4A (Expenses $ 352167299 including grants of $ 1681851) (Revenue $ 400707448)
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.

SCHEDULE H, PART V, SECTION B, LINE 5
COMMUNITY INPUT: SOUTHEASTHEALTH OBTAINED INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY BY DISTRIBUTING ONLINE QUESTIONNAIRES TO MEMBERS OF THE HEALTH COMMUNITIES COALITIONS IN THE AREA, CONDUCTING IN-PERSON FOCUS GROUPS WITH THE HEALTH COMMUNITIES COALITIONS IN CAPE GIRARDEAU AND RIPLEY COUNTY, AND OBTAINING PERSPECTIVES OF MEMBER OF THE SOUTHEASTHEALTH BOARD OF DIRECTORS. BOARD MEMBERS INCLUDE LEADERS IN BUSINESS AND GOVERNMENT, EDUCATORS, AND HEALTHCARE PROFESSIONALS WITH DEEP INVOLVEMENT IN THE COMMUNITY.

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. THE CHNA PROCESS ALSO INCLUDED SAINT FRANCIS HEALTHCARE SYSTEM AS A PARTNER.

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 RESULTS WERE SHARED WITH THE CAPE GIRARDEAU COUNTY HEALTHY COMMUNITIES COALITION AND THE STODDARD COUNTY HEALTHY COALITION 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: MEMBERS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT TEAM ANALYZED SURVEY DATA, FOCUS GROUP DATA, AND SECONDARY DATA IN THE CHNA REPORT TO PRIORITIZE THE COMMUNITY HEALTH NEEDS FOR EACH COUNTY. THE PRIORITY NEEDS WERE FIRST IDENTIFIED BY THE PRIMARY RESEARCH OR WHAT THE COMMUNITY FINDS MOST IMPORTANT. THESE HIGH PRIORITY NEEDS WERE THEN VALIDATED BY THE SECONDARY RESEARCH LOOKING AT THE COMMUNITY STATISTICS AND TRENDS AGAINST THE STATE'S STATISTICS AND TRENDS. THE TEAM IDENTIFIED 6 HEALTH NEEDS AND DEVELOPED IMPROVEMENT STRATEGIES FOR EACH AREA. 1. SUBSTANCE ABUSE/MENTAL HEALTH (DRUG AND ALCOHOL, ANXIETY, AND DEPRESSION) 2. HEALTHCARE AFFORDABILITY AND ACCESS (UNINSURED/UNDERINSURED, COST, AND TRANSPORTATION) 3. CANCER (SMOKING, PREVENTION, AND SCREENING) 4. OBESITY (DIET AND EXERCISE) 5. CHRONIC DISEASES A) HEART DISEASE B) DIABETES (DIET AND EXERCISE) C) CHRONIC RESPIRATORY DISEASE D) STROKE 6. PRE-CONCEPTION AND PRE-NATAL HEALTH

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).

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 $1,534,780. 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, 2021. 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 13.2% 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 13.2% 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 13 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 VI, LINE 2
"NEEDS ASSESSMENT: FOLLOWING ARE WAYS IN WHICH SOUTHEAST HOSPITAL AND SOUTHEASTHEALTH CENTER OF STODDARD COUNTY ASSESSED THE NEEDS OF ITS COMMUNITY BEFORE, DURING AND AFTER THE FORMAL CHNA WAS COMPLETED: -DEFINED ""COMMUNITY"" AS OUR PRIMARY SERVICE AREA BASED ON PATIENT ORIGIN DATA -MADE CONTACT AND DISCUSSED CHNA (COMMUNITY HEALTH NEEDS ASSESSMENT) WITH COUNTY HEALTH COALITION -COLLECTED SECONDARY DATA -HELD A FOCUS GROUP TO COLLECT PRIMARY DATA THAT INCLUDED PEOPLE WITH SPECIAL KNOWLEDGE OF HEALTH ISSUES -ASSESSED ALL PRIMARY AND SECONDARY DATA FOR THE SERVICE AREA -CREATED A COMPREHENSIVE LIST OF COMMUNITY HEALTH ISSUES, BEHAVIOR AND LIFESTYLE ISSUES CONTRIBUTING TO HEALTH, AND ENVIRONMENTAL AND SOCIAL ISSUES RELATED TO HEALTH FOR THE SERVICE AREA -PRIORITIZED THE LIST BASED ON INPUT FROM THE COALITIONS, CONSISTENCY BETWEEN SECONDARY AND PRIMARY DATA, OUR ABILITY TO ADDRESS, AND THE POTENTIAL TO EFFECT CHANGE -CREATED LIST OF PRIORITIZED HEALTH NEEDS AND BEHAVIORS"

SCHEDULE H, PART VI, LINE 3
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: PATIENT ACCOUNT STATEMENTS FOR SOUTHEASTHEALTH INCLUDE A STATEMENT THAT THE PATIENT MAY CONTACT THE ORGANIZATION WITH ANY QUESTIONS OR PAYMENT ISSUES REGARDING THEIR BILL. IF THE PATIENT COMMUNICATES THEIR INABILITY TO MAKE A PAYMENT, THE PATIENT IS INFORMED OF OPTIONS INCLUDING CHARITY CARE AND OTHER ASSISTANCE AND ARE PROVIDED AN EXPLANATION ON HOW TO APPLY FOR ASSISTANCE.

SCHEDULE H, PART VI, LINE 4
COMMUNITY INFORMATION: - CAPE GIRARDEAU COUNTY IS LOCATED IN SOUTHEAST MISSOURI ALONG THE MISSISSIPPI RIVER *THE POPULATION OF THE COUNTY IS CURRENTLY 82,113 *WHITES COMPRISE 87.3% AND AFRICAN-AMERICANS REPRESENT 7.8% OF THE TOTAL POPULATION *THE COUNTY HAS A HIGHER PERCENTAGE OF THE YOUNGER POPULATION, AGES 15 - 24 THAN AVERAGE FOR THE STATE OF MISSOURI *91.6% OF CAPE GIRARDEAU COUNTY RESIDENTS 25 YEARS AND OVER HAVE GRADUATED FROM HIGH SCHOOL, WITH 31.9% GOING ON TO RECEIVE A POST-SECONDARY DEGREE *THE UNEMPLOYMENT RATE WAS 2.8% IN 2021, WHICH IS SLIGHTLY LOWER THAN MISSOURI'S 3.9% *CAPE GIRARDEAU COUNTY HAS 11.9% OF RESIDENTS IN POVERTY, WITH 24.4% ELIGIBLE FOR FOOD STAMPS, AND 12.2% UNINSURED - BOLLINGER COUNTY IS LOCATED IN SOUTHEAST MISSOURI *HAS A MOSTLY RURAL POPULATION OF 10,556 *WHITES COMPRISE 96.3% OF THE TOTAL POPULATION *THE COUNTY HAS A HIGHER PERCENTAGE OF THE OLDER POPULATION, AGES 45 - 84 THAN DOES THE STATE OF MISSOURI *83.6% OF BOLLINGER COUNTY RESIDENTS 25 YEARS AND OVER HAVE GRADUATED FROM HIGH SCHOOL, WITH ONLY 10.8% GOING ON TO RECEIVE A POST-SECONDARY DEGREE *THE UNEMPLOYMENT RATE WAS 3.4% IN 2021, WHICH IS SLIGHTLY LOWER THAN MISSOURI'S 3.9% *BOLLINGER COUNTY HAS 16.3% OF RESIDENTS IN POVERTY, WITH 22.7% ELIGIBLE FOR FOOD STAMPS, AND 16.9% UNINSURED - SCOTT COUNTY IS LOCATED IN SOUTHEAST MISSOURI ALONG THE MISSISSIPPI RIVER *THE POPULATION OF THE COUNTY IS CURRENTLY 37,840 *WHITES COMPRISE 84.8% AND AFRICAN-AMERICANS COMPRISE 12.2% OF THE TOTAL POPULATION *THE COUNTY HAS A HIGHER PERCENTAGE OF THE YOUNGEST POPULATION, AGES 0 - 9 AND THE OLDER POPULATION, AGES 65 - 84 THAN DOES THE STATE OF MISSOURI *84.8% OF SCOTT COUNTY RESIDENTS 25 YEARS AND OVER HAVE GRADUATED FROM HIGH SCHOOL, WITH 19.8% GOING ON TO RECEIVE A POST- SECONDARY DEGREE *THE UNEMPLOYMENT RATE WAS 3.0% IN 2021, WHICH IS SLIGHTLY LOWER THAN MISSOURI'S 3.9% *SCOTT COUNTY HAS 14.6% OF RESIDENTS IN POVERTY, WITH 36.3% ELIGIBLE FOR FOOD STAMPS, AND 13.5% UNINSURED - STODDARD COUNTY IS LOCATED IN SOUTHEAST MISSOURI *HAS A MOSTLY RURAL POPULATION OF 28,479 *WHITES COMPRISE 96.2% OF THE TOTAL POPULATION *THE COUNTY HAS A HIGHER PERCENTAGE OF THE OLDER POPULATION, AGE 60+ THAN DOES THE STATE OF MISSOURI *79.8% OF STODDARD COUNTY RESIDENTS 25 YEARS AND OVER HAVE GRADUATED FROM HIGH SCHOOL, WITH 12.3% GOING ON TO RECEIVE A POST-SECONDARY DEGREE *THE UNEMPLOYMENT RATE WAS 3.5% IN 2021, WHICH IS SLIGHTLY LOWER THAN MISSOURI'S 3.9% *STODDARD COUNTY HAS 16.8% OF RESIDENTS IN POVERTY, WITH 19.6% ELIGIBLE FOR FOOD STAMPS, AND 16.9% UNINSURED SOURCES: POPULATION, RACE, AGE, EDUCATION, POVERTY & UNINSURED STATS: US CENSUS BUREAU FACT FINDER; UNEMPLOYMENT RATE: BUREAU OF LABOR & STATISTICS; FOOD STAMP ELIGIBILITY: 2019 MO HUNGER ATLAS.

SCHEDULE H, PART VI, LINE 5
PROMOTION OF COMMUNITY HEALTH: SOUTHEASTHEALTH PROVIDES A VARIETY OF PROGRAMS DESIGNED TO IMPROVE COMMUNITY HEALTH INCLUDING: WEIGHT LOSS AND WEIGHT MANAGEMENT PROGRAMS, A SMOKING CESSATION CLASS, AND DIABETES MANAGEMENT PROGRAMS. SOUTHEASTHEALTH IS THE ONLY PROVIDER IN THE AREA PARTICIPATING IN THE NURSE/FAMILY PARTNERSHIP PROGRAM WHEREBY NURSES ARE ASSIGNED AS HEALTH COUNSELORS TO TEENAGE MOTHERS AND ADVISE THEM ON NUTRITION, PRE-NATAL CARE AND CHILDREN'S HEALTH ISSUES.

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 7
STATE FILING OF COMMUNITY BENEFIT REPORT: MISSOURI

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. THE SOUTHEAST HEALTH SYSTEM OF STODDARD COUNTY EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT, EMERGENCY CARE, PHYSICIAN SERVICES AND RETAIL PHARMACY OPERATIONS IN DEXTER, MISSOURI; DONIPHAN, MISSOURI; AND THEIR SURROUNDING AREAS. SOUTHEASTHEALTH SERVIR, OPERATED BY SOUTHEASTHEALTH HOSPITAL, PROVIDES SOFTWARE SUPPORT FOR THE HOSPITAL'S REVENUE CYCLE.