2023-11-08T10:47:17-06:00 2022-12-31 FORVIS LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2022-01-01 430654874 SOUTHEAST HOSPITAL % KRISTA BERRY SOUT 5733344822 1701 LACEY ST CAPE GIRARDEAU MO 63701 STEVEN HAAS CFO 5733344822 2023-05-09 true STEVEN HAAS 999009999 Brian D Todd P00422601 4178658701 2 2022 2023-04-26 12:10:37Z SOUTHEASTHEALTH KENNETH W BATEMAN 1701 LACEY ST CAPE GIRARDEAU MO 63701 460205034 false X WWW.SEHEALTH.ORG X 1926 MO TOGETHER WE WILL EVOLVE HEALTHCARE THROUGH INNOVATION, COMPASSION AND PARTNERSHIPS. 23 19 3070 72 13228883 0 25651569 11494620 400707448 390664583 1836574 3758981 -1584508 -1029769 426611083 404888415 1681851 1205638 0 0 189213629 188628858 0 0 0 218493760 237012533 409389240 426847029 17221843 -21958614 474182729 410375855 290723610 259839554 183459119 150536301 X WITH OUR COLLECTIVE EXPERTISE, WE STRIVE TO BE THE BEST IN PATIENT EXPERIENCE AND OUTCOMES, INSTILLING CONFIDENCE WITHIN OUR COMMUNITY AND EMPOWERMENT AMONG OUR EMPLOYEES. false false 376708078 1205638 391475710 SOUTHEASTHEALTH, THE REGION'S PREMIER HEALTHCARE SYSTEM IN SOUTHEAST MISSOURI, PROVIDES OUR PATIENTS WITH EXCELLENT CARE OF THE HIGHEST CLINICAL QUALITY, CLOSE TO HOME. WITHIN OUR NETWORK ARE NEARLY 50 CARE LOCATIONS IN 10 COMMUNITIES, INCLUDING HOSPITALS, PRIMARY AND SPECIALTY CARE CLINICS, EXTENDING CARE FOR PATIENTS IN A FOUR-STATE AREA. SOUTHEAST HOSPITAL IN CAPE GIRARDEAU HAS BEEN A TRUSTED HEALTH CARE RESOURCE IN THE COMMUNITY FOR NEARLY 100 YEARS. SOUTHEAST HEALTH CENTER OF STODDARD COUNTY WAS ESTABLISHED IN 1969 AND HAS BEEN UNDER SOUTHEASTHEALTH'S MANAGEMENT SINCE 2013. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 376708078 true true false true false false false false false false true false false false true false false true false false false false false false false false true true false true true true false false false false false false false false true false true false false false true true false false false true 311 0 true 3070 true true true false false false false false false false false false false false X 23 19 false false false false true true true true true false false true true true true true true true false true true X KRISTA BERRY 5733344822 1701 LACEY ST CAPE GIRARDEAU MO 63701 BRENT KELLER GI PHYSICIAN 40.0 0.0 X 1015444 0 39434 GABRIEL SOTO CARDIOLOGIST 40.0 0.0 X 928319 0 54706 ANTHONY MCPHERRON ORTHOPEDIC SURGEON 40.0 0.0 X 886769 0 59528 KENNETH BATEMAN PRESIDENT AND CEO 40.0 3.0 X X 746851 0 153984 PAUL ROBISON CARDIOVASCULAR SURGEON 40.0 0.0 X 864264 0 34470 DAVID LAW CARDIOLOGIST 40.0 0.0 X 791165 0 33019 MATTHEW JANZOW VP AND CHIEF MEDICAL OFFICER 40.0 0.0 X 426691 0 40096 JAMIE HARRISON FAMILY PRACTITIONER 40.0 0.0 X 406170 0 40537 STEVEN HAAS VP AND CHIEF FINANCIAL OFFICER 40.0 3.0 X 351041 0 35480 MARIELLENA SUDAK VP AND CHIEF OPERATING OFFICER 40.0 0.0 X 353838 0 31357 MICHAEL NICHOLS VP & CHIEF INFORMATION OFFICER 40.0 0.0 X 297045 0 32680 KATHRYN VICKERY VP ANCILLARY SERVICES 40.0 0.0 X 238357 0 23673 ERIN PFEIFER VP OF HUMAN RESOURCES AND DEVE 40.0 0.0 X 231924 0 27840 GINA LEATH VP AND CHIEF NURSING OFFICER 40.0 0.0 X 220319 0 35031 STEVEN LANGDON PRESIDENT - COLLEGE OF NURSING 40.0 0.0 X 221821 0 22588 KRISTA BERRY CONTROLLER 40.0 0.0 X 212308 0 21101 SHAUNA WINTERS HOFFMAN VP OF MARKETING & DEVELOPMENT 40.0 0.0 X 204455 0 15409 REGINA FAULKENBERRY VP AND GENERAL COUNSEL 40.0 0.0 X 184911 0 28052 SUE ANN WILLIAMS CEO STODDARD 40.0 0.0 X 154560 0 35946 SHERRIE LANE DIRECTOR OF PHARMACY 40.0 0.0 X 174735 0 13448 JASON EMMENDERFER EXEC DIR SPORTS MED AND ORTHO 40.0 0.0 X 150202 0 33747 MARIA STIFFLER EXECUTIVE DIRECTOR HEART LUNG 40.0 0.0 X 166620 0 4370 FRANK KINDER HOSPITAL DIRECTOR 2.0 0.0 X 0 0 0 STEVEN GREEN IMMEDIATE PAST CHAIRMAN 2.0 1.0 X 0 0 0 CHARLES KRUSE SECRETARY 2.0 1.0 X 0 0 0 STANLEY CRADER TREASURER 2.0 1.0 X X 0 0 0 ROBERT NEFF HOSPITAL DIRECTOR 2.0 0.0 X 0 0 0 JAMES DUFEK CHAIRMAN 2.0 1.0 X X 0 0 0 KEVIN FORD HOSPITAL DIRECTOR 2.0 0.0 X 0 0 0 MICHAEL KOHLFELD HOSPITAL DIRECTOR 2.0 0.0 X 0 0 0 MICHELLE AYCOCK REGIONAL IMMEDIATE PAST CHAIR 3.0 2.0 X 0 0 0 ANGIE UMFLEET VICE CHAIRMAN 2.0 1.0 X X 0 0 0 MARK AVERY REGIONAL CHAIRMAN 3.0 2.0 X 0 0 0 CHRISTINE MACKEY-ROSS HOSPITAL DIRECTOR 2.0 0.0 X 0 0 0 BENJAMIN LEWIS HOSPITAL DIRECTOR 2.0 0.0 X 0 0 0 GREG MATHIS REGIONAL DIRECTOR 3.0 2.0 X 0 0 0 BRIAN ROBISON REGIONAL DIRECTOR 3.0 2.0 X 0 0 0 CURT BUCHHEIT HOSPITAL DIRECTOR 3.0 1.0 X 0 0 0 FRED DUCHARME HOSPITAL DIRECTOR 3.0 0.0 X 0 0 0 ALBERT SPRADLING III HOSPITAL DIRECTOR 2.0 0.0 X 0 0 0 RYAN ADAMS REGIONAL SECRETARY/TREASURER 2.0 2.0 X 0 0 0 CLAY CROSSON REGIONAL VICE CHAIRMAN 2.0 2.0 X 0 0 0 MARISSA MILLS REGIONAL DIRECTOR 2.0 2.0 X 0 0 0 9227809 0 816496 295 false true false FASTAFF LLC PO BOX 911452 DENVER CO 802911452 NURSE COVERAGE 5506125 CHG MEDICAL STAFFING RN NETWORK PO BOX 974088 DALLAS TX 753974088 NURSE COVERAGE 4221494 MEDICAL SOLUTIONS PO BOX 850737 MINNEAPOLIS MN 55485 PHYSICIAN COVERAGE 3989855 STAFF CARE PO BOX 281923 ATLANTA GA 303841923 NURSE COVERAGE 1926366 LIFEPOINT REHABILITATION LLC PO BOX 502096 ST LOUIS MO 631502096 NURSE COVERAGE 1608703 47 10800021 694599 115000 11494620 NET PATIENT SERVICE REVENUE 621400 370134814 370134814 PHARMACY REVENUE 456110 9015445 2659770 6355675 LAB REVENUE 621500 6814968 6814968 TUITION REVENUE 611600 2692731 2692731 CAFETERIA REVENUE 722514 514050 514050 1492575 1434335 58240 390664583 2319225 2319225 0 0 561439 456718 104721 0 104721 104721 56254058 45599 54604316 255585 1649742 -209986 1439756 1439756 0 0 0 0 0 0 0 0 0 LOSS ON EQUITY INVESTEE 900099 -846967 -846967 Loss on Restructuring 900099 -287523 -287523 -1134490 404888415 377435700 13228883 2729212 X 0 1205638 1205638 0 0 5237187 2348250 2888937 682113 682113 156976652 128450515 28526137 2826596 2297535 529061 11516951 9327545 2189406 11389359 9083693 2305666 0 287308 287308 436648 436648 90000 81292 8708 0 0 58110882 53562274 4548608 2217484 2002925 214559 10178179 9191444 986735 11029152 9961993 1067159 0 5168597 4668494 500103 433367 391435 41932 0 766145 692014 74131 6050704 4886381 1164323 0 19158037 15425953 3732084 4599427 4154395 445032 MEDICAL SUPPLIES & DRUGS 98516514 98516514 PROVIDER TAX 17981511 17981511 LICENSES, DUES, SUBSCRIPTIONS 1063115 960250 102865 RECRUITING & RETENTION 689343 622644 66699 236120 213270 22850 426847029 376708078 50138951 0 14987350 10103296 133536953 63650785 0 0 52930947 51861145 0 0 0 0 38731 14249 8836697 8464391 4454279 5307603 469937186 297232671 154177692 172704515 82274540 77785139 5211197 4514991 5533464 5047698 2623873 757304 9577006 10164739 474182729 410375855 52843934 54258610 0 0 9216862 210286 183186598 177715818 0 0 0 0 11457022 11192678 0 0 34019194 16462162 290723610 259839554 X 177925655 145488603 5533464 5047698 183459119 150536301 474182729 410375855 X -21958614 -10395017 -569187 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 90000 false true 12972 102972 false SCHEDULE C, PART II-B, LINE 1G DIRECT CONTACT WITH LEGISLATORS: THE ORGANIZATION HIRED A LOBBYING FIRM, WINNING STRATEGIES WASHINGTON, TO DEVELOP AND MAINTAIN CONGRESSIONAL RELATIONSHIPS, MONITOR FEDERAL POLICIES, PROVIDE COUNSEL ON THE ORGANIZATION SHOULD ENGAGE IN FEDERAL ISSUES, PROVIDE GUIDANCE REGARDING FEDERAL FUNDING OPPORTUNITIES, AND ARRANGE MEETINGS OR CALLS WITH OFFICIALS. SCHEDULE C, PART II-B, LINE 1I OTHER LOBBYING ACTIVITIES: THE ORGANIZATION IS A MEMBER OF THE MISSOURI HOSPITAL ASSOCIATION, OF WHICH THE FOLLOWING PORTION OF DUES IS ATTRIBUTABLE TO LOBBYING: MISSOURI HOSPITAL ASSOCIATION - 22.50% OF $57,654 OR $12,972 21495734 21495734 160970667 94442114 66528553 407604 94044 313560 241804736 197262854 44541882 45258445 5433659 39824786 172704515 0 OTHER LIABILITIES 845447 DUE TO 3RD PARTY 11609371 DEF COMP LIABILITY 4007344 16462162 SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. true true X true X true X true false true true 1797087 1797087 0.00420 62506982 48432266 14074716 0.03300 64304069 48432266 15871803 0.03720 3978028 2720269 1257759 0.00290 12250486 9744343 2506143 0.00590 16228514 12464612 3763902 0.00880 80532583 60896878 19635705 0.04600 false 28567079 3942257 87852646 105436918 -17584272 X true true 2 1 SOUTHEAST HOSPITAL 1701 LACEY ST CAPE GIRARDEAU MO 63701 WWW.SEHEALTH.ORG 80 X X X X 1 2 SOUTHEAST HEALTH OF STODDARD COUNTY 1200 NORTH ONE MILE ROAD DEXTER MO 63841 WWW.SEHEALTH.ORG 526 X X X 1 FACILITY REPORTING GROUP #1 12 false false true X X X X X X X X X 22 true true true true X SEE PART V, SECTION C X true 22 true SEE PART V, SECTION C false true X 200. 300. X X X X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 COMMUNITY INPUT: THE INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY INCLUDED INVOLVING PEOPLE FROM THE FOLLOWING ORGANIZATIONS WHEN THE PRIMARY RESEARCH WAS CONDUCTED: - BOLLINGER COUNTY HEALTH CENTER - DEXTER CHAMBER OF COMMERCE - SALVATION ARMY - BOLLINGER COUNTY PUBLIC LIBRARY - DEXTER PUBLIC SCHOOLS - SCOTT COUNTY HEALTH DEPARTMENT - BOOTHEEL COUNSELING SERVICES - FERGUSON MEDICAL GROUP - SEMO HEALTH NETWORK - CAPE GIRARDEAU COUNTY COMMISSIONER - GIBSON RECOVERY CENTER - SIKESTON DPS - CAPE GIRARDEAU CO PUBLIC HEALTH CTR - AGING MATTERS ASSOCIATION - SOUTH SCOTT CO. AMBULANCE DIST. - CAPE GIRARDEAU POLICE DEPARTMENT - JACKSON CHAMBER OF COMMERCE - SOUTHEAST HOSPITAL - CAPE GIRARDEAU SCHOOL DISTRICT - JACKSON MANOR - SOUTHEAST MISSOURI FOOD BANK - CATHOLIC CHARITIES - JACKSON POLICE DEPARTMENT - SOUTHEAST MISSOURI STATE UNIVERSITY - CITY OF CAPE GIRARDEAU - JACKSON R-2 SCHOOL DISTRICT - SOUTHEAST CONVENIENT CARE - JACKSON - CITY OF DEXTER - MO BOOTHEEL REGIONAL CONSORTIUM - SOUTHEAST HEALTH CENTER - STODDARD CO - CITY OF JACKSON - MO DELTA MEDICAL CENTER/CLINICS - ST. MARY CATHEDRAL/CATHOLIC - SOCIAL MINISTRIES FOOD PANTRY - MO DHSS - STODDARD COUNTY PUBLIC HEALTH CENTER - COMMUNITY CARING COUNCIL - OAK RIDGE K-11 SCHOOL DISTRICT - UNITED WAY OF SEMO - CROSS TRAILS MEDICAL CENTER - REGIONAL HEALTHCARE FOUNDATION - UNIVERSITY OF MISSOURI EXTENSION - DAUGHTERS OF SUNSET/CITY COUNCIL - SAINT FRANCIS MEDICAL CENTER - YMCA OF SEMO EFFORTS WERE MADE TO INCLUDE AT-RISK, TARGETED POPULATIONS AND PRINCIPAL SPECIALTY AREAS THAT ARE SERVED BY THE HOSPITAL AND PRESENT WITHIN THE COMMUNITY, SUCH AS THE MEDICALLY UNDERSERVED, LOW INCOME PERSONS, MINORITY GROUPS, AND THOSE WITH CHRONIC DISEASE NEEDS. SOUTHEAST'S PLANNING & RESEARCH TEAM TOOK EXTENSIVE TIME IN IDENTIFYING PARTNERS AND INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SOUTHEASTHEALTH PERFORMED THE PRIMARY DATA COLLECTION OF THE ASSESSMENT. THE CAPE GIRARDEAU COUNTY PUBLIC HEALTH CENTER WAS ALSO A PARTNER FOR THE CAPE GIRARDEAU COUNTY PORTION OF THE ASSESSMENT. SOUTHEASTHEALTH ADMINISTERED SURVEYS AND WORKED WITH A FOCUS GROUP MODERATOR FROM SOUTHEAST MISSOURI STATE UNIVERSITY FACULTY. THIS INDIVIDUAL TEACHES PRIMARY MARKET RESEARCH. SCHEDULE H, PART V, SECTION B, LINE 6A CHNA CONDUCTED WITH OTHER HOSPITALS: THE CHNA PROCESS WAS CONDUCTED WITH SOUTHEASTHEALTH'S REGIONAL HOSPITAL FACILITIES, INCLUDING HOSPITAL FACILITY #2 SOUTHEAST HEALTH CENTER OF STODDARD COUNTY. SCHEDULE H, PART V, SECTION B, LINE 6B CHNA CONDUCTED WITH OTHER ORGANIZATIONS: CAPE GIRARDEAU COUNTY PUBLIC HEALTH CENTER WAS ALSO A PARTNER IN CONDUCTING THIS COMMUNITY HEALTH NEEDS ASSESSMENT. SCHEDULE H, PART V, SECTION B, LINE 7 CHNA AVAILABILITY: THE FULL WEBSITE ADDRESS FOR LINE 7 IS: HTTPS://WWW.SEHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH/ SCHEDULE H, PART V, SECTION B, LINE 7D OTHER METHODS OF AVAILABILITY OF THE CHNA: IN ADDITION TO THE HOSPITAL'S WEBSITE (SEHEALTH.ORG), THE ORGANIZATION SHARED COPIES OF THE EXECUTIVE SUMMARY AND THE COMPLETE REPORT WITH THE LOCAL MEDIA OUTLETS. THE ORGANIZATION ALSO SHARED COPIES OF THE REPORT TO THE MISSOURI HOSPITALS ASSOCIATION'S DIABETES SHARED LEARNING NETWORK GROUP. SCHEDULE H, PART V, SECTION B, LINE 10 IMPLEMENTATION STRATEGY AVAILABILITY: THE FULL WEBSITE ADDRESS FOR LINE 10 IS: HTTPS://WWW.SEHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH/ SCHEDULE H, PART V, SECTION B, LINE 11 ADDRESSING SIGNIFICANT NEEDS: IN RESPONSE TO THE COMMUNITY HEALTH NEEDS ASSESSMENT, THE SOUTHEASTHEALTH CHNA TEAM REVIEWED AND COMPILED A LIST OF RESOURCES AND SERVICES ALREADY AVAILABLE IN THE COMMUNITY THAT ADDRESS THE PRIORITY NEEDS THAT SURFACED. THE TEAM THEN MET WITH THE TRANSITIONS OF CARE COMMITTEE WHICH IS COMPRISED OF INDIVIDUALS FROM VARIOUS DEPARTMENTS THROUGHOUT SOUTHEASTHEALTH, INCLUDING: QUALITY MANAGEMENT, CASE MANAGEMENT, EDUCATION, HOME HEALTH, PATIENT EXPERIENCE, AND CLINICAL AREAS SUCH AS THE EMERGENCY DEPARTMENT, CARDIOVASCULAR SERVICES, PERIOPERATIVE SERVICES, BEHAVIORAL HEALTH SERVICES, TO DETERMINE WHAT ADDITIONAL ACTIONS SHOULD TAKE PLACE TO ADDRESS THESE ISSUES. FROM THOSE DISCUSSIONS, THE FOLLOWING IMPROVEMENT STRATEGIES AND ACTIONS WERE DEVELOPED. THIS COMMUNITY HEALTH NEEDS ASSESSMENT WAS PRESENTED TO THE EXECUTIVE TEAM, HOSPITAL BOARD OF DIRECTORS ON THURSDAY, OCTOBER 27 AND THE REGIONAL BOARD OF DIRECTORS ON MONDAY, NOVEMBER 21, 2022, WHICH RECEIVED FINAL APPROVAL. THE TEAM IS FOCUSED ON THREE KEY OBJECTIVES FOR IMPROVING THE AREAS OF IDENTIFIED NEEDS: - ACCESS AND SCREEN PATIENTS - WORK TO ENSURE PATIENTS HAVE GOOD ACCESS TO CARE - OFFER ONGOING PATIENT EDUCATION ABOUT DISEASE STATE, PREVENTION AND OVERALL WELLNESS. SCHEDULE H, PART V, SECTION B, LINE 13H ADDITIONAL CRITERIA USED IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE OTHER THAN INCOME AND ASSETS ALREADY SPECIFIED INCLUDE: -ELIGIBILITY FOR MEDICAID SCHEDULE H, PART V, SECTION B, LINES 16A-16C FAP AVAILABILITY: THE FULL WEBSITE ADDRESS FOR LINES 16A-16C IS AS FOLLOWS: HTTPS://WWW.SEHEALTH.ORG/PATIENTS-VISITORS/BILLING-SERVICES/FINANCIAL-ASSI STANCE/ SCHEDULE H, PART V, LINE 16I LEP TRANSLATIONS: THERE ARE NO GROUPS WITH LIMITED ENGLISH PROFICIENCY THAT RISE TO THE THRESHOLD REQUIRED UNDER IRC SECTION 501(R). 54 SOUTHEAST CANCER CENTER 789 S MT AUBURN RD CAPE GIRARDEAU MO 63703 OUTPATIENT MEDICAL SERIVCES SOUTHEAST PRIMARY CARE WEST 817 S MT AUBURN RD CAPE GIRARDEAU MO 63703 RURAL HEALTH CLINIC SOUTHEAST HEALTHPOINT REHABILITATION 2126 INDEPENDENCE SUITE B CAPE GIRARDEAU MO 63701 OUTPATIENT REHAB SERVICES SOUTHEAST HEALTHPOINT REHAB - JACKSON 410 WEST MAIN STREET DOOR B JACKSON MO 63755 OUTPATIENT REHAB SERVICES SOUTHEAST WOUND CARE AND HYPERBARIC MED 310 S SILVER SPRINGS DR CAPE GIRARDEAU MO 63703 OUTPATIENT MEDICAL SERVICES SOUTHEAST LAB SERVICES 62 DOCTORS PARK CAPE GIRARDEAU MO 63703 OUTPATIENT LABORATORY SERVICES SOUTHEAST HOME HEALTH 10 DOCTORS PARK CAPE GIRARDEAU MO 63703 HOSPITAL BASED HHA SOUTHEAST BREAST CARE AND DIAGNOSTIC CTR 60 DOCTORS PARK CAPE GIRARDEAU MO 63703 OUTPATIENT IMAGING SERVICES SOUTHEAST GASTROENTEROLOGY 1723 BROADWAY SUITE 220 CAPE GIRARDEAU MO 63701 PHYSICIAN CLINIC SOUTHEAST HEALTHPOINT FITNESS 2126 INDEPENDENCE CAPE GIRARDEAU MO 63701 FITNESS CENTER SOUTHEAST PHARMACY 1723 BROADWAY SUITE 110 CAPE GIRARDEAU MO 63701 RETAIL PHARMACY SOUTHEAST PEDIATRICS 25 DOCTORS PARK CAPE GIRARDEAU MO 63703 RURAL HEALTH CLINIC SOUTHEAST NEUROLOGY 1723 BROADWAY SUITE 205 CAPE GIRARDEAU MO 63701 PHYSICIAN CLINIC SOUTHEAST VISITING SPECIALISTS 1723 BROADWAY STREET SUITE 120 CAPE GIRARDEAU MO 63701 PHYSICIAN CLINIC SOUTHEAST PHARMACY 817 S MT AUBURN RD SUITE 130 CAPE GIRARDEAU MO 63703 RETAIL PHARMACY SOUTHEAST DIABETES CENTER 15 DOCTORS PARK CAPE GIRARDEAU MO 63703 OUTPATIENT MEDICAL SERVICES SOUTHEAST PULMONOLOGY 371 S BROADVIEW STREET CAPE GIRARDEAU MO 63701 PHYSICIAN CLINIC SOUTHEAST IMAGING 817 S MT AUBURN RD CAPE GIRARDEAU MO 63703 OUTPATIENT IMAGING SERVICES SOUTHEAST OCCUPATIONAL MEDICINE 2126 INDEPENDENCE DOOR B CAPE GIRARDEAU MO 63701 PHYSICIAN CLINIC SOUTHEAST PHYSICAL MEDICINE AND REHAB 2126 INDEPENDENCE CAPE GIRARDEAU MO 63701 PHYSICIAN CLINIC SOUTHEAST HEALTHPOINT FITNESS 410 WEST MAIN STREET CAPE GIRARDEAU MO 63755 FITNESS CENTER THE CLINIC AT WALMART BY SOUTHEASTHEALTH 2025 BUSINESS HWY 60 DEXTER MO 63841 RURAL HEALTH CLINIC SOUTHEAST ENDOCRINOLOGY 15 DOCTORS PARK CAPE GIRARDEAU MO 63703 PHYSICIAN CLINIC SOUTHEASTHEALTH FAMILY MEDICINE 1200 N ONE MILE RD DEXTER MO 63841 RURAL HEALTH CLINIC SOUTHEAST HEALTH BLOOMFIELD CLINIC 1003 N HWY 25 BLOOMFIELD MO 63825 RURAL HEALTH CLINIC SOUTHEAST HOME HEALTH OF DEXTER 1300 N ONE MILE ROAD DEXTER MO 63841 HOSPITAL BASED HHA SOUTHEASTHEALTH MALDEN CLINIC 500 N DOUGLAS MALDEN MO 63863 RURAL HEALTH CLINIC SOUTHEASTHEALTH BERNIE CLINIC 810 N WALNUT ST BERNIE MO 63822 RURAL HEALTH CLINIC SOUTHEASTHEALTH FAM MED OF POPLAR BLUFF 2002 KANELL BOULEVARD STE 103 106 POPLAR BLUFF MO 63901 RURAL HEALTH CLINIC CARDIOVASCULAR CONSULTANTS 371 S BROADVIEW ST CAPE GIRARDEAU MO 63703 PHYSICIAN CLINIC SOUTHEASTHEALTH PHARMACY 2002 KANELL BOULEVARD SUITE 102 POPLAR BLUFF MO 63901 RETAIL PHARMACY SOUTHEAST CONVENIENT CARE 2432 EAST MAIN JACKSON MO 63755 PHYSICIAN CLINIC SOUTHEAST EAR NOSE AND THROAT 1723 BROADWAY STE 205 CAPE GIRARDEAU MO 63701 PHYSICIAN CLINIC WOMEN FIRST OF SOUTHEASTHEALTH 1111 N MT AUBURN RD CAPE GIRARDEAU MO 63701 PHYSICIAN CLINIC SOUTHEAST HOSPICE 10 DOCTORS PARK CAPE GIRARDEAU MO 63703 HOSPITAL BASED HHA SOUTHEAST RHEUMATOLOGY 1723 BROADWAY SUITE 310 CAPE GIRARDEAU MO 63701 PHYSICIAN CLINIC SOUTHEAST PRIMARY CARE JACKSON 2600 EAST MAIN STREET JACKSON MO 63755 PHYSICIAN CLINIC SOUTHEAST CARDIAC IMAGING 371 S BROADVIEW STREET CAPE GIRARDEAU MO 63703 OUTPATIENT IMAGING SERVICES SOUTHEAST CARDIAC AND PULMONARY REHAB 1708 LACEY STREET CAPE GIRARDEAU MO 63701 OUTPATIENT REHAB SERVICES SOUTHEAST CAMPUS HEALTH CLINIC 725 N PACIFIC ROOM 101 CAPE GIRARDEAU MO 63701 CAMPUS HEALTH CLINIC SOUTHEAST CARDIOVASCULAR AND THORACIC SU 1723 BROADWAY SUITE 210 CAPE GIRARDEAU MO 63701 PHYSICIAN CLINIC SOUTHEAST PRIMARY CARE 624 OLD SAINT MARYS ROAD PERRYVILLE MO 63775 PHYSICIAN CLINIC SOUTHEASTHEALTH IMAGING OF POPLAR BLUFF 2002 KANELL BLVD SUITE 104 POPLAR BLUFF MO 63901 OUTPATIENT IMAGING SERVICES SOUTHEASTHEALTH LAB SERV OF POPLAR BLUFF 2002 KANELL BLVD SUITE 105 POPLAR BLUFF MO 63901 OUTPATIENT LABORATORY SERVICES NEW MADRID CLINIC 800 US HWY 61 NEW MADRID MO 63869 RURAL HEALTH CLINIC SIKESTON CLINIC 522 VIRGINIA STREET SIKESTON MO 63801 RURAL HEALTH CLINIC SOUTHEAST WOMEN AND CHILDREN SERVICES 1413 N MT AUBURN ROAD CAPE GIRARDEAU MO 63701 PHYSICIAN CLINIC SOUTHEAST IMAGING 1723 BROADWAY SUITE 130 CAPE GIRARDEAU MO 63701 OUTPATIENT IMAGING SERVICES SOUTHEAST IMAGING 2600 EAST MAIN STREET JACKSON MO 63755 OUTPATIENT IMAGING SERVICES SOUTHEAST OCCUPATIONAL MEDICINE 1300 N ONE MILE ROAD DEXTER MO 63841 PHYSICIAN CLINIC SOUTHEAST LAB SERVICES 1723 BROADWAY SUITE 130 CAPE GIRARDEAU MO 63701 OUTPATIENT LAB SERVICES SOUTHEAST LAB SERVICES 2600 EAST MAIN STREET JACKSON MO 63701 OUTPATIENT LAB SERVICES SOUTHEAST PHARMACY 2600 EAST MAIN STREET JACKSON MO 63755 RETAIL PHARMACY SOUTHEAST ORTHOPEDICS 1723 BROADWAY SUITE CAPE GIRARDEAU MO 63701 PHYSICIAN CLINIC SCHEDULE H, PART I, LINE 7, COLUMN F PERCENT OF TOTAL EXPENSE: TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25, OF THE FORM 990. SCHEDULE H, PART I, LINE 7G SUBSIDIZED SERVICES: THE ORGANIZATION HAS INCLUDED COSTS ASSOCIATED WITH RURAL HEALTH CENTERS (RHC) IN THE CALCULATION OF SUBSIDIZED SERVICES ON LINE 7G, WITH A NET SUBSIDY FROM RHCS OF $1,879,351. SOUTHEASTHEALTH PROVIDES PRIMARY CARE SERVICES TO THE SURROUNDING COMMUNITIES AT THE CENTERS. THESE SERVICES ARE PROVIDED IN RURAL AREAS WHERE THERE WOULD BE A SHORTAGE OF QUALITY MEDICAL CARE WITHOUT THE SERVICES AND CONTINUES TO PROVIDE THESE SERVICES AS A BENEFIT TO THE COMMUNITY DESPITE KNOWING THAT FINANCIAL SHORTFALLS WILL BE SUSTAINED. SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY: THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. IRS WORKSHEET 6 USED SPECIFIC COST TO CHARGE RATIO FOR EACH SERVICE. SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT EXPENSE: THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HEALTH SYSTEM DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HEALTH SYSTEM'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED DECEMBER 31, 2022. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. SCHEDULE H, PART III, SECTION A, LINE 3 BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE: SOUTHEAST HOSPITAL ESTIMATES THAT APPROXIMATELY 13.8% OF THE PATIENT ACCOUNTS WRITTEN OFF TO BAD DEBTS MAY QUALIFY FOR CHARITY CARE OR OTHER ASSISTANCE BUT CHOSE NOT TO APPLY. THEREFORE, THE BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS DETERMINED USING 13.8% OF THE AMOUNT REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT EXPENSE FOOTNOTE: THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE, THAT NOTE CAN BE FOUND ON PAGE 9 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, SECTION B, LINE 8 COMMUNITY BENEFIT: SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. SCHEDULE H, PART III, SECTION C, LINE 9B BILLING, CREDIT AND COLLECTION POLICY: SOUTHEASTHEALTH WILL ASSIST ALL PATIENTS IN THE BILLING OF INSURANCE CLAIMS TO GOVERNMENTAL AGENCIES, COMMERCIAL INSURANCE CARRIERS AND OTHER THIRD PARTY PAYERS. THIS POLICY OUTLINES THE PROCESS FOR MANAGING ALL PATIENT OR GUARANTOR RESPONSIBLE BALANCES DUE TO SOUTHEASTHEALTH FOR SERVICES PROVIDED. SELF-PAY PATIENTS OR GUARANTORS (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 SOUTHEASTHEALTH WILL BE MAINTAINED AT ALL TIMES. SOUTHEASTHEALTH WILL ONLY BILL FOR SERVICES ACTUALLY PROVIDED TO PATIENTS AND WILL PROVIDE ASSISTANCE TO PATIENTS SEEKING TO UNDERSTAND THE COST OF THEIR CARE. STAFF WILL ALSO ATTEMPT TO RESOLVE QUESTIONS AND OBJECTIONS TO THE SATISFACTION OF THE PATIENT. SOUTHEAST HEALTH'S (HOSPITAL FACILITY #1) PROCEDURES ARE AS FOLLOWS: 1. ALL PATIENTS/GUARANTORS WILL BE PROVIDED A BILLING STATEMENT WITH A SUMMARY OF CHARGES, INSURANCE PAYMENTS, ADJUSTMENTS AND BALANCE DUE FROM THE PATIENT OR GUARANTOR. 2. SOUTHEASTHEALTH WILL CONDUCT ACCOUNT FOLLOW-UP WITH PATIENTS OR GUARANTORS AS FOLLOWS: A. BILLING STATEMENTS WILL BE SENT TO THE PATIENT OR GUARANTOR ROUTINELY EVERY 30 DAYS WITH PAYMENT OPTIONS, INCLUDING INFORMATION REGARDING FINANCIAL ASSISTANCE, CHARITY CARE, AND UNINSURED DISCOUNT B. TELEPHONE CONTACT WILL BEGIN WITHIN 21 DAYS OF THE INITIAL BILLING STATEMENT. PAYMENT OPTIONS INCLUDING SHORT TERM MONTHLY PAYMENT PLAN, FINANCIAL ASSISTANCE, CHARITY CARE, AND UNINSURED DISCOUNT WILL BE DISCUSSED (REFER TO THE APPLICABLE POLICIES) C. AT 150 DAYS FROM THE INITIAL BILLING STATEMENT, UNRESOLVED ACCOUNTS WILL RECEIVE A FINAL DEMAND FOR PAYMENT STATEMENT. AT THIS TIME THE ACCOUNT WILL QUALIFY FOR COLLECTION ACTION D. AT 180 DAYS FROM THE INITIAL BILLING STATEMENT, UNRESOLVED ACCOUNTS MAY BE PLACED WITH AN EXTERNAL COLLECTION AGENCY 3. SOUTHEASTHEALTH OFFERS SEVERAL DIFFERENT PAYMENT OPTIONS TO SETTLE ACCOUNTS: A. PAYMENT IN FULL: CASH, CHECK, MASTERCARD, VISA, DISCOVER B. THREE EQUAL INSTALLMENTS OVER 90 DAYS C. SHORT TERM MONTHLY PAYMENT ARRANGEMENTS MAY BE ESTABLISHED TO RESOLVE THE ACCOUNT BALANCE WITHIN 12 EQUAL MONTHLY INSTALLMENTS D. TERMS LONGER THAN TWELVE (12) MONTHS MAY BE CONSIDERED BASED UPON SPECIAL CIRCUMSTANCES AND APPROVED BY DIRECTOR - REVENUE CYCLE E. FINANCIAL ASSISTANCE, CHARITY CARE, AND UNINSURED DISCOUNT IS AVAILABLE, REFER TO THE POLICY GUIDELINES 4. COLLECTION AGENCY - PRIMARY. UNRESOLVED ACCOUNTS WILL BE ASSIGNED AT 181 DAYS FROM INITIAL BILLING AND WILL REMAIN WITH THE PRIMARY COLLECTION AGENCY FOR 180 DAYS FROM PLACEMENT. A. COLLECTIONS EFFORTS WILL BE CONDUCTED UTILIZING PATIENT OR GUARANTOR BILLING STATEMENTS, COLLECTION LETTERS AND TELEPHONE CONTACT B. PAYMENT ARRANGEMENTS ARE AVAILABLE AS STATED ABOVE C. FINANCIAL ASSISTANCE, CHARITY CARE, AND UNINSURED DISCOUNTS ARE AVAILABLE AS STATED ABOVE D. ACCOUNTS WILL NOT BE REPORTED TO THE CREDIT BUREAU E. ACCOUNTS WILL NOT BE SUBJECT TO LEGAL COLLECTION EFFORTS 5. COLLECTION AGENCY - SECONDARY. UNRESOLVED ACCOUNTS WILL BE ASSIGNED AT 331 DAYS FROM INITIAL STATEMENT DATE AND WILL REMAIN WITH THE SECONDARY COLLECTION AGENCY FOR 180 DAYS FROM PLACEMENT. A. COLLECTIONS EFFORTS WILL BE CONDUCTED UTILIZING PATIENT OR GUARANTOR BILLING STATEMENTS, COLLECTION LETTERS AND TELEPHONE CONTACT B. PAYMENT ARRANGEMENTS ARE AVAILABLE AS STATED ABOVE C. FINANCIAL ASSISTANCE, CHARITY CARE, UNINSURED DISCOUNTS ARE AVAILABLE AS STATED ABOVE 6. UNRESOLVED ACCOUNTS ARE SUBJECT TO CREDIT BUREAU REPORTING AT 60 DAYS FROM PLACEMENT WITH THE SECONDARY AGENCY 7. ALL UNRESOLVED ACCOUNTS ARE SUBJECT TO LEGAL ACTION. ANY COLLECTION COSTS INCURRED, SUCH AS ATTORNEY FEES AND/OR COURT COSTS WILL BECOME THE RESPONSIBILITY OF THE PATIENT OR GUARANTOR AND WILL BE ADDED TO THE ACCOUNT BALANCE 8. BAD DEBT A. UNRESOLVED ACCOUNTS THAT HAVE COMPLETED THE COLLECTION PROCESS WILL BE CONSIDERED UNCOLLECTABLE AND SUBJECT TO BAD DEBT WRITE-OFF SOUTHEAST HEALTH OF STODDARD COUNTY'S (HOSPITAL FACILITY #2) PROCEDURES ARE AS FOLLOWS: 1. ALL PATIENTS/GUARANTORS WILL BE PROVIDED A BILLING STATEMENT WITH A SUMMARY OF CHARGES, INSURANCE PAYMENTS, ADJUSTMENTS AND BALANCE DUE FROM THE PATIENT OR GUARANTOR 2. SEH STODDARD WILL CONDUCT ACCOUNT FOLLOW-UP WITH PATIENTS OR GUARANTORS AS FOLLOWS: A. BILLING STATEMENTS WILL BE SENT TO THE PATIENT OR GUARANTOR ROUTINELY EVERY 30 DAYS WITH PAYMENT OPTIONS, INCLUDING INFORMATION REGARDING FINANCIAL ASSISTANCE, CHARITY CARE, AND UNINSURED DISCOUNT B. AT 90 DAYS FROM THE INITIAL BILLING STATEMENT, UNRESOLVED ACCOUNTS WILL RECEIVE A FINAL DEMAND FOR PAYMENT STATEMENT. AT THIS TIME THE ACCOUNT WILL QUALIFY FOR COLLECTION ACTION C. AT 120 DAYS FROM THE INITIAL BILLING STATEMENT, UNRESOLVED ACCOUNTS MAY BE PLACED WITH AN EXTERNAL COLLECTION AGENCY 3. SEH STODDARD OFFERS SEVERAL DIFFERENT PAYMENT OPTIONS TO SETTLE ACCOUNTS: A. PAYMENT IN FULL: CASH, CHECK, MASTERCARD, VISA, DISCOVER B. THREE EQUAL INSTALLMENTS OVER 90 DAYS C. SHORT TERM MONTHLY PAYMENT ARRANGEMENTS MAY BE ESTABLISHED TO RESOLVE THE ACCOUNT BALANCE WITHIN 12 EQUAL MONTHLY INSTALLMENTS D. TERMS LONGER THAN TWELVE (12) MONTHS MAY BE CONSIDERED BASED UPON SPECIAL CIRCUMSTANCES AND APPROVED BY DIRECTOR - REVENUE CYCLE E. FINANCIAL ASSISTANCE, CHARITY CARE, AND UNINSURED DISCOUNT IS AVAILABLE, REFER TO THE POLICY GUIDELINES 4. COLLECTION AGENCY: UNRESOLVED ACCOUNTS WILL BE ASSIGNED AT 120 DAYS FROM INITIAL BILLING AND WILL REMAIN WITH THE PRIMARY COLLECTION AGENCY FOR 120 DAYS FROM PLACEMENT. A. COLLECTIONS EFFORTS WILL BE CONDUCTED UTILIZING PATIENT OR GUARANTOR BILLING STATEMENTS, COLLECTION LETTERS AND TELEPHONE CONTACT B. PAYMENT ARRANGEMENTS ARE AVAILABLE AS STATED ABOVE C. FINANCIAL ASSISTANCE, CHARITY CARE, UNINSURED DISCOUNTS ARE AVAILABLE AS STATED ABOVE D. UNRESOLVED ACCOUNTS ARE SUBJECT TO CREDIT BUREAU REPORTING AT 60 DAYS FROM PLACEMENT WITH THE COLLECTION AGENCY E. UNRESOLVED ACCOUNTS ARE SUBJECT TO LEGAL ACTION AT 120 DAYS FROM PLACEMENT WITH THE COLLECTION AGENCY. ANY COLLECTION COSTS INCURRED, SUCH AS ATTORNEY FEES AND/OR COURT COSTS WILL BECOME THE RESPONSIBILITY OF THE PATIENT OR GUARANTOR AND WILL BE ADDED TO THE ACCOUNT BALANCE 5. BAD DEBT: UNRESOLVED ACCOUNTS THAT HAVE COMPLETED THE COLLECTION PROCESS WILL BE CONSIDERED UNCOLLECTABLE AND SUBJECT TO BAD DEBT WRITE-OFF SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT: SOUTHEAST HOSPITAL STARTING POINT IS PRIORITY SETTING: THE HEIGHTENED RISKS AND RISK FACTORS, UNMET NEEDS FOR CARE, ACCESS BARRIERS, AND OTHER FINDINGS THAT AFFECT THE HEALTH STATUS OF THE COMMUNITY, AS IDENTIFIED IN THE QUALITATIVE AND QUANTITATIVE STUDIES. SELECTION OF A LIMITED NUMBER OF PRIORITIES FOR ACTION, CONSIDERING CRITERIA SUCH AS: - SEVERITY OF THE ISSUE, AS REPRESENTED BY SOME OR ALL OF THE FOLLOWING: HIGHLY ACUTE, AFFECTS A LARGE NUMBER OF PEOPLE, HAS SIGNIFICANT ECONOMIC AND/OR OPPORTUNITY COST, GROWING OR WORSENING OVER TIME. - AVAILABILITY OF KNOWN, FEASIBLE INTERVENTIONS, WITH MEASURABLE IMPACT, THAT ARE LIKELY TO ACHIEVE RESULTS AND IMPROVE THE COMMUNITY'S QUALITY OF LIFE AND HEALTH IN A REASONABLE TIME FRAME. - UNADDRESSED OR UNDER-ADDRESSED ISSUE: NO/FEW ORGANIZATIONS OR (INSUFFICIENT) RESOURCES FOCUSING ON IT EFFECTIVELY AT PRESENT. - SOUTHEASTHEALTH SYNERGIES: SPECIAL EXPERTISE, STRATEGIC PRIORITY, AND/OR PROGRAMS IN PLACE TO SERVE AS BUILDING BLOCKS. QUANTITATIVE ANALYSIS - EPIDEMIOLOGIC AND SOCIO-DEMOGRAPHIC ANALYSIS, AIMED AT IDENTIFYING AREAS OF HEIGHTENED RELATIVE RISK THROUGH COMPARISONS OF COUNTY DATA WITH STATE AND NATIONAL DATA. SOME AREAS THAT WERE RESEARCHED INCLUDE: *DEMOGRAPHICS *SOCIO-ECONOMIC CHARACTERISTICS *PHYSICAL & BUILT ENVIRONMENT *HEALTH BEHAVIORS *HEALTH OUTCOMES -MORTALITY & MORBIDITY *HEALTH CARE RESOURCES & PROVIDERS QUALITATIVE ASSESSMENT - INPUT FROM COMMUNITIES AND AGENCIES LOCATED IN THE SOUTHEAST HOSPITAL SERVICE AREA. - A SURVEY WAS ADMINISTERED IN MULTIPLE SETTINGS OVER A PERIOD OF SEVERAL WEEKS THAT WAS AVAILABLE ONLINE VIA JOTFORM AS WELL AS IN PAPER FORMAT FOR CIRCUMSTANCES WHERE THE ONLINE FORMAT COULD NOT BE USED - A TOTAL OF 292 SURVEYS WERE COMPLETED BY RESIDENTS FROM THE 4 PRIMARY COUNTIES: BOLLINGER (26), CAPE GIRARDEAU (171), SCOTT (47) AND STODDARD (48) - EIGHT FOCUS GROUPS WERE HELD IN THE FOUR COUNTIES ON VARIOUS DATES AND IN VARIOUS LOCATIONS - ONE FOCUS GROUP EACH WAS HELD IN DEXTER, SIKESTON, AND MARBLE HILL - FIVE FOCUS GROUPS WERE HELD IN CAPE GIRARDEAU COUNTY; 1 IN JACKSON, 3 AT THE CAPE GIRARDEAU PUBLIC HEALTH CENTER, AND 1 AT SOUTHEASTHEALTH WITH THE TRANSITIONS OF CARE AND CHRONIC DISEASE SELF-MANAGEMENT TEAMS SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: WE HAVE FINANCIAL COUNSELORS THAT WORK WITH SELF-PAY ACCOUNTS PRIOR TO SERVICE. THEY DO PRE-SCREENING FOR MEDICAID AND IF THEY MEET THOSE QUALIFICATIONS, THE PATIENT IS FORWARDED TO SOUTHEAST'S RESOURCE SERVICE WHICH HELP WITH A FULL MEDICAID APPLICATION. IF THE PATIENT DOESN'T QUALIFY FOR MEDICAID, THEY ARE INFORMED OF OUR FINANCIAL ASSISTANCE PROGRAM AND A PACKET IS MAILED TO THE PATIENT. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: THE OVERALL DIRECTION OF DEMOGRAPHIC SHIFTS ANTICIPATED IN THE NEXT 10 YEARS HIGHLIGHTS THE NEED FOR THE DEVELOPMENT AND REINFORCEMENT OF SOCIAL SUPPORTS THAT WILL HELP THE POPULATION REMAIN ECONOMICALLY VITAL AND FACILITATE SAFE AGING IN PLACE. FINDINGS: - SLOW POPULATION GROWTH VS. MO OR US - GREATER CONCENTRATION IN CAPE GIRARDEAU COUNTY - STATIC OR DECLINING POPULATION IN OUTLYING COUNTIES - GREATEST GROWTH SEGMENT IN SENIOR YEARS, AGES 65+ - FAIRLY LOW DIVERSITY LEVELS (85-97% IN EACH COUNTY CLASSIFIED AS WHITE) - INCREASING DEPENDENCY RATIO (NUMBER OF INDIVIDUALS RELYING ON EACH EMPLOYMENT-ELIGIBLE INDIVIDUAL FOR SUPPORT), PUTTING GREATER PRESSURE ON THE 45-64 SEGMENT AS IT MOVES TOWARD POTENTIAL RETIREMENT AGE THE POPULATION OF THE FOUR-COUNTY AREA FACES SEVERAL CHALLENGES THAT MAY AFFECT SOCIO-ECONOMIC SELF-SUFFICIENCY, AND THEREFORE LEAD TO BOTH DIRECT AND INDIRECT EFFECTS ON HEALTH STATUS. FINDINGS: - HIGHER PERCENTAGES OF THE POPULATION WITHOUT A HIGH SCHOOL DIPLOMA AND LOWER PERCENTAGES OF HIGHER EDUCATION ACHIEVED IN COMPARISON WITH THE MO AND US PERCENTAGES IN ALL COUNTIES EXCEPT CAPE GIRARDEAU - LOWER MEDIAN AND PER CAPITA INCOMES, AND HIGH RATES OF PERSONS LIVING IN POVERTY, IN COMPARISON WITH THE STATE AND NATIONAL LEVEL. - THE LACK OF HEALTH INSURANCE AND/OR THE COST OF HEALTHCARE SERVICES ARE SUBSTANTIAL BARRIERS TO CARE IN MOST OF THE COUNTIES. - SEVERAL MEASURES RELATED TO HUNGER AND FOOD UNCERTAINTY ARE MORE PREVALENT THAN AVERAGE IN ALL FOUR COUNTIES. - THE LACK OF PUBLIC TRANSPORTATION, AND LIMITED ACCESS TO OR HIGH COST OF PERSONAL TRANSPORTATION AMONG SOME SEGMENTS IN THE RURAL COUNTIES, CREATES BARRIERS TO ACCESS HEALTHCARE SERVICES - FURTHER EXACERBATING THE ACCESS ISSUE IN RURAL COUNTIES WITH RELATIVELY FEW PROVIDERS PER POPULATION. - MORE CHALLENGES ARE PRESENT REGARDING THE PHYSICAL AND BUILT ENVIRONMENTS FOR THE FOUR COUNTIES THAT MAY HAVE AN EFFECT ON HEALTH STATUS: *HIGH PERCENTAGES OF LOW FOOD ACCESS FOR SCOTT AND STODDARD COUNTIES *LOW RATE OF RECREATION AND FITNESS FACILITY ACCESS PER THE POPULATION IN CAPE GIRARDEAU COUNTY (ALL OTHER COUNTIES HAVE DATA THAT IS SUPPRESSED) SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: SOUTHEAST HAS ESTABLISHED AND WORKED WITH A COMMUNITY COALITION TO HELP FILL THE GAP IN HEALTH AND WELLNESS NEED IN THE FOUR COUNTIES THAT ARE IDENTIFIED IN SOUTHEAST'S PRIMARY SERVICE AREA. WE CONDUCT FREE EVENTS WITH VARIOUS LINES TO HELP WITH COMMUNITY HEALTH: - SKIN CANCER SCREENING - TOBACCO CESSATION CLASSES - KIDS' DIABETES CAMP - VASCULAR SCREENINGS (REDUCED COST) EACH YEAR THE SOUTHEASTHEALTH FOUNDATION SUPPORTS OUR PATIENTS MOST IN NEED THROUGH DONATIONS. WE PROVIDE $30,000 ANNUALLY IN MEDICATIONS, TRANSPORTATION AND EMERGENCY SUPPORT TO OVER 900 LOW-INCOME PATIENTS. WE PROVIDE $30,000 ANNUALLY IN CRISIS FUNDS TO OVER 170 EMPLOYEES. WE PROVIDE OVER $35,000 ANNUALLY TO OVER 1,000 CANCER PATIENTS IN CRISIS INCLUDING TRANSPORTATION, PHARMACEUTICALS AND UTILITY BILLS. THE FOUNDATION PROVIDES MEDICATIONS TO THOSE WHO CANNOT AFFORD THEM. OUR NEWLY DIAGNOSED CANCER PATIENTS ARE PROVIDED A WEEKEND RETREAT -FREE OF CHARGE. OUR KIDS WITH DIABETES ARE WELCOMED TO A CAMP WHERE THERE ARE OTHER KIDS LIKE THEM. WE PROVIDE BEREAVEMENT COUNSELING TO THOSE WHO HAVE RECENTLY SUFFERED A LOSS. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: SOUTHEAST HOSPITAL, D/B/A SOUTHEASTHEALTH (THE HEALTH SYSTEM), PRIMARILY EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT, EMERGENCY CARE AND PHYSICIAN SERVICES TO PATIENTS IN THE CAPE GIRARDEAU AND THE SURROUNDING SOUTHEAST MISSOURI AREA. SOUTHEAST HOSPITAL IS LOCATED IN CAPE GIRARDEAU, MISSOURI, AND HAS MULTIPLE CAMPUSES AND FACILITIES, SUCH AS HEALTHPOINT FITNESS, SOUTHEAST HOME HEALTH, SOUTHEAST HOSPICE, SOUTHEAST MEDICAL PLAZA, SOUTHEAST CANCER CENTER AND VARIOUS OUTPATIENT CLINICS. SOUTHEAST CENTER OF STODDARD COUNTY IS A 48-BED INPATIENT HOSPITAL WITH A 13-INPATIENT-BED VOLUNTARY BEHAVIORAL HEALTH UNIT. THIS FACILITY HAS BEEN IN FULL COLLABORATION WITH THE DEVELOPMENT OF THE CHNA AND THE COMMUNITY IMPROVEMENT PLAN. AS PART OF THE IMPLEMENTATION TEAM, WE WORK COLLABORATIVELY TO PULL RESOURCES TO FACILITATE MEETING THE NEEDS OF THE PATIENTS WHERE THEY ARE IN THEIR CARE JOURNEY. IN ADDITION TO PROVIDING FUNDING RESOURCES FOR TRANSPORTATION, FOOD INSECURITY, AND OTHER RESOURCES BASED ON INDIVIDUAL NEEDS. PREVENTIVE HEALTH SCREENINGS ARE ALSO SCHEDULED IN THEIR IMMEDIATE SERVICE TO EDUCATE AND CAPTURE INDIVIDUALS WITH SPECIFIC DIAGNOSES IN THE AREAS OF HEART DISEASE, CANCER, AND DIABETES. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: MISSOURI true FEDERAL STUDENT LOANS 128 875355 PELL GRANTS 89 330283 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS: THE COLLEGE ADHERES TO THE FEDERAL STUDENT AID HANDBOOK PUBLISHED BY THE DEPARTMENT OF EDUCATION WHEN ADMINISTERING TITLE IV FUNDING. X X X true true false false false false false false false KENNETH BATEMAN PRESIDENT AND CEO 738139 0 0 0 8712 0 126600 0 27384 0 900835 0 0 0 JAMIE HARRISON FAMILY PRACTITIONER 212292 0 193360 0 518 0 6100 0 34437 0 446707 0 0 0 BRENT KELLER GI PHYSICIAN 928440 0 83489 0 3515 0 6100 0 33334 0 1054878 0 0 0 DAVID LAW CARDIOLOGIST 351353 0 438333 0 1479 0 6100 0 26919 0 824184 0 0 0 ANTHONY MCPHERRON ORTHOPEDIC SURGEON 783902 0 100000 0 2867 0 26600 0 32928 0 946297 0 0 0 PAUL ROBISON CARDIOVASCULAR SURGEON 249289 0 100000 0 514975 0 13196 0 21274 0 898734 0 0 0 GABRIEL SOTO CARDIOLOGIST 496101 0 431051 0 1167 0 27388 0 27318 0 983025 0 0 0 MATTHEW JANZOW VP AND CHIEF MEDICAL OFFICER 424441 0 0 0 2250 0 6100 0 33996 0 466787 0 0 0 MARIELLENA SUDAK VP AND CHIEF OPERATING OFFICER 350578 0 0 0 3260 0 6100 0 25257 0 385195 0 0 0 ERIN PFEIFER VP OF HUMAN RESOURCES AND DEVE 230535 0 0 0 1389 0 4793 0 23047 0 259764 0 0 0 STEVEN LANGDON PRESIDENT - COLLEGE OF NURSING 219766 0 0 0 2055 0 4482 0 18106 0 244409 0 0 0 GINA LEATH VP AND CHIEF NURSING OFFICER 218244 0 0 0 2075 0 4541 0 30490 0 255350 0 0 0 KRISTA BERRY CONTROLLER 204642 0 0 0 7666 0 4313 0 16788 0 233409 0 0 0 REGINA FAULKENBERRY VP AND GENERAL COUNSEL 183917 0 0 0 994 0 3881 0 24171 0 212963 0 0 0 SHAUNA WINTERS HOFFMAN VP OF MARKETING & DEVELOPMENT 202599 0 0 0 1856 0 4119 0 11290 0 219864 0 0 0 SHERRIE LANE DIRECTOR OF PHARMACY 170689 0 0 0 4046 0 3532 0 9916 0 188183 0 0 0 KATHRYN VICKERY VP ANCILLARY SERVICES 235792 0 0 0 2565 0 4793 0 18880 0 262030 0 0 0 SUE ANN WILLIAMS CEO STODDARD 152830 0 0 0 1730 0 3214 0 32732 0 190506 0 0 0 JASON EMMENDERFER EXEC DIR SPORTS MED AND ORTHO 147862 0 0 0 2340 0 3164 0 30583 0 183949 0 0 0 MICHAEL NICHOLS VP & CHIEF INFORMATION OFFICER 293844 0 0 0 3201 0 6091 0 26589 0 329725 0 0 0 STEVEN HAAS VP AND CHIEF FINANCIAL OFFICER 346881 0 0 0 4160 0 6100 0 29380 0 386521 0 0 0 MARIA STIFFLER EXECUTIVE DIRECTOR HEART LUNG 164339 0 0 0 2281 0 3319 0 1051 0 170990 0 0 0 SCHEDULE J, PART I, LINE 4A SEVERANCE PAYMENTS: PAUL ROBINSON, CV SURGEON, RECEIVED A SEVERANCE PAYMENT OF $511,541 DURING 2022. SCHEDULE J, PART I, LINE 4B NONQUALIFIED RETIREMENT PLAN: THE ORGANIZATION CONTRIBUTED $100,000 TO A 457(F) PLAN ON BEHALF OF KENNETH BATEMAN. A IND DEV AUTH OF THE COUNTY OF CAPE GIRARDEAU MO 431193901 86149UAB0 2016-03-16 21930000 REVENUE AND REFUNDING BONDS false false false B IND DEV AUTH OF STODDARD COUNTY MO 431282203 86149UAA2 2016-03-16 16880000 REVENUE AND REFUNDING BONDS false false false C IND DEV AUTH OF THE COUNTY OF CAPE GIRARDEAU MO 431193901 139404GT8 2017-08-24 94510782 REVENUE AND REFUNDING BONDS false false false D IND DEV AUTH OF STODDARD COUNTY MO 431282203 86149UAB0 2017-08-24 6707250 REVENUE AND REFUNDING BONDS false false false A 5300000 0 21983777 663656 0 17910771 383916 0 0 3025513 0 0 2019 true false true true B 1840000 0 16889125 510770 0 11140866 257336 0 0 4980153 0 0 2018 true false true true C 23770782 0 94697311 0 0 78420703 1286579 0 0 14990029 0 0 2019 true false true true D 0 0 6716760 0 0 0 103159 0 0 6613601 0 0 2018 false false true true A false false false false 0 false false false true B false false false false 0 false false false true C false false false false 0 false false false true D false false false false 0 false false false true A false false false true false false 0 false 0 false true B false true false false false false 0 false 0 false true C false true false false false false 0 false 0 false true D false true false false false false 0 false 0 false true A true B true C true D true SCHEDULE K, PART I, LINE C, COLUMN (3) CUSIPS: THE 2017A BONDS INCLUDE THE FOLLOWING CUSIPS: 139404GC5 139404GD3 139404GE1 139404GF8 139404GC6 139404GH4 139404GJ0 139404GK7 139404GL5 139404GM3 139404GN1 139404GP6 139404GQ4 139404GR2 139404GS0 139404GT8 SCHEDULE K, PART II, LINE 3, COLUMN A, B, C, AND D TOTAL PROCEEDS ON LINE 3 DOES NOT EQUAL THE ISSUE PRICE. LINE 3 INCLUDES INVESTMENT INCOME. SCHEDULE K, PART IV, LINE 2C, COLUMN A & B REBATE COMPUTATION DATE: THE REBATE WAS PERFORMED 03/05/2021 A IND DEV AUTH OF THE COUNTY OF CAPE GIRARDEAU MO 431193901 139404HT7 2021-05-25 66088649 REVENUE AND REFUNDING BONDS false false false A 0 0 66465880 34398404 0 1088649 0 0 0 30978827 0 0 false false false true A false false false false 0 false false false true A false true false false false false 0 false 0 false true A true SCHEDULE K, PART II, LINE 3, COLUMN A TOTAL PROCEEDS ON LINE 3 DOES NOT EQUAL THE ISSUE PRICE. LINE 3 INCLUDES INVESTMENT INCOME. ERIC BATEMAN SEE PART V 66114 COMPENSATION false JULIE KIRCHDOERFER-ETINK SEE PART V 70708 COMPENSATION false PARKER KOHLFELD SEE PART V 256531 COMPENSATION false JENNIFER SUDAK SEE PART V 41282 COMPENSATION false CHRISTINA WILCSEK SEE PART V 41125 COMPENSATION false RYAN WILCSEK SEE PART V 30733 COMPENSATION false SCOTT LEATH SEE PART V 40988 COMPENSATION false PETER KINDER SEE PART V 130540 COMPENSATION false SCHEDULE L, PART IV, COLUMN B BUSINESS TRANSACTIONS: (1) ERIC BATEMAN IS THE SON OF KENNETH BATEMAN, CEO. (2) JULIE KIRCHDOERFER-ETINK IS THE SISTER-IN-LAW OF ERIN PFEIFER, KEY EMPLOYEE. (3) PARKER KOHLFELD IS THE SON OF MICHAEL KOHLFELD, BOARD MEMBER. (4) JENNIFER SUDAK IS THE DAUGTHER OF MARIELLENA SUDAK, COO. (5) CHRISTINA WILCSEK IS THE DAUGHTER OF MARIELLENA SUDAK, COO. (6) RYAN WILCSEK IS THE SON-IN-LAW OF MARIELLENA SUDAK, COO. (7) SCOTT LEATH IS THE HUSBAND OF GINA LEATH, CNO. (8) PETER KINDER IS THE BROTHER OF FRANK KINDER, BOARD MEMBER. X 1 115000 FAIR MARKET VALUE 1 false false false SCHEDULE M, PART I, COLUMN B NUMBER OF CONTRIBUTIONS: THE NUMBER OF CONTRIBUTIONS LISTED IN COLUMN B IS BASED ON THE NUMBER OF CONTRIBUTORS. FORM 990, PART III, LINE 4A PROGRAM ACHIEVEMENTS: THE FACILITY PROVIDES A FULL RANGE OF INTEGRATED PATIENT CARE SERVICES, INCLUDING ACUTE, PRIMARY AND SPECIALTY CARE IN BOTH THE INPATIENT AND OUTPATIENT SETTINGS. THE DELIVERY OF INPATIENT AND AMBULATORY CARE IS ALSO SUPPORTED BY THE SERVICES PROVIDED THROUGH SPECIALIZED CENTERS AND FACILITIES THROUGHOUT THE REGION. SOUTHEAST HOSPITAL HAS AN ORGANIZED ACTIVE, ASSOCIATE AND CONSULTING MEDICAL STAFF OF PHYSICIANS, DENTISTS, AND PODIATRISTS FROM MORE THAN 40 MEDICAL AND SURGICAL FIELDS. MISSION: TOGETHER WE WILL EVOLVE HEALTHCARE THROUGH INNOVATION, COMPASSION, AND PARTNERSHIPS. VISION: AS A LEADING PROVIDER OF HEALTH SERVICES, SOUTHEASTHEALTH IS DEDICATED TO CONTINUOUS IMPROVEMENT OF THE REGION'S HEALTH STATUS IN A COLLABORATIVE COST-EFFECTIVE MANNER. VALUES: TO ACCOMPLISH OUR MISSION AND VISION, WE UPHOLD THESE VALUES: -VISION FOR CHANGE OUR CHALLENGE IN PREPARING FOR TOMORROW'S HEALTH NEED IS TO KEEP CONTEMPORARY CARE AVAILABLE FOR THOSE WE SERVE. BY EVALUATING THE PRESENT, SETTING APPROPRIATE GOALS, BEING FLEXIBLE AND INNOVATIVE, WE PREPARE DAILY TO MEET AND SHAPE THE FUTURE OF HEALTH CARE IN OUR REGION. -ACCESS TO CARE WE BELIEVE THAT ALL PATIENTS IN OUR CARE ARE ENTITLED TO QUALITY HEATH SERVICES, INFORMATION AND CONFIDENTIALITY ABOUT THEIR CARE AND TREATMENT WITH DIGNITY AND COMPASSION IN ALL OF LIFE'S STAGES. -LEADERSHIP WITH RESPONSIBILITY DEDICATED TO MAINTAINING PUBLIC TRUST AND A HIGH LEVEL OF INTEGRITY, OUR HOSPITAL LEADERS STRIVE TO BALANCE PROGRESS WITH COSTS, REGULATIONS AND COMPETITION WHILE ALWAYS PRESERVING THE HUMAN TOUCH. AS A NOT-FOR-PROFIT HOSPITAL, WE ARE PLEDGED TO ENHANCING QUALITY OF LIFE THROUGH WISE USE OF HUMAN AND MATERIAL RESOURCES IN MEDICAL AND CIVIC ENDEAVORS. -UNITY OF PURPOSE A SPIRIT OF COOPERATION, MUTUAL RESPECT AND CONCERN IS PROMOTED BY OUR HOSPITAL FAMILY TO DELIVER EFFICIENT AND COORDINATED SERVICES. WE ALSO WORK TOGETHER TO PROVIDE PATIENTS AND FAMILIES WITH REASSURANCES, SUPPORT AND CARE THAT IS SENSITIVE TO ALL THEIR NEEDS. -EXCELLENCE IN PERFORMANCE AT SOUTHEAST HOSPITAL, WE HAVE MADE A COMMITMENT TO EXCELLENCE IN INDIVIDUAL PERFORMANCE, TECHNOLOGY AND FACILITIES. THIS TRADITION OF EXCELLENCE IS EXPRESSED BY HELPING PATIENTS ATTAIN THE HIGHEST QUALITY OF LIFE THEY ARE CAPABLE OF ACHIEVING AND BY PROVIDING REGIONAL LEADERSHIP FOR HEALTH CARE ISSUES AND DEVELOPMENTS. -SERVICE ABOVE SELF TO DEMONSTRATE PROFESSIONALISM, ETHICS AND DEVOTION TO DUTY IS OUR CHARGE; TO SERVE WITH ENTHUSIASM AND COMPASSION IS OUR SPIRIT. RECOGNIZING THAT TECHNOLOGY IS IN OUR HANDS AND PEOPLE ARE IN OUR HEARTS, WE TAKE PRIDE IN GIVING OUR PERSONAL BEST FOR THE BENEFIT OF OTHERS. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS: THE SOLE MEMBER IS SOUTHEASTHEALTH SYSTEM, INC., A RELATED ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A POWERS OF MEMBERS OVER GOVERNING BODY: THE BOARD OF DIRECTORS OF SOUTHEAST HOSPITAL IS ELECTED AT THE ANNUAL MEETING OF THE MEMBER IN ACCORDANCE WITH THE MEMBER'S BYLAWS, WITH THE DIRECTORS TO BE ELECTED FROM THE SLATE OF CANDIDATES PREPARED BY THE MEMBER'S GOVERNANCE AND NOMINATING COMMITTEE. AMONG THE POWERS RESERVED TO THE MEMBER IS THE POWER TO ELECT, EVALUATE, AND REMOVE THE DIRECTORS OF THE CORPORATION, PROVIDED THAT SUCH REMOVAL REQUIRES TWO-THIRDS OR GREATER ACTION BY THE SYSTEM BOARD. FORM 990, PART VI, SECTION A, LINE 7B MEMBER GOVERNANCE DECISIONS: THE MEMBER RESERVES ALL POWER, SUBJECT TO THE AUTHORITY OF SOUTHEAST HEALTH SYSTEM, INC. (SYSTEM) TO TAKE THE ACTIONS BELOW WITH RESPECT TO SOUTHEAST HOSPITAL: (1) ESTABLISH AND INTERPRET PHILOSOPHY, EXPECTATIONS, AND CORE VALUES OF THE CORPORATION AND THE CORPORATION'S SUBSIDIARIES; (2) ESTABLISH ANNUAL PERFORMANCE OBJECTIVES AND COMPENSATION FOR THE PRESIDENT/CEO OF THE CORPORATION AND THE PRESIDENT/CEOS OF THE CORPORATION'S SUBSIDIARIES; (3) ESTABLISH THE DEBT LIMITS OF, AND DEBT GUIDELINES FOR, THE CORPORATION AND THE CORPORATION'S SUBSIDIARIES; (4) SELECT THE AUDITOR FOR THE CORPORATION AND THE CORPORATION'S SUBSIDIARIES; (5) ESTABLISH GUIDELINES FOR TRANSFERRING OR ENCUMBERING ASSETS OF THE CORPORATION AND THE CORPORATION'S SUBSIDIARIES FINANCED USING TAX-EXEMPT BONDS; AND (6) ESTABLISH GUIDELINES FOR PROJECTS AND TRANSACTIONS WHICH MAY BE APPROVED BY THE CORPORATION OR THE CORPORATION'S SUBSIDIARIES; THE MEMBER FURTHER RESERVES THE POWER TO TAKE THE ACTIONS AS DESCRIBED BELOW WITH RESPECT TO SOUTHEAST HEALTH CENTER OF RIPLEY COUNTY, PROVIDED, HOWEVER, THAT THE BOARD SHALL HAVE THE RIGHT TO MAKE RECOMMENDATIONS REGARDING SUCH ACTIONS WHICH THE MEMBER MAY TAKE INTO CONSIDERATION, BUT THE BOARD SHALL NOT HAVE THE POWER TO TAKE ANY OF THE FOLLOWING ACTIONS UNLESS DIRECTED TO DO SO BY THE MEMBER, AND FURTHER SUBJECT TO THE MEMBER'S AUTHORITY GRANTED BY THE SYSTEM: (1) ESTABLISH, MODIFY, AND INTERPRET MISSION AND VISION STATEMENTS FOR THE CORPORATION AND THE CORPORATION'S SUBSIDIARIES; (2) APPROVE THE FORMATION OR ACQUISITION OF LEGAL ENTITIES BY THE CORPORATION OR THE CORPORATION'S SUBSIDIARIES; (3) APPROVE THE SALE, TRANSFER, DISPOSITION OF, OR SUBSTANTIAL CHANGE TO THE USE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR THE CORPORATION'S SUBSIDIARIES; (4) APPROVE A DIVESTITURE, MERGER, DISSOLUTION, REORGANIZATION, CLOSING, OR CONSOLIDATION INVOLVING THE CORPORATION OR THE CORPORATION'S SUBSIDIARIES; (5) APPROVE A CHANGE TO THE CORPORATE MEMBERSHIP OR OWNERSHIP OF THE CORPORATION OR THE CORPORATION'S SUBSIDIARIES; (6) ADOPT AND AMEND THE ARTICLES OF INCORPORATION, BYLAWS, ARTICLES OF ORGANIZATION, AND/OR OPERATING AGREEMENTS, AS APPLICABLE, OF THE CORPORATION AND THE CORPORATION'S SUBSIDIARIES; (7) ESTABLISH CORE COMPETENCIES FOR THE DIRECTORS OR MANAGERS (AS APPLICABLE) (8) ELECT, EVALUATE, AND REMOVE THE DIRECTORS OR MANAGERS (AS APPLICABLE) OF THE CORPORATION'S SUBSIDIARIES; (9) TRANSFER ASSETS AND REALLOCATE DEBT OF THE CORPORATION AND THE CORPORATION'S SUBSIDIARIES; AND (10) ESTABLISH POLICIES AND PROCEDURES, INCLUDING POLICIES FOR PROVIDER CREDENTIALING, QUALITY, AND PATIENT SAFETY (AS APPLICABLE), FOR THE CORPORATION AND THE CORPORATION'S SUBSIDIARIES. AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT AND MANAGEMENT. THE FORM 990 IS REVIEWED BY THE ACCOUNTING DEPARTMENT, LEGAL COUNSEL, AND MANAGEMENT AND IS THEN PROVIDED TO THE BOARD OF DIRECTORS AT A MEETING BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT AND MANAGEMENT. THE FORM 990 IS REVIEWED BY THE ACCOUNTING DEPARTMENT, LEGAL COUNSEL, AND MANAGEMENT AND IS THEN PROVIDED TO THE BOARD OF DIRECTORS AT A MEETING BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: ALL TRUSTEES AND KEY EMPLOYEES (ADMINISTRATIVE STAFF) ARE REQUIRED TO READ THE ORGANIZATIONAL ETHICS STATEMENT ANNUALLY AND COMPLETE A CERTIFICATION STATEMENT TO THAT EFFECT. DIRECTORS, OFFICERS, MANAGERS AND KEY EMPLOYEES MUST DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST TO THE BOARD OF DIRECTORS. THE REMAINING DIRECTORS WILL DISCUSS AND VOTE UPON WHETHER A CONFLICT OF INTEREST EXISTS. IF A CONFLICT OF INTEREST IS DETERMINED TO EXIST, THE CHAIRMAN SHALL APPOINT A DISINTERESTED DIRECTOR TO INVESTIGATE ALTERNATIVE OPTIONS FOR THE TRANSACTION/ARRANGEMENT IN QUESTION. IF A MORE ADVANTAGEOUS OPTION IS NOT AVAILABLE, A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WILL DETERMINE IF IT IS IN THE BEST INTEREST OF THE ORGANIZATION TO CONTINUE WITH THE TRANSACTION/ARRANGEMENT. IF A CONFLICT OF INTEREST HAS FAILED TO BE DISCLOSED, THE INTERESTED PARTY WILL BE NOTIFIED AND APPROPRIATE DISCIPLINARY ACTION WILL BE TAKEN AS NEEDED. FORM 990, PART VI, SECTION B, LINE 15A EXECUTIVE COMPENSATION REVIEW: 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. THE BOARD COMPLETES THIS REVIEW ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15B OTHER OFFICER AND KEY EMPLOYEE COMPENSATION REVIEW: THE CEO AND VICE PRESIDENTS DETERMINE COMPENSATION FOR APPLICABLE KEY EMPLOYEES AND OTHER OFFICERS. HUMAN RESOURCES COMPILES EXTERNAL DATA FOR COMPARABLE AMOUNTS TO CONFIRM RATES ARE ADEQUATE. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENT AVAILABILITY: COPIES OF THE SOUTHEAST HOSPITAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND FEDERAL FORM 990 ARE AVAILABLE AT THE ADMINISTRATIVE OFFICE UPON REQUEST. FORM 990, PART VII, SECTION A BOARD MEMBER COMPENSATION: NO BOARD MEMBERS RECEIVE COMPENSATION FOR THEIR ROLES AS BOARD MEMBERS. KENNETH BATEMAN RECEIVED COMPENSATION FOR HIS ROLE AS CEO. JAMIE HARRISON RECEIVED COMPENSATION FOR HER ROLE AS A FAMILY PRACTITIONER. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS: $ ( 1,421) TRANSFER TO AFFILIATES ( 82,000) CHANGE IN FMV OF LAND CONTRIBUTIONS (485,766) CHANGE IN INTEREST IN RELATED PARTY ------------ $ (569,187) FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:25198814 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:8996158 FORM 990 PART IX LINE 11G DESCRIPTION:SPECIALIST FEES TOTAL FEES:8176043 FORM 990 PART IX LINE 11G DESCRIPTION:MAINTENANCE CONTRACTS TOTAL FEES:4586506 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION SERVICES TOTAL FEES:4508023 FORM 990 PART IX LINE 11G DESCRIPTION:LAB SERVICES TOTAL FEES:2703932 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING SERVICES TOTAL FEES:1751869 FORM 990 PART IX LINE 11G DESCRIPTION:MANAGEMENT FEES TOTAL FEES:1616203 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PROFESSIONAL FEES TOTAL FEES:352543 FORM 990 PART IX LINE 11G DESCRIPTION:PHARMACY SERVICES TOTAL FEES:220791 SOUTHEAST MISSOURI HOSPITAL PHYSICIANS LLC 1701 LACEY STREET CAPE GIRARDEAU MO 63701 431912860 PHYSICIANS MO 0 0 SEH SOUTHEASTHEALTH HOSPITAL HOLDINGS LLC 2002 KANELL BOULEVARD POPLAR BLUFF MO 63901 461480915 HOLDING CO MO 0 0 SEH SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC 1200 NORTH ONE MILE RO DEXTER MO 63841 461481133 HEALTHCARE MO 45451115 38287279 SEH SERVIR LLC 1701 LACEY STREET CAPE GIRARDEAU MO 63701 452912066 IT MO 0 0 SEH SOUTHEAST HEALTH PHARMACY LLC 2002 KANELL BOULEVARD POPLAR BLUFF MO 63901 461606996 PHARMACY MO 2668952 536787 SEH SOUTHEAST HEALTH CENTER OF REYNOLDS COUNTY LLC 100 HIGHWAY 21 SOUTH ELLINGTON MO 63638 461480575 HEALTHCARE MO 0 0 SEH CARDIOVASCULAR CONSULTANTS OF CAPE GIRARDEAU LLC 1701 LACEY STREET CAPE GIRARDEAU MO 63701 431268532 PHYS CLINIC MO 0 0 SEH SOUTHEAST HEALTH CLINICS-RH LLC 1701 LACEY STREET CAPE GIRARDEAU MO 63701 PHYS CLINIC MO 0 0 SEH ELITE STAFFING OF TENNESSEE LLC 511 UNION ST STE 1000 NASHVILLE TN 37219 882733650 NURSE STAFF TN 0 0 SEH ELITE STAFFING HOLDING CO LLC 1000 WALNUT ST STE 1400 KANSAS CITY MO 64106 882739249 NURSE STAFF MO 0 0 SEH SOUTHEAST HEALTH CENTER OF RIPLEY COUNTY 1701 LACEY STREET CAPE GIRARDEAU MO 63701 273868479 HOSPITAL MO 501(C)(3) 3 SEH SYSTEM false SOUTHEASTHEALTH SYSTEM 1701 LACEY STREET CAPE GIRARDEAU MO 63701 474890906 PARENT MO 501(C)(3) 12C III-FI NA false false false false true true false false false false false false false false true true true true true true