Civic Intelligence

Southeast Hospital

990 • Fiscal year 2016 • EIN 43-0654874

Jan 01, 2016 to Dec 31, 2016 • Filed on Oct 14, 2017

1701 Lacey StreetCape Girardeau, MO 63701

(573) 334-4822

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

77th percentile

0.63x

Higher debt load relative to assets than 77% of similar nonprofits.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2016

Liabilities / Revenue

43rd percentile

0.50x

Higher debt load relative to revenue than 43% of similar nonprofits.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2016

Net Margin

35th percentile

1.1%

Higher net margin than 35% of similar nonprofits.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2016

Top Officer Pay

64th percentile

$1,185,330

Higher top officer pay than 64% of similar nonprofits.

Top officer pay equals 0.3% of source-year revenue.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2016

Asset Growth

56th percentile

3.3%

Faster asset growth than 56% of similar nonprofits.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2015 to 2016

Revenue Growth

42nd percentile

1.2%

Faster revenue growth than 42% of similar nonprofits.

2016 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2015 to 2016

Assets

Up

$309,751,545

Up $9,965,792 (+3.3%) from 2015

Net Assets

Up

$115,481,211

Up $3,913,580 (+3.5%) from 2015

Liabilities

Up

$194,270,334

Up $6,052,212 (+3.2%) from 2015

Revenue

Up

$387,981,774

Up $4,780,254 (+1.2%) from 2015

Expenses

Up

$383,700,927

Up $1,666,923 (+0.4%) from 2015

Net Income

Up

$4,280,847

Up $3,113,331 (+267%) from 2015

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$600M$400M$200M$0-$200MAssets 2010: $353,843,799Liabilities 2010: $147,170,406Net Assets 2010: $206,673,3932010Assets 2011: $361,999,708Liabilities 2011: $153,880,430Net Assets 2011: $208,119,2782011Assets 2012: $381,812,031Liabilities 2012: $152,657,180Net Assets 2012: $229,154,8512012Assets 2013: $402,256,912Liabilities 2013: $201,609,969Net Assets 2013: $200,646,9432013Assets 2014: $342,590,799Liabilities 2014: $226,132,732Net Assets 2014: $116,458,0672014Assets 2015: $299,785,753Liabilities 2015: $188,218,122Net Assets 2015: $111,567,6312015Assets 2016: $309,751,545Liabilities 2016: $194,270,334Net Assets 2016: $115,481,2112016Assets 2017: $330,650,970Liabilities 2017: $209,523,343Net Assets 2017: $121,127,6272017Assets 2018: $323,986,426Liabilities 2018: $191,284,856Net Assets 2018: $132,701,5702018Assets 2019: $328,368,650Liabilities 2019: $195,956,748Net Assets 2019: $132,411,9022019Assets 2020: $418,493,564Liabilities 2020: $252,722,721Net Assets 2020: $165,770,8432020Assets 2021: $474,182,729Liabilities 2021: $290,723,610Net Assets 2021: $183,459,1192021Assets 2022: $410,375,855Liabilities 2022: $259,839,554Net Assets 2022: $150,536,3012022Assets 2023: $267,173,625Liabilities 2023: $249,967,241Net Assets 2023: $17,206,3842023Assets 2024: $252,794,144Liabilities 2024: $259,643,558Net Assets 2024: -$6,849,4142024

Highlighted filing

2016

Assets$309,751,545
Liabilities$194,270,334
Net Assets$115,481,211

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$600M$400M$200M$0-$200MExpenses 2010: $320,303,6712010Expenses 2011: $339,141,2792011Expenses 2012: $301,290,8002012Revenue 2013: $315,105,616Expenses 2013: $347,089,656Net Income 2013: -$31,984,0402013Revenue 2014: $332,695,086Expenses 2014: $393,403,872Net Income 2014: -$60,708,7862014Revenue 2015: $383,201,520Expenses 2015: $382,034,004Net Income 2015: $1,167,5162015Revenue 2016: $387,981,774Expenses 2016: $383,700,927Net Income 2016: $4,280,8472016Revenue 2017: $399,399,797Expenses 2017: $401,523,224Net Income 2017: -$2,123,4272017Revenue 2018: $432,481,328Expenses 2018: $415,874,526Net Income 2018: $16,606,8022018Revenue 2019: $376,178,459Expenses 2019: $374,342,098Net Income 2019: $1,836,3612019Revenue 2020: $406,976,148Expenses 2020: $380,261,075Net Income 2020: $26,715,0732020Revenue 2021: $426,611,083Expenses 2021: $409,389,240Net Income 2021: $17,221,8432021Revenue 2022: $404,888,415Expenses 2022: $426,847,029Net Income 2022: -$21,958,6142022Revenue 2023: $387,948,660Expenses 2023: $532,335,708Net Income 2023: -$144,387,0482023Revenue 2024: $206,813,526Expenses 2024: $233,093,575Net Income 2024: -$26,280,0492024

Highlighted filing

2016

Revenue$387,981,774
Expenses$383,700,927
Net Income$4,280,847
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Oct 14, 2017
Return Version
2016v3.1
Gross Receipts
$436,168,693
Mission and Program Overview

Mission

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.

Provider of healthcare service with a mission to make a difference through a commitment to excellence in health care.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$165,699,395$145,770,671▼ $19,928,724
Savings and Temporary Cash Investments$40,496,181$71,496,766▲ $31,000,585
Accounts Receivable$39,472,730$37,131,259▼ $2,341,471
Investments in Publicly Traded Securities$0$22,886,376▲ $22,886,376
Intangible Assets$56,122$9,109,548▲ $9,053,426
Inventories for Sale or Use$7,748,719$7,645,208▼ $103,511
Investments Program Related$4,558,311$4,580,342▲ $22,031
Prepaid Expenses and Deferred Charges$4,323,252$4,029,398▼ $293,854
Cash and Non-Interest-Bearing Accounts$31,696,992$1,619,841▼ $30,077,151
Other Notes and Loans Receivable, Net$1,391,170$739,072▼ $652,098
Receivables From Officers Etc$0$102,297▲ $102,297
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Investments Other Securities$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$299,785,753$309,751,545▲ $9,965,792
Other Assets Total$4,342,881$4,640,767▲ $297,886
Liabilities
Tax Exempt Bond Liabilities$121,021,236$128,106,789▲ $7,085,553
Accounts Payable and Accrued Expenses$40,849,542$34,100,927▼ $6,748,615
Other Liabilities$18,056,369$17,094,577▼ $961,792
Mortgage Notes Payable Secured by Investment Property$8,290,975$14,959,664▲ $6,668,689
Deferred Revenue$0$8,377▲ $8,377
Grants Payable$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Total Liabilities$188,218,122$194,270,334▲ $6,052,212
Net Assets / Fund Balance
Unrestricted Net Assets$107,009,319$110,900,869▲ $3,891,550
Temporarily Rstr Net Assets$3,346,708$3,365,297▲ $18,589
Permanently Rstr Net Assets$1,211,604$1,215,045▲ $3,441
Total Net Assets Fund Balance$111,567,631$115,481,211▲ $3,913,580
Total Liabilities and Net Assets / Fund Balance$299,785,753$309,751,545▲ $9,965,792

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$56,182,602$162,219,379$218,086,051
Buildings$65,596,835$65,500,516$131,097,351
Land$17,698,441-$17,698,441
Other Land Buildings$6,292,793$4,218,884$10,511,677

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2016$212,587$10,911▲ $17,564-$239,240
2015$217,070-▼ $2,722-$212,587
2014$169,894$49,646▲ $1,895-$217,070
2013$150,396-▲ $19,498-$169,894
2012$148,407-▲ $1,989-$150,396
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Paul RobisonCv SurgeonFT$821,351$363,979$1,185,330
Christopher B KellerGastroenterologistFT$803,207$246,235$1,049,442
Gabriel Soto MdHospital Director/cardiologistFT$454,082$486,807$940,889
David LawCardiologistFT$343,092$568,818$911,910
Chizor J IwuchukwuCardiologistFT$356,362$509,360$865,722
Kenneth W RetterCardiologistFT$321,028$533,144$854,172
Kenneth BatemanPresident/CEOFT$538,248$175,099$713,347
D Matt Shoemaker DoVP and CMOFT$346,396$59,731$406,127
Judy AslinChief Nursing OfficerFT$228,840$64,996$293,836
Michael L NicholsVice President & CIOFT$257,839$31,390$289,229
Daniel L BerryVP/general CounselFT$207,881$44,985$252,866
Kathryn S VickeryVP-ancillary ServicesFT$184,091$29,816$213,907
Janet L RigdonExec Director Periop & Cv ServFT$190,470$22,534$213,004
Frances ErlackerExec Director Rehab & FitnessFT$184,668$25,456$210,124
Erin R PfeiferVP Hr and DevelopmentFT$171,494$36,731$208,225
Kenneth R TifftExec Director Supply ChainFT$168,842$33,317$202,159
Paula HarrisVP Regional Operations-$187,240$195,227$195,227
James P LimbaughExecutive VP-$186,002$186,002$186,002
Krista B BerrySystem ControllerFT$145,720$40,228$185,948
Steven J HaasVice President & CFO Beg 6/16FT$162,222$20,353$182,575
Sharon L StinsonExec Director Prod & NursingFT$151,610$26,098$177,708
Lincoln ScottVP Hr & Development-$112,458$118,416$118,416

Board Members and Trustees

NameTitle
Robert NeffHospital Chairman
Greg MathisRegional Chairman
Frank KinderHospital Vice Chairman
Brian RobisonRegional Vice Chairman
John M ThompsonHosp Director End 7/16,reg Director
Jay KnudtsonHosp Secretary/reg Director
Albert Spradling IiiHospital Director
Benjamin LewisHospital Director
Burl StampHospital Director
Charles KruseHospital Director
Christine Mackey-rossHospital Director
Christopher HutsonHospital Director
James Dufek PhdHospital Director
Kevin FordHospital Director
Michael KohlfeldHospital Director
Steven GreenHospital Director Begin 7/16
Clay CrossonRegional Director
Steve McpheetersRegional Director
Mark AveryRegional Director Begin 6/16
Lloyd SmithRegional Director End 4/16
Stanley CraderHospital Treasurer
Michelle AycockRegional Secretary/treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Huron ConsultingConsultingSERVICES LLC, Chicago, IL 60689-5330$2,587,522
Meramec EmergencyPhysician CoveragePHYSICIANS, Dallas, TX 75267$1,031,553
American Realty CapitalRentTRUST, Dresher, PA 19025$835,223
BkdAudit/tax/consultingLLP, Springfield, MO 65801$628,857
Advanced HealthRentCARE, Poplar Bluff, MO 63901$587,422
Revenue and Support

Revenue Composition

Contributions and Grants
$1,816,958
Program Service Revenue
$386,083,106
Investment Income
$361,242
Other Revenue
$-279,532
All Other Contributions
$15,581
Change in Net Assets
$4,280,847

Audited Revenue Reconciliation

Revenue per Audited Statements
$388,647,484
Revenue Not Reported on Financial Statements
$-665,710
Revenue Not Reported on Form 990
$-39,888,463
Other Revenue Adjustments
$-665,710
Total Revenue per Audited Statements
$348,759,021
Total Revenue per Form 990
$387,981,774
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$226,191,905
Salaries, Compensation, and Employee Benefits$155,697,241
Grants and Similar Amounts Paid$1,811,781
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$100,039,015$22,496,330-$122,535,345
Fees for Services Other$21,914,262$5,300,350-$27,214,612
Depreciation Depletion$21,168,485$5,119,971-$26,288,456
Other Employee Benefits$10,811,030$2,463,183-$13,274,213
Office Expenses$8,456,049$2,051,823-$10,507,872
Payroll Taxes$7,353,464$1,778,565-$9,132,029
Information Technology$7,146,044$1,728,396-$8,874,440
Interest$5,462,118$1,321,109-$6,783,227
Pension Plan Contributions$4,431,796$896,675-$5,328,471
Current Officers, Directors, Trustees, and Key Employees$2,220,379$2,248,256-$4,468,635
Occupancy$3,214,824$777,562-$3,992,386
Insurance$2,118,993$512,516-$2,631,509
Advertising$2,020,027$488,579-$2,508,606
Grants to Domestic Individuals$1,811,781--$1,811,781
Other Expenses$1,192,959$288,539-$1,481,498
Comp Disqual Persons$458,903$499,645-$958,548
All Other Expenses$487,896$372,638-$860,534
Fees for Services Accounting-$728,836-$728,836
Fees for Services Legal-$692,887-$692,887
Conferences and Meetings$542,216$131,145-$673,361
Travel$315,472$76,303-$391,775
Fees for Service Investment Mgmnt Fees-$1,500-$1,500
Total Functional Expenses$333,726,119$49,974,808$0$383,700,927

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$383,700,927
Total Expenses per Audited Statements$345,961,256
Expenses per Audited Statements$334,714,133
Expenses Not Reported on Financial Statements$48,986,794
Other Expense Adjustments$48,986,794
Expenses Not Reported on Form 990$11,247,123
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Susie DufekSee Part VCompensationNo$200,308
Luke HubbardSee Part VCompensationNo$162,258
Julie EftinkSee Part VCompensationNo$58,269
Kaci HubbardSee Part VCompensationNo$38,068

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Officers, Directors, Trustees, and Key Employees$0$102,297▲ $102,297
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to 3rd Party$17,094,577

Bond Issues

BondIssuerIssuedIssue PricePurpose
AInd Dev Auth of the County of Cape Girardeau Mo2007-04-12$101,802,089Refund existing debt and capital
BInd Dev Auth of the County of Cape Girardeau Mo2016-03-16$21,930,000Revenue and refunding bonds
CInd Dev Auth of the County of Cape Girardeau Mo2016-03-16$16,880,000Revenue and refunding bonds

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$101,924,069$0$10,220,000$1,081,321
B$21,930,000$0$0$383,916
C$16,880,000$0$0$257,336

Bond Financing Compliance

No rebate due
No
Rebate not yet due
Yes
Form 8038-T filed
Yes
Gross proceeds invested
No
Gross proceeds invested in GIC
Yes
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

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.

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 been 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. Gabriel soto received compensation for his role as a cardiologist.

Filing and Contact Details

Filer

Filer Name
Southeast Hospital
EIN
43-0654874
In Care Of
% KRISTA BERRY
Phone
5733344822
Address
1701 LACEY STREET, CAPE GIRARDEAU, MO 63701
Doing Business As
Southeasthealth

Signing Officer

Name
Steven Haas
Title
Vice President/chief
Phone
5733344822
Signed
2017-10-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kenneth W Bateman
Formed
1926
Legal Domicile
Mo
Voting Board Members
23
Independent Board Members
19
Employees
2,904
Volunteers
189

Preparer

Firm
Bkd Llp
Address
910 E ST LOUIS 200/PO BOX 1190, SPRINGFIELD, MO 65806-2523
Preparer
Brian D Todd
Phone
4178658701
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 3

Program services ceased: southeast health center of reynolds county and affiliated clinics ceased operations on march 11, 2016.

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. Of the 231 members of this staff, 90% held board certification. In 2016, the hospital recorded over 10,000 inpatient discharges and over 300,000 outpatient registrations. Mission: together we make a difference through our commitment to excellence in health care. 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 XI, Line 9

Other changes in net assets: $ (408,501) transfer to/from affiliates 22,030 change in interest in related party ----------- $ (386,471)

Financial Statement Notes

Schedule D, Part V, Line 4

Intended use of endowment funds: endowment funds are used to provide scholarships for nursing students.

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.

Schedule D, Part XI, Line 2D

Amounts included on line 1, but not on form 990, part viii, line 12: $ 9,487,628 southeast health center of ripley county revenues (46,723,326) bad debt expense ( 1,791,781) grant expense ( 471,687) loss on discontinued operations ( 408,501) transfers -------------- $ (39,907,667)

Schedule D, Part XI, Line 4B

Amounts included on form 990, part viii, line 12, but not on line 1: $ ( 742,917) rental expenses 77,207 investment income included in expenses -------------- $ ( 665,710)

Schedule D, Part XII, Line 2D

Amounts included on line 1, but not on form 990, part ix, line 25: $ 10,581,413 southeast health center of ripley county expenses 742,917 rental expenses ( 77,207) investment income included in expenses ------------ $ 11,247,123

Schedule D, Part XII, Line 4B

Amounts included on form 990, part ix, line 25, but not on line 1: $ 46,723,326 bad debt expense 1,791,781 grant expense 471,687 loss on discontinued operations -------------- $ 48,986,794

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$253$260$6.85$207$233$26.3
2023Detailed filing. Detailed filing data is available for this year.$267$250$17.2$388$532$144
2022Detailed filing. Detailed filing data is available for this year.$410$260$151$405$427$22.0
2021Detailed filing. Detailed filing data is available for this year.$474$291$183$427$409$17.2
2020Detailed filing. Detailed filing data is available for this year.$418$253$166$407$380$26.7
2019Detailed filing. Detailed filing data is available for this year.$328$196$132$376$374$1.84
2018Detailed filing. Detailed filing data is available for this year.$324$191$133$432$416$16.6
2017Detailed filing. Detailed filing data is available for this year.$331$210$121$399$402$2.12
2016Detailed filing. Detailed filing data is available for this year.$310$194$115$388$384$4.28
2015Detailed filing. Detailed filing data is available for this year.$300$188$112$383$382$1.17
2014Summary only. Only limited summary data is available for this year.$343$226$116$333$393$60.7
2013Detailed filing. Detailed filing data is available for this year.$402$202$201$315$347$32.0
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$382$153$229$301
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$362$154$208$339
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$354$147$207$320