 N MAIN STREET SIKESTON MO 63801

PHYSICIAN PRACTICE SIKESTON RADIATION ONCOLOGY

1124 N MAIN STREET SIKESTON MO 63801

PHYSICIAN PRACTICE SUBSIDIZED HEALTH SERVICES EXPLANATION PART I LINE 7G COSTS FOR SUBSIDIZED HEALTH SERVICES INCLUDE COSTS ASSOCIATED WITH PROVIDING NEONATOLOGY TRAUMA HOSPITALIST AND PERINATOLOGY PHYSICIAN CLINICAL SERVICES WHERE OPERATIONS RESULT IN LOSSES TOTAL EXPENSES IN THE AMOUNT OF 7174269 ARE INCLUDED EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE PART I LINE 7 COLUMN F BAD DEBTS WERE NOT EXCLUDED FROM THE CALCULATION IN COLUMN F COSTING METHODOLOGY EXPLANATION PART I LINE 7 A COSTTOCHARGE RATIO WAS USED IN ACCORDANCE WITH THE CALCULATION IN WORKSHEET 2 RATIO OF PATIENT CARE COST TO CHARGES COMMUNITY BUILDING ACTIVITIES PART II SAINT FRANCIS MEDICAL CENTERS COMMUNITY BUILDING ACTIVITIES ARE TARGETED TO KEEP GOOD HEALTH IN THE FOREFRONT THROUGH NONTRADITIONAL CHANNELS THESE ACTIVITIES ARE USED TO DELIVER HEALTHCARE INFORMATION AND EDUCATION DIRECTLY TO CITIZENS OF THE COMMUNITY COMMUNITY FORUMS OR MEETINGS ALLOW REPRESENTATIVES OF THE MEDICAL CENTER TO PRESENT POTENTIALLY LIFESAVING INFORMATION TO AN AUDIENCE NOT TYPICALLY REACHED BY COMMUNITY HEALTH AGENCIES OR SCREENINGS BAD DEBT EXPENSE EXPLANATION PART III LINE 4 A COSTTOCHARGE RATIO WAS USED IN ACCORDANCE WITH THE CALCULATION IN WORKSHEET 2 RATIO OF PATIENT CARE COST TO CHARGES TO DEVELOP COSTS ASSOCIATED WITH BAD DEBT EXPENSE PATIENT PAYMENTS AND DISCOUNTS ARE APPLIED TO PATIENTS ACCOUNT BEFORE BAD DEBT DETERMINATION IS MADE AN ESTIMATE OF BAD DEBT EXPENSE AT COST ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE MEDICAL CENTERS CHARITY CARE POLICY WAS CALCULATED BASED ON A STUDY OF POVERTY RATES IN THE MEDICAL CENTERS SERVICE AREA THE PERCENTAGE OF THE POPULATION WITH INCOME LEVELS AT OR BELOW 400 OF THE FEDERAL POVERTY GUIDELINES WAS OBTAINED FOR THE STATES REPRESENTED IN BAD DEBT EXPENSE THAT PERCENTAGE WAS THEN APPLIED TO THE ESTIMATED BAD DEBT EXPENSE ATTRIBUTABLE TO EACH STATE TO OBTAIN THE ESTIMATED AMOUNT IN BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE CHARITY CARE POLICY THE COST TO CHARGE RATIO WAS THEN APPLIED TO CONVERT TO COST THE MEDICAL CENTER ESTIMATES THAT 9628969 AT COST IS CHARITY CARE ELIGIBLE AND IS INCLUDED IN BAD DEBT EXPENSE THE FOLLOWING IS TEXT FROM FOOTNOTE B OF THE AUDITED FINANCIAL STATEMENTS FOR SAINT FRANCIS MEDICAL CENTER FOR THE YEAR ENDED JUNE 30 2012 THE MEDICAL CENTER PROVIDES A SIGNIFICANT AMOUNT OF UNCOMPENSATED CARE FOR PATIENTS WHICH IS NOT INCLUDED IN COMMUNITY BENEFIT EXPENSE BUT IS REPORTED ON THE STATEMENT OF OPERATIONS AS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS MANY OF THOSE PATIENTS ARE UNINSURED OR UNDERINSURED BUT DID NOT APPLY FOR OR QUALIFY FOR CHARITY CARE DURING THE YEAR ENDED JUNE 30 2012 THE MEDICAL CENTER REPORTED BAD DEBT EXPENSE AT COST OF 14046000 MEDICARE EXPLANATION PART III LINE 8 THE COSTING METHODOLOGY USED FOR PART III LINE 6 IS A COST TO CHARGE RATIO DERIVED FROM THE PRIOR YEARS MEDICARE COST REPORT WHICH USES ONLY MEDICARE ALLOWABLE COSTS IRS REV RUL 69545 WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS INCLUDING MEDICARE THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY THIS IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT FORPROFIT SPECIALTY HOSPITALS HAVE BEEN CARVING OUT CERTAIN HIGHMARGIN SERVICES SUCH AS CARDIAC ORTHOPEDICS AND ONCOLOGY LEAVING GENERAL ACUTE CARE HOSPITALS WITH LOWERMARGIN MEDICARE SERVICES THIS INDICATES THAT MEDICARE LOSSES CAN BE A RESULT OF RENDERING THESE LOWERMARGIN SERVICES WHICH BENEFIT THE COMMUNITY RATHER THAN INEFFICIENT OPERATIONS IN SOME COMMUNITIES MEDICARE IS THE LARGEST PAYER AND HOSPITALS MUST ACCEPT THESE PATIENTS REGARDLESS OF WHETHER THEY MAKE A SURPLUS OR DEFICIT FROM PROVIDING SUCH SERVICES IF THE MEDICARE PARTICIPATION IS PREMISED ON THIS FACT THEN PROVIDING MEDICARE SERVICES PROMOTES ACCESS TO HEALTHCARE SERVICES WHICH IS A COMMUNITY BENEFIT THERE ARE A NUMBER OF LOWINCOME CONSUMERS RECEIVING MEDICARE BENEFITS THE ELDERLY ARE OFTEN AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES WITHOUT TAXEXEMPT HOSPITALS PROVIDING MEDICARE SERVICES CMS WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING SERVICES TO THE ELDERLY MEDICARE PAYMENT ANOMALIES MAY BE PRESENT IN SOME STATES SO EVEN VERY EFFICIENT HOSPITALS ARE UNABLE TO AVOID LOSSES THUS LOSSES MAY NOT BE INDICATIVE OF INEFFICIENCY BUT RATHER PROVISION OF A COMMUNITY BENEFIT COLLECTION PRACTICES EXPLANATION PART III LINE 9B IF PATIENT EXPRESSES FINANCIAL INABILITY TO PAY THE REPRESENTATIVE OF THE MEDICAL CENTER WILL OFFER AN ASSISTANCE APPLICATION TO THE PATIENT THE PATIENT THEN RETURNS THE APPLICATION TO THE BUSINESS OFFICE FOR REVIEW AFTER REVIEW THE BUSINESS OFFICE WILL NOTIFY THE PATIENT IN WRITING OF THE DECISION IF APPROVED THE BUSINESS OFFICE WILL WRITE OFF REMAINING BALANCES IF DENIED THE BUSINESS OFFICE WILL CONTACT THE PATIENT TO MAKE PAYMENT ARRANGEMENTS NEEDS ASSESSMENT PART VI SAINT FRANCIS IS PROACTIVE IN ASSESSING THE HEALTHCARE NEEDS OF ITS SERVICE AREA THROUGH GATHERING INFORMATION OR STUDIES FROM COMMUNITY HEALTHCARE AGENCIES DEVELOPING AND SUPPORTING COMMUNITY HEALTH EDUCATORS AND FOLLOWING UP ON INFORMATION FROM PATIENTS AND FAMILIES SAINT FRANCIS IS REACTIVE IN ASSESSING THE HEALTHCARE NEEDS OF ITS SERVICE AREA BY PROVIDING SUPPORT AND ASSISTANCE THROUGH LOCAL AND NATIONAL AGENCIES WHICH PROVIDE DIRECT HEALTHCARE SERVICES TO THE MEDICAL CENTERS SERVICE AREA PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI HOSPITAL PERSONNEL INCLUDING NURSES PHYSICIANS SOCIAL WORKERS AND OTHERS MAY IDENTIFY AND REQUEST AN APPLICATION FOR A PATIENT WHEN DEEMED APPROPRIATE PATIENTS AND PERSONS WHO MAY BE BILLED RECEIVE AN APPLICATION FOR ASSISTANCE WHEN A NEED IS EXPRESSED REQUEST FOR ASSISTANCE IS USUALLY MADE WHEN THE PATIENT RECEIVES THE BILL OR WHEN THE CUSTOMER SERVICE REPRESENTATIVE CONTACTS THE PATIENT FOR PAYMENT OF ACCOUNT AT THE TIME NEED IS EXPRESSED THE APPLICATION IS GIVEN PERSONALLY OR MAILED TO THE PATIENT CUSTOMER SERVICE REPRESENTATIVES THEN WORK WITH THE PATIENT TO COMPLETE ASSISTANCE REQUEST AND FORWARD APPLICATION FOR APPROVAL ANY PATIENTS WHO RETURN TO THE MEDICAL CENTER TO PAY A BILL HAVE ACCESS TO ASSISTANCE EDUCATION DOCUMENTATION AT THE BILLING OFFICE COMMUNITY INFORMATION PART VI SAINT FRANCIS MEDICAL CENTER IS A LEADING TERTIARY CARE PROVIDER FOR A PORTION OF THE FIVESTATE REGION OF MISSOURI ARKANSAS ILLINOIS KENTUCKY AND TENNESSEE AND OFFERS SERVICES TO MORE THAN 650000 PEOPLE PRIMARY SERVICE AREA CONSISTS OF CAPE GIRARDEAU COUNTY WITH A POPULATION OF 76630 ACCORDING TO THE MISSOURI OFFICE OF ADMINISTRATION BUDGET AND PLANNING CAPE GIRARDEAU COUNTYS POPULATION IS EXPECTED TO INCREASE TO 84612 BY 2030 SECONDARY SERVICE AREA HAS A TOTAL POPULATION OF ALMOST 177900 AND INCLUDES THE COUNTIES OF ALEXANDER 8036 PULASKI 6046 JOHNSON 12654AND UNION 17708 IN ILLINOIS AND BOLLINGER 12356 MISSISSIPPI14306 NEW MADRID 18783 PERRY 19041 SCOTT 39136 AND STODDARD 29807 IN MISSOURI TERTIARY SERVICE AREA HAS A TOTAL POPULATION OF NEARLY 400000 AND INCLUDES THE COUNTIES OF BUTLER 43082 CARTER 5365 DUNKLIN 31974 IRON 10656 MADISON 12195 PEMISCOT 18174 REYNOLDS 6588 RIPLEY 14143 SAINT FRANCOIS 65577 SAINTE GENEVIEVE 18124 AND WAYNE 13475 IN MISSOURI AND JACKSON 60365 RANDOLPH 33361 AND WILLIAMSON 66622 IN ILLINOIS THE SOUTHEAST REGION OF MISSOURI IS GROWING SLOWLY AND HAS A HIGHER THAN AVERAGE PERCENTAGE OF RETIREEAGED PEOPLE OVER THE NEXT FIVE YEARS THE POPULATION BETWEEN AGES 55 TO 75 IS PROJECTED TO HAVE THE LARGEST PERCENT GROWTH CURRENTLY THE LARGEST POPULATION AGE GROUP IS AGES 4554 THIS REGION IS 901 PERCENT CAUCASIAN 74 PERCENT BLACK AND 14 PERCENT HISPANIC TOTAL PERSONAL INCOME FOR CAPE GIRARDEAU COUNTY FOR 2010 WAS 2638976000 OR 34781 PER CAPITA TOTAL PERSONAL INCOME FOR THE SOUTHEAST REGION WAS 112 BILLION WITH AN AVERAGE PER CAPITA OF 30668 OF THE ENTIRE SOUTHEAST REGION POPULATION AGE 25 AND OLDER 224 PERCENT DID NOT OBTAIN A HIGH SCHOOL DIPLOMA 576 PERCENT GRADUATED FROM HIGH SCHOOL 148 PERCENT HAVE RECEIVED A COLLEGE DEGREE AND 52 PERCENT HAVE COMPLETED A GRADUATE DEGREE ACCORDING TO EMPLOYMENT STATISTICS IN NOVEMBER 2012 CAPE GIRARDEAU COUNTY HAD AN UNEMPLOYMENT RATE OF 54 PERCENT THE SOUTHEAST REGION UNEMPLOYMENT RATE WAS 68 PERCENT STATISTICS COURTESY OF THE MISSOURI ECONOMIC RESEARCH AND INFORMATION CENTER AND US CENSUS BUREAU HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE PART VI SAINT FRANCIS MEDICAL CENTER FURTHERS ITS EXEMPT PURPOSE BY PROVIDING FOR AN OPEN MEDICAL STAFF COMPRISED OF PHYSICIANS IN ITS PRIMARY SERVICE AREA THE BOARD OF DIRECTORS IS COMPRISED OF LOCAL COMMUNITY MEMBERS WITH A VESTED INTEREST IN PROMOTING AND IMPROVING THE HEALTH OF THE POPULATION SERVED BY SAINT FRANCIS MEDICAL CENTER IN ADDITION SURPLUS FUNDS GENERATED BY THE OPERATIONS OF THE MEDICAL CENTER ARE REINVESTED IN EQUIPMENT AND FACILITIES SO THAT SAINT FRANCIS MEDICAL CENTER CAN PROVIDE CUTTING EDGE HEALTHCARE TO THE RESIDENTS OF ITS COMMUNITY AFFILIATED HEALTH CARE INFORMATION PART VI SAINT FRANCIS HEALTHCARE SYSTEM INC IS A HOLDING COMPANY WHICH OWNS SAINT FRANCIS MEDICAL CENTER SAINT FRANCIS MEDICAL CENTER OPERATES A 280BED ACUTE CARE HOSPITAL LOCATED IN CAPE GIRARDEAU MISSOURI ADMITTING PHYSICIANS ARE PRIMARILY PRACTITIONERS IN THE LOCAL AREA SAINT FRANCIS MEDICAL CENTER WAS ORGANIZED BY SAINT FRANCIS HEALTHCARE SYSTEM SAINT FRANCIS HEALTHCARE SYSTEM ALSO OWNS IMMEDIATE CONVENIENT CARE LLC AND IMMEDIATE CONVENIENT CARE PERRYVILLE LLC BOTH OF WHICH OPERATES WALKIN HEALTH CLINICS WHICH HAVE BEEN DESIGNATED AS A RURAL HEALTH CLINICS SAINT FRANCIS HEALTH DEVELOPMENT SERVICES INC FORMED IN 2002 OWNS A 51 INTEREST IN PHYSICIANS ALLIANCE SURGERY CENTER LLC 30 INTEREST IN POPLAR BLUFF MEDICAL PARTNERS LLC 30 INTEREST IN LANDMARK HOSPITAL OF CAPE GIRARDEAU LLC AND A 30 INTEREST IN DRXFC MANAGEMENT 001 LLC WHICH OPERATES A DOCTORS EXPRESS URGENT CARE CENTER LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILED PART VI MISSOURI SAINT FRANCIS MEDICAL CENTER LINE NUMBER 1 PART V LINE 11H PART V LINE 11H ALL PATIENTS RECEIVE THE SAME CHARGES REGARDLESS OF FINANCIAL STATUS DISCOUNTS VARY DEPENDING ON INCOME LEVEL ASSETS LEVEL MEDICAL INDIGENCY AND INSURANCE STATUS SAINT FRANCIS MEDICAL CENTER LINE NUMBER 1 PART V LINE 13G PART V LINE 13G ALL PATIENTS ARE PROVIDED PATIENT HANDBOOKS UPON ADMISSION THAT DETAIL THE FINANCIAL ASSISTANCE POLICY ALL SELF PAY PATIENTS ARE PERSONALLY CONTACTED AFTER ADMISSION AND INFORMED OF THE FINANCIAL ASSISTANCE AVAILABLE THROUGH THE MEDICAL CENTERS FINANCIAL ASSISTANCE POLICY SAINT FRANCIS MEDICAL CENTER LINE NUMBER 1 PART V LINE 15E PART V LINE 15E REFERRAL TO A THIRD PARTY COLLECTION AGENCY IS ALSO PERMITTED UNDER THE COLLECTION POLICY SAINT FRANCIS MEDICAL CENTER LINE NUMBER 1 PART V LINE 16E PART V LINE 16E THE MEDICAL CENTER AUTHORIZES A THIRD PARTY TO ACT AS ITS COLLECTION AGENT ON ACCOUNTS SENT FOR COLLECTIONS SAINT FRANCIS MEDICAL CENTER LINE NUMBER 1 PART V LINE 17E PART V LINE 17E THIRD PARTY REPRESENTATIVES WORK WITH SELF PAY PATIENTS TO HELP THEM QUALIFY FOR MEDICAID BENEFITS THROUGH THEIR STATE OF RESIDENCE CHARITY CARE APPLICATIONS ARE OFFERED FOR THOSE THAT DO NOT QUALIFY FOR MEDICAID AND EXPRESS THE NEED AND THE INABILITY TO PAY FOR MEDICAL SERVICES SAINT FRANCIS MEDICAL CENTER LINE NUMBER 1 PART V LINE 19D PART V LINE 19D ALL PATIENTS RECEIVE THE SAME CHARGES REGARDLESS OF FINANCIAL STATUS DISCOUNTS VARY DEPENDING ON INCOME LEVEL ASSETS LEVEL MEDICAL INDIGENCY AND INSURANCE STATUS SAINT FRANCIS MEDICAL CENTER LINE NUMBER 1 PART V LINE 21 PART V LINE 21 ALL PATIENTS RECEIVE THE SAME CHARGES REGARDLESS OF FINANCIAL STATUS DISCOUNTS VARY DEPENDING ON INCOME LEVEL ASSETS LEVEL MEDICAL INDIGENCY AND INSURANCE STATUS X X X true true X X X X X false false false false false true false false false STEVEN C BJELICH PRESIDENT CEO 669963 126845 92212 13683 25002 927705 JAMES SCHELLMDVP OF MEDICAL AFFAIR 352261 35752 35972 13020 15924 452929 WILLIAM A BALSANO VP OF FINANCE 325881 31926 50153 12971 15718 436649 MARILYN K CURTIS VP OF PROF SERVIC 264789 26209 41709 12855 18238 363800 BARBARA THOMPSON VP OF MARKETING 315311 315311 JEANNETTE K FADLERVP OF PATIENT CAR 232854 23827 35652 12779 18031 323143 MICHAEL FREEMANMD GASTRONENTEROLOG 1152188 33180 14399 24076 1223843 EDWARD BENDERMDCARDIOTHORASIC SURG 764811 34708 13788 18611 831918 LOUIS CARAGINE JRMDPHD ENDOV SURG 758407 33270 13788 24076 829541 BRUCE JONES MD CARDIOTHORASIC SURG 615819 32001 13500 13759 675079 RAFID HUSSEINDOGASTRONENTEROLOGIST 589464 25960 5375 19553 640352 FRINGE OR EXPENSE EXPLANATION SCHEDULE J, PAGE 1, PART I, LINE 1A EXECUTIVES AND BOARD MEMBERS RECEIVE TRAVEL FOR THEIR SPOUSES. SPOUSAL TRAVEL VALUE IS ADDED TO W-2'S FOR EXECUTIVES AND 1099'S ARE ISSUED TO BOARD MEMBERS. THE CEO RECEIVES COUNTRY CLUB DUES, WHICH IS INCLUDED ON THE W-2. COMPENSATION CONTINGENT UPON NET EARNINGS OF ORGANIZATION SCHEDULE J, PAGE 1, PART I, LINE 6A ALL EXECUTIVE BONUSES ARE BASED ON FINANCIAL PERFORMANCE. OTHER ADDITIONAL INFORMATION SCHEDULE J, PART III BARBARA THOMPSON, VP OF MARKETING IS NOT AN EMPLOYEE OF SAINT FRANCIS MEDICAL CENTER. SHE IS THE OWNER OF THE ROBERTS GROUP WHO PROVIDES ADVERTISING AND MARKETING SERVICES TO THE MEDICAL CENTER. HER COMPENSATION IS PAID BY THE ROBERTS GROUP. IND DEV AUTH OF CAPE GIRARDEAUM 431193901 139404EH6 2009-05-28 49238638 CAPITAL EXPENDITURES false false false IND DEV AUTH OF CAPE GIRARDEAUM 431193901 139404EP8 2009-05-28 25000000 CAPITAL EXPENDITURES false false false 1255000 49238638 4820824 950781 43467033 2011 false false true true 635000 25000000 415500 25378 24559122 2010 false false true true false false false false false true true false false false false false true true false false false false false false false true false false false false B THOMPSON-OWNS THE ROBERTS GROUP VP OF MARKETING 10801542 ADVERTISING FEES false X 14 8963 COST/SELLING PRICE/FMV X 2 4949 COST/SELLING PRICE/FMV X DOOR PRIZES 49 12409 COST/SELLING PRICE/FMV X PHOTOGRAPHY 1 10484 COST/SELLING PRICE/FMV false true false ORGANIZATION'S MISSION FORM 990 - ORGANIZATION'S MISSION THE MISSION OF SAINT FRANCIS MEDICAL CENTER IS TO PROVIDE A MINISTRY OF HEALING AND WELLNESS INSPIRED BY OUR CHRISTIAN PHILOSOPHY AND VALUES. FORM 990, PART III, LINE 1 - SAINT FRANCIS MEDICAL CENTER IS A 280-BED FACILITY SERVING MORE THAN 650,000 PEOPLE THROUGHOUT MISSOURI, ILLINOIS, KENTUCKY, TENNESSEE, AND ARKANSAS. THE MEDICAL CENTER PROVIDES COMPREHENSIVE INPATIENT ACUTE CARE SERVICES FOR MEDICAL AND SURGICAL PATIENTS SPECIALIZING IN ORTHOPEDICS, NEUROSURGERY, CARDIOVASCULAR SERVICES, ONCOLOGY, DISEASE MANAGEMENT, GASTROENTEROLOGY, MATERNAL-CHILD HEALTH AND NEUROLOGY. FIRST ACCOMPLISHMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4A -CARE FOR PERSONS COVERED BY GOVERNMENTAL PROGRAMS THAT REIMBURSE BELOW ACTUAL COST. -HEALTH SCREENINGS AND EDUCATIONAL PROGRAMS TO SUPPORT THE HEALTHCARE NEEDS OF THE COMMUNITY. SFMC PROVIDES A VARIETY OF WELLNESS PROGRAMS, COMMUNITY HEALTH EDUCATION ACTIVITIES, SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDER-SERVED AND PARTICIPATES IN A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. SFMC SERVED 11,132 INPATIENTS, 29,741 EMERGENCY PATIENTS AND 115,270 OUTPATIENTS DURING THE FISCAL YEAR (FY) ENDING JUNE 30, 2012. DURING FY 2012, SFMC HAD A TOTAL OF 59,742 PATIENT DAYS IN ITS MEDICAL/SURGICAL, CRITICAL CARE, OBSTETRIC, AND REHABILITATION CARE UNITS. SFMC PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS, FOR WHICH IT IS REIMBURSED BELOW COST. RECOGNIZING ITS MISSION IN THE COMMUNITY, SFMC PROVIDES SERVICES TO BOTH MEDICARE AND MEDICAID PATIENTS. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS IN EXCESS OF 55.1 MILLION IN FY 2012. CHARITY CARE IS PROVIDED IN THE FORM OF MANY REDUCED-PRICE AND FREE SERVICES OFFERED THROUGHOUT THE YEAR. SFMC STRONGLY BELIEVES THESE PROGRAMS AND SERVICES FILL A REAL NEED IN THE COMMUNITY. THESE PROGRAMS AND SERVICES INCLUDE THE FOLLOWING: -PARTICIPATION IN AND/OR SPONSORSHIP OF MANY COMMUNITY HEALTH FAIRS. THESE EVENTS RANGE FROM CHILDREN'S SPECIAL EVENTS TO SENIOR HEALTH FAIRS. TOTAL ATTENDANCE AT THESE ACTIVITIES EXCEEDED 8,600 DURING FY 2012. -SFMC SPONSORS THE REGIONAL ARTHRITIS CENTER, OFFERING INFORMATION AND ASSISTANCE TO PEOPLE THROUGHOUT SOUTHEAST MISSOURI. -FREE OR DISCOUNTED HEALTH SCREENINGS (CHOLESTEROL, BLOOD PRESSURE, GLAUCOMA, BLOOD SUGAR, ETC.) PROVIDED AT HEALTH FAIRS AND COMMUNITY HEALTH EDUCATION PROGRAMS, AS WELL AS OUR WEEKLY WEDNESDAY MORNING HEART HEALTH SCREENINGS. -COMMUNITY HEALTH FORUMS WERE OFFERED ON TOPICS SUCH AS ARTHRITIS, DIABETES, CARDIOVASCULAR FITNESS, CHILDREN'S HEALTH AND SAFETY, NUTRITION, BREAST CANCER AND OSTEOPOROSIS. OTHER WELLNESS PROGRAMS SUCH AS WEIGHT MANAGEMENT AND SMOKING CESSATION ARE SUBSIDIZED BY SFMC AND OFFERED FOR A NOMINAL FEE. -CHILDBIRTH, SIBLINGS, BREASTFEEDING AND INFANT CARE CLASSES ARE PROVIDED FREE OF CHARGE TO EXPECTANT MOTHERS AND YOUNG FAMILIES. -SFMC SPONSORS HEALTHCARE SPEAKERS FOR COMMUNITY EVENTS AND CIVIC MEETINGS. SFMC STAFF PRESENTS FREE PROGRAMS ON A VARIETY OF HEALTH AND WELLNESS TOPICS TO VARIOUS COMMUNITY, SCHOOL AND CHURCH GROUPS THROUGHOUT THE YEAR. -SEVERAL SFMC OUTPATIENT CLINICS ARE OFFERED AT REDUCED FEE OR NO COST TO PATIENTS AND THEIR FAMILIES. THE CLINICS ADDRESS DIABETIC FOOT CARE, GENETICS, ORTHOPEDICS AND SPORTS INJURIES. -SFMC PROVIDES FREE FIRST AID SERVICES AT THE WEEKLONG SEMO DISTRICT FAIR IN CAPE GIRARDEAU. MEDICAL CENTER PERSONNEL STAFF THE FIRST AID STATION AND PROVIDE MINOR MEDICAL SERVICES TO HUNDREDS OF PEOPLE DURING THE COURSE OF THE WEEK. SFMC ALSO PROVIDES STAFF AND FIRST AID MATERIALS FOR OTHER CIVIC FUNCTIONS DURING THE FISCAL YEAR. -SFMC PROVIDES FREE MEETING ROOM SPACE AND RELATED ASSISTANCE TO MANY HEALTHCARE SUPPORT GROUPS. SEVERAL HUNDRED PEOPLE REGULARLY PARTICIPATE IN THESE SUPPORT GROUPS FOR DISEASES AND DISORDERS INCLUDING BREAST CANCER, MUSCULAR DYSTROPHY, SLEEP DISTURBANCE, HEAD INJURIES, LARYNGECTOMY, HEART SURGERY, DIGESTIVE DISEASES, PARKINSON'S, ARTHRITIS, MULTIPLE SCLEROSIS AND STROKES, AS WELL AS GRIEF SUPPORT FOR PEOPLE WHO HAVE LOST A LOVED ONE TO ILLNESS, INJURY OR DISEASE. -SFMC PROVIDES FINANCIAL AND IN-KIND SUPPORT FOR ACTIVITIES OF LOCAL CHARITIES SUCH AS THE AMERICAN CANCER SOCIETY, THE AMERICAN DIABETES ASSOCIATION, THE AMERICAN ARTHRITIS ASSOCIATION, THE MARCH OF DIMES, THE AMERICAN HEART ASSOCIATION AND THE AMERICAN LUNG ASSOCIATION. -SCHOLARSHIPS AND TUITION REIMBURSEMENT ARE AWARDED ANNUALLY BY SFMC TO UNDERGRADUATE AND GRADUATE STUDENTS ENROLLED IN VARIOUS HEALTHCARE CURRICULUMS. THE VALUE OF THIS INVESTMENT IN THE ADVANCEMENT OF EXISTING CARE PROVIDERS AND THE EDUCATION OF FUTURE CARE PROVIDERS WAS 135,000 IN FY 2012. -SFMC SPONSORS MEDICAL MINUTE. THIS WEEKLY EDUCATIONAL PROGRAM, PRODUCED IN COOPERATION WITH MEMBERS OF THE MEDICAL COMMUNITY, PROVIDES INFORMATION ON NEW TECHNOLOGY AND PROCEDURES, TREATMENT FOR DISEASES AND DISORDERS, AND GENERAL MEDICAL EDUCATION TO AREA PATIENTS. -SFMC PROVIDES FREE INTERNET LIBRARY SEARCHES ON HEALTHCARE TOPICS TO AREA RESIDENTS WHO DO NOT HAVE OTHER ACCESS. HOSPITAL EDUCATION STAFF CONDUCTS THE SEARCH AND FAX OR MAIL MATERIALS. -SFMC PROVIDES EMERGENCY CARE, CLOTHING AND PHARMACEUTICALS TO CHILDREN IN NEED THROUGH THE SAINT FRANCIS FOUNDATION CHILDREN HELPING CHILDREN FUND. -DURING FY 2012 SFMC VOLUNTEERS CONTRIBUTED APPROXIMATELY 49,000 HOURS OF SERVICE TO OUR PATIENTS, THEIR FAMILIES AND THE COMMUNITY. THE VALUE OF THIS CONTRIBUTION IS ESTIMATED AT OVER 368,000 AND IS GIVEN BACK TO THE COMMUNITY THROUGH LOWER COSTS IN PATIENT CARE SERVICES AND WELLNESS PROGRAMS SUCH AS THOSE DESCRIBED ELSEWHERE IN THIS DOCUMENT. -DURING FY 2012 SFMC PROVIDED 421 FREE MAMMOGRAMS TO AREA WOMEN WHO COULD NOT AFFORD THIS POTENTIALLY LIFESAVING SCREENING. THE VALUE OF THIS CONTRIBUTION IS ESTIMATED AT MORE THAN 46,800. RELATED PARTY INFORMATION AMONG OFFICERS FORM 990, PAGE 6, PART VI, LINE 2 SAINT FRANCIS MEDICAL CENTER=SFMC SAINTFRANCIS HEALTHCARE SYSTEM=SFHS J WILFERTH - DIRECTOR OF SFMC&SFHS L.R.ROPER, JR-DIRECTOR OF SFMC&SFHS FAMILY RELATIONSHIP MANAGEMENT DELEGATED FORM 990, PAGE 6, PART VI, LINE 3 THE ROBERTS GROUP PROVIDES MARKETING AND ADVERTISING SERVICES FOR SAINT FRANCIS MEDICAL CENTER. BARBARA THOMPSON IS THE OWNER OF THE ROBERTS GROUP AND ALSO THE VICE PRESIDENT OF MARKETING AT SAINT FRANCIS MEDICAL CENTER. BARBARA THOMPSON IS NOT AN EMPLOYEE OF THE MEDICAL CENTER AND IS THEREFORE NOT PAID A DIRECT SALARY FROM THE MEDICAL CENTER. CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PAGE 6, PART VI, LINE 6 SAINT FRANCIS HEALTHCARE SYSTEMS IS THE SOLE MEMBER OF THE SAINT FRANCIS MEDICAL CENTER. ELECTION OF MEMBERS AND THEIR RIGHTS FORM 990, PAGE 6, PART VI, LINE 7A SAINT FRANCIS HEALTHCARE SYSTEM, INC. IS THE SOLE MEMBER OF SAINT FRANCIS MEDICAL CENTER HAS THE POWER TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS, THE CHAIRMAN OF THE BOARD, THE VICE CHAIRMAN OF THE BOARD AND THE SECRETARY/TREASURER OF THE CORPORATION. DECISIONS SUBJECT TO APPROVAL OF MEMBERS FORM 990, PAGE 6, PART VI, LINE 7B DECISIONS ARE SUBJECT TO THE BISHOP'S APPROVAL. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B A COPY OF THE FORM 990 IS PROVIDED TO THE ALL MEMBERS OF THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO BEING FILED WITH THE INTERNAL REVENUE SERVICE. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C THE MEDICAL CENTER REQUIRES ALL OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES TO COMPLETE A CONFLICT OF INTEREST STATEMENT EACH YEAR. OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ARE EDUCATED EACH YEAR ON THE DEFINITION OF A CONFLICT OF INTEREST AND HOW TO AVOID THEM. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A AN OUTSIDE CONSULTANT IS ENGAGED TO PROVIDE BENCHMARK DATA FOR COMPARABLE POSITIONS IN COMPARABLY SIZED MEDICAL CENTERS. BASED ON THE DATA, THE CONSULTANT MAKES A RECOMMENDATION TO THE COMPENSATION COMMITTEE OF THE BOARD. THE BOARD DISCUSSES THE RECOMMENDATIONS AND MAKES A DECISION AS TO WHAT WILL BE PROVIDED FOR THE YEAR. THE PRESIDENT OF THE BOARD PROVIDES THE INFORMATION TO THE VP OF FINANCE TO IMPLEMENT. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B BASED ON DATA PROVIDED BY CONSULTANTS, THE BOARD OF DIRECTORS ESTABLISH PAY TARGETS FOR THE EXECUTIVE TEAM. THE PRESIDENT GRANTS THE VICE PRESIDENTS THEIR PAY INCREASES BASED ON PERFORMANCE IN THE PRECEEDING YEAR. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 COPIES OF THE MEDICAL CENTERS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND FEDERAL FORM 990 ARE AVAILABLE AT THE ADMINISTRATIVE OFFICE UPON REQUEST. OTHER CHANGES IN NET ASSETS EXPLANATION FORM 990, PART XI, LINE 5 CHANGE IN NET UNREALIZED GAINS AND LOSSES ON OTHER THAN TRADING SECURITIES ( 15,334,260) CHANGE IN INTEREST IN NET ASSETS OF SAINT FRANCIS FOUNDATION ( 232,456) TOTAL OTHER CHANGES IN NET ASSETS ( 15,566,716) THE DIFFERENCE BETWEEN THE REVENUES AND THE NET ASSETS ON THE AUDITED FINANCIAL STATEMENTS AND THE REVENUES AND NET ASSETS REPORTED ON THE 990 REPRESENT THE NET INCOME FROM THE AUXILIARY OF 20,877 AND CASH OF 298,910. MEDICAL PARTNERS OF CAPE GIRARDEAU 211 SAINT FRANCIS DRIVE CAPE GIRARDEAU MO 63703 431869973 PHYS. PRAC MO SFMC SAINT FRANCIS HEALTHCARE SYSTEM 211 SAINT FRANCIS DRIVE CAPE GIRARDEAU MO 63703 430662499 HOLDING CO MO 501C3 11B NA false SAINT FRANCIS FOUNDATION 211 SAINT FRANCIS DRIVE CAPE GIRARDEAU MO 63703 431111276 FUND DEV. MO 501C3 11B NA false SAINT FRANCIS HEALTH DEVELOP SRVC 211 SAINT FRANCIS DRIVE CAPE GIRARDEAU MO 63703 470849798 HOLDING CO MO SFHS C CORP false false true false false false false false false true false true true true true true true false