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Southeast Hospital

1701 Lacey Street
Cape Girardeau, MO 63701
EIN: 430654874
Individual Facility Details: Southeast Health Center Of Reynolds County
100 Hwy 21 N
Ellington, MO 63638
4 hospitals in organization:
(click a facility name to update Individual Facility Details panel)
Bed count25Medicare provider number260229Member of the Council of Teaching HospitalsNOChildren's hospitalNO

Southeast HospitalDisplay data for year:

Community Benefit Spending- 2014
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
3.45%
Spending by Community Benefit Category- 2014
(as % of total functional expenses)
* = CBI denoted preventative categories
Community Benefit Spending Compared to Functional Expenses, 2013-2014
Additional data

Community Benefit Expenditures: 2014

  • All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.

    • Operating expenses$ 393,403,872
      Total amount spent on community benefits
      as % of operating expenses
      $ 13,587,867
      3.45 %
  • Amount spent in the following IRS community benefit categories:
      • Financial Assistance at cost
        as % of operating expenses
        $ 7,567,071
        1.92 %
        Medicaid
        as % of operating expenses
        $ 4,345,708
        1.10 %
        Costs of other means-tested government programs
        as % of operating expenses
        $ 0
        0 %
        Health professions education
        as % of operating expenses
        $ 88,997
        0.02 %
        Subsidized health services
        as % of operating expenses
        $ 1,445,530
        0.37 %
        Research
        as % of operating expenses
        $ 0
        0 %
        Community health improvement services and community benefit operations*
        as % of operating expenses
        Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.
        $ 0
        0 %
        Cash and in-kind contributions for community benefit*
        as % of operating expenses
        $ 140,561
        0.04 %
        Community building*
        as % of operating expenses
        $ 0
        0 %
    • * = CBI denoted preventative categories
    • Community building activities details:
        • Did tax-exempt hospital report community building activities?NO
          Number of activities or programs (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Persons served (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Community building expense
          as % of operating expenses
          $ 0
          0 %
          Physical improvements and housing
          as % of community building expenses
          $ 0
          Economic development
          as % of community building expenses
          $ 0
          Community support
          as % of community building expenses
          $ 0
          Environmental improvements
          as % of community building expenses
          $ 0
          Leadership development and training for community members
          as % of community building expenses
          $ 0
          Coalition building
          as % of community building expenses
          $ 0
          Community health improvement advocacy
          as % of community building expenses
          $ 0
          Workforce development
          as % of community building expenses
          $ 0
          Other
          as % of community building expenses
          $ 0
          Direct offsetting revenue$ 0
          Physical improvements and housing$ 0
          Economic development$ 0
          Community support$ 0
          Environmental improvements$ 0
          Leadership development and training for community members$ 0
          Coalition building$ 0
          Community health improvement advocacy$ 0
          Workforce development$ 0
          Other$ 0

    Other Useful Tax-exempt Hospital Information: 2014

    • In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

      • Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
        as % of operating expenses
        $ 34,730,792
        8.83 %
        Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?NO
    • Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy

      The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2022 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

      • Does the organization have a written financial assistance (charity care) policy?YES
        Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?YES
        Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
        as % of operating expenses
        $ 12,155,777
        35.00 %
    • Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
      • Reported to credit agencyNot available
    • Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.

      • After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid?NO
    • The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.

      • If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines?YES
    • In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

      • Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute?YES

    Community Health Needs Assessment Activities: 2014

    • The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

      • Did the tax-exempt hospital report that they had conducted a CHNA?YES
        Did the CHNA define the community served by the tax-exempt hospital?YES
        Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?YES
        Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?YES
        Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?YES

    Supplemental Information: 2014

    This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
    • Statement of Program Service Accomplishments
      Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
    • 4A (Expenses $ 313752976 including grants of $ 2066724) (Revenue $ 333315746)
      Since 1928, Southeast Hospital (southeasthealth) has been dedicated to providing you with quality heath care in which you can rave confidence. Southeasthealth has an extensive network of providers and facilities serving communities in southeast Missouri and parts of Southern Illinois, Western Kentucky and Northern Arkansas. Expert health care, close to home, has never been so convenient. Southeasthealth offers many services for you and your family in cape county.
      Facility Information
      Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
      A, 1 - SOUTHEAST HEALTH - SCHEDULE H, PART V, SECTION B, LINE 5 COMMUNITY INPUT: EFFORTS WERE MADE TO INCLUDE AT-RISK, TARGETED POPULATIONS AND PRINCIPLE 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. TO TAKE INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE COMMUNITY, FOCUS GROUPS AND SURVEYS WERE CONDUCTED AS PRIMARY RESEARCH. FOCUS GROUPS GROUP SURVEYS IN THE FORM OF FOCUS GROUPS WERE CONDUCTED. A FOCUS GROUP IS DEFINED AS PEOPLE WHO POSSESS CERTAIN SIMILAR CHARACTERISTICS THAT ARE ASSEMBLED AS A GROUP TO PARTICIPATE IN A FOCUSED DISCUSSION TO HELP UNDERSTAND THE TOPIC OF INTEREST. THE QUESTIONS ASKED IN EACH FOCUS GROUP CAN BE FOUND BELOW AS WELL AS A LIST OF THE ORGANIZATIONS THE PARTICIPANTS REPRESENTED. DATA WAS COLLECTED FROM THE FOCUS GROUPS PRIMARILY THROUGH NOTE-TAKING. A WRITING EXERCISE WAS ALSO RANDED OUT AND COMPLETED REGARDING EACH PARTICIPANT'S TOP 5 SERIOUS ISSUES. THE QUESTIONS ASKED IN THE FOCUS GROUPS ARE LISTED BELOW: 1. WHAT DO PEOPLE IN THIS COMMUNITY DO TO STAY HEALTHY? HOW DO PEOPLE GET INFORMATION ABOUT HEALTH? 2. IN THIS GROUP'S OPINION, WHAT ARE THE SERIOUS HEALTH PROBLEMS IN YOUR COMMUNITY? WHAT ARE SOME OF THE CAUSES OF THESE PROBLEMS? 3. WHAT KEEPS PEOPLE IN YOUR COMMUNITY FROM BEING HEALTHY? 4. WHAT COULD BE DONE TO SOLVE THESE PROBLEMS? 5. IS THERE ANY GROUP NOT RECEIVING ENOUGH
      Supplemental Information
      Schedule H (Form 990) Part VI
      SCHEDULE H, PART I, LINE 7, COLUMN F PERCENT OF TOTAL EXPENSE: TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25, OF THE FORM 990 WAS REDUCED BY BAD DEBT EXPENSE OF $34,730,792. 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 $1,035,402. 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, 3, AND 6. SCHEDULE H, PART III, SECTION A, LINE 2 PBAD DEBT EXPENSE: THE BAD DEBT EXPENSE LISTED ON LINE 2 IS THE BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, SECTION A, LINE 3 BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE: SOUTHEAST HOSPITAL ESTIMATES THAT APPROXIMATELY 35% OF THE PATIENT ACCOUNTS WRITTEN OFF TO BAD DEBTS MAY QUALIFY FOR CHARITY CARE OR OTHER ASSISTANCE BUT CHOSE NOT TO APPLY
      "SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT: -FORMED COLLABORATIVE PARTNERSHIP WITH ST FRANCIS MEDICAL CENTER (THE OTHER MAJOR HOSPITAL IN THE REGION) IN JANUARY 2012 -DEFINED ""COMMUNITY"" AS OUR PRIMARY SERVICE AREA BASED ON PATIENT ORIGIN DATA -MADE CONTACT AND DISCUSSED CHNA (COMMUNITY HEALTH NEEDS ASSESSMENT) WITH COUNTY HEALTH CENTERS, SCHOOL SYSTEMS, OTHER NON-PROFIT ORGANIZATIONS, EMS, ETC. -COLLECTED SECONDARY DATA -HELD FOCUS GROUPS (5 IN CAPE COUNTY, 1 IN BOLLINGER, 1 IN SCOTT, 1 IN STODDARD) *WE INCLUDED PEOPLE WHO RAD SPECIAL KNOWLEDGE OF HEALTH ISSUES, COMMUNITY LEADERS, COMMUNITY MEMBERS TRAT COULD REPRESENT THE UNDERSERVED, AND THE UNDERSERVED THEMSELVES (WHENEVER POSSIBLE), EMS, LAW ENFORCEMENT, EDUCATORS, HEALTH CARE PROVIDERS, SOCIAL WORKERS, NON-PROFIT ORGANIZATIONS, AND OTHERS -ADMINISTERED APPROXIMATELY 650 SURVEYS, MOSTLY IN SMALL GROUPS AND ONE-ON-ONE *APPROX 525 WERE USED -ASSESSED ALL PRIMARY & SECONDARY DATA, COUNTY BY COUNTY -CREATED A COMPREHENSIVE LIST OF COMMUNITY HEALTH ISSUES, BEHAVIOR AND LIFESTYLE ISSUES CONTRIBUTING TO HEALTH, AND ENVIRONMENTAL & SOCIAL ISSUES RELATED TO HEALTH FOR EACH COUNTY -PRIORITIZED THE LIST BASED ON COMMONALITY BETWEEN COUNTIES, INPUT FROM HEALTH CENTERS, CONSISTENCY BETWEEN SECONDARY AND PRIMARY DATA, OUR ABILITY TO ADDRESS, AND THE POTENTIAL TO EFFECT CHANGE -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: SOUTHEASTHEALTH HAS A PRIMARY SERVICE AREA CONSISTING OF CAPE GIRARDEAU COUNTY, BOLLINGER COUNTY, SCOTT COUNTY AND STODDARD COUNTY ALL LOCATED IN SOUTHEAST MISSOURI. THE COMMUNITIES ARE DESCRIBED BELOW: -CAPE GIRARDEAU COUNTY IS LOCATED IN SOUTHEAST MISSOURI ALONG THE MISSISSIPPI RIVER *THE POPULATION OF THE COUNTY IS CURRENTLY 75,674 *WHITES COMPRISE 88.7% AND AFRICAN-AMERICANS REPRESENT 7% OF THE TOTAL POPULATION *THE COUNTY HAS A HIGHER PERCENTAGE OF THE YOUNGER POPULATION, AGES 15 - 24 THAN AVERAGE FOR THE STATE OF MISSOURI *NEARLY 86% OF CAPE GIRARDEAU COUNTY RESIDENTS 25 YEARS AND OVER HAVE GRADUATED FROM HIGH SCHOOL, WITH 31.5% GOING ON TO RECEIVE A POST-SECONDARY DEGREE *THE UNEMPLOYMENT RATE WAS 7.6% IN 2010, WHICH IS CONSIDERABLY LOWER THAN MISSOURI'S 9.4% *CAPE GIRARDEAU COUNTY HAS 14.2% OF RESIDENTS IN POVERTY, WITH NEARLY 14% ON MEDICAID, 12% ON FOOD STAMPS, AND 15% UNINSURED -BOLLINGER COUNTY IS LOCATED IN SOUTHEAST MISSOURI *HAS A MOSTLY RURAL POPULATION OF 12,363 *WHITES COMPRISE 97.9% OF THE TOTAL POPULATION *THE COUNTY RAS A HIGHER PERCENTAGE OF THE OLDER POPULATION, AGES 45 - 84 THAN DOES THE STATE OF MISSOURI *NEARLY 75% OF BOLLINGER COUNTY RESIDENTS 25 YEARS AND OVER HAVE GRADUATED FROM HIGH SCHOOL, WITH ONLY 14.9% GOING ON TO RECEIVE A POST-SECONDARY DEGREE *THE UNEMPLOYMENT RATE WAS 9.9% IN 2010, WHICH IS HIGHER THAN MISSOURI'S 9.4% *BOLLINGER COUNTY HAS 19.7% OF RESIDENTS IN POVERTY
      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 PROGRAM, 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 -SOUTHEASTHEALTH REGULARLY PROVIDES FREE OR LOW-COST HEALTH SCREENINGS AND HEALTH EDUCATION PROGRAMS TO THE GENERAL PUBLIC ON A VARIETY OF TOPICS RANGING FROM HEART HEALTH AND DIABETES TO NUTRITION AND STROKE SYMPTOM AWARENESS -SOUTHEASTHEALTH OFFERS A TOLL-FREE HEALTHLINE WHICH PROVIDES FREE INFORMATION ABOUT HOSPITAL AND COMMUNITY HEALTH SERVICES AS WELL AS FREE PHYSICIAN REFERRAL INFORMATION PHYSICIAN REFERRAL INFORMATION
      "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. SOUTHEASTHEALTH 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. SOUTHEASTHEALTH OF RIPLEY COUNTY, D/B/A SOUTHEASTHEALTH CENTER OF RIPLEY COUNTY, AND SOUTHEASTHEALTH CENTERS OF REYNOLDS COUNTY AND STODDARD COUNTY ARE COLLECTIVELY REFERRED TO AS SOUTHEASTHEALTH REGIONAL SYSTEM. THE SOUTHEASTHEALTH REGIONAL SYSTEM EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT, EMERGENCY CARE, PHYSICIAN SERVICES AND RETAIL PHARMACY OPERATIONS IN DEXTER, MISSOURI; DONIPHAN, MISSOURI; ELLINGTON, MISSOURI, AND THEIR SURROUNDING AREAS. SOUTHEASTHEALTH SERVIR, OPERATED BY SOUTHEASTHEALTH HOSPITAL, PROVIDES SOFTWARE SUPPORT FOR THE HOSPITAL'S REVENUE CYCLE."
      SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT: MISSOURI