TY 2022 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) BRENT KELLER...................................................................... GI PHYSICIAN	40.0 ................. 0.0				X	1,015,444	39,434
(2) GABRIEL SOTO...................................................................... CARDIOLOGIST	40.0 ................. 0.0				X	928,319	54,706
(3) ANTHONY MCPHERRON...................................................................... ORTHOPEDIC SURGEON	40.0 ................. 0.0				X	886,769	59,528
(4) KENNETH BATEMAN...................................................................... PRESIDENT AND CEO	40.0 ................. 3.0	X	X			746,851	153,984
(5) PAUL ROBISON...................................................................... CARDIOVASCULAR SURGEON	40.0 ................. 0.0				X	864,264	34,470
(6) DAVID LAW...................................................................... CARDIOLOGIST	40.0 ................. 0.0				X	791,165	33,019
(7) MATTHEW JANZOW...................................................................... VP AND CHIEF MEDICAL OFFICER	40.0 ................. 0.0			X		426,691	40,096
(8) JAMIE HARRISON...................................................................... FAMILY PRACTITIONER	40.0 ................. 0.0	X				406,170	40,537
(9) STEVEN HAAS...................................................................... VP AND CHIEF FINANCIAL OFFICER	40.0 ................. 3.0		X			351,041	35,480
(10) MARIELLENA SUDAK...................................................................... VP AND CHIEF OPERATING OFFICER	40.0 ................. 0.0			X		353,838	31,357
(11) MICHAEL NICHOLS...................................................................... VP & CHIEF INFORMATION OFFICER	40.0 ................. 0.0			X		297,045	32,680
(12) KATHRYN VICKERY...................................................................... VP ANCILLARY SERVICES	40.0 ................. 0.0			X		238,357	23,673
(13) ERIN PFEIFER...................................................................... VP OF HUMAN RESOURCES AND DEVE	40.0 ................. 0.0			X		231,924	27,840
(14) GINA LEATH...................................................................... VP AND CHIEF NURSING OFFICER	40.0 ................. 0.0			X		220,319	35,031
(15) STEVEN LANGDON...................................................................... PRESIDENT - COLLEGE OF NURSING	40.0 ................. 0.0			X		221,821	22,588
(16) KRISTA BERRY...................................................................... CONTROLLER	40.0 ................. 0.0			X		212,308	21,101
(17) SHAUNA WINTERS HOFFMAN...................................................................... VP OF MARKETING & DEVELOPMENT	40.0 ................. 0.0			X		204,455	15,409

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) REGINA FAULKENBERRY........................................................................ VP AND GENERAL COUNSEL	40.0 .......................0.0			X	184,911	28,052
(19) SUE ANN WILLIAMS........................................................................ CEO STODDARD	40.0 .......................0.0			X	154,560	35,946
(20) SHERRIE LANE........................................................................ DIRECTOR OF PHARMACY	40.0 .......................0.0			X	174,735	13,448
(21) JASON EMMENDERFER........................................................................ EXEC DIR SPORTS MED AND ORTHO	40.0 .......................0.0			X	150,202	33,747
(22) MARIA STIFFLER........................................................................ EXECUTIVE DIRECTOR HEART LUNG	40.0 .......................0.0			X	166,620	4,370
(23) FRANK KINDER........................................................................ HOSPITAL DIRECTOR	2.0 .......................0.0	X			0	0
(24) STEVEN GREEN........................................................................ IMMEDIATE PAST CHAIRMAN	2.0 .......................1.0	X			0	0
(25) CHARLES KRUSE........................................................................ SECRETARY	2.0 .......................1.0	X			0	0
(26) STANLEY CRADER........................................................................ TREASURER	2.0 .......................1.0	X	X		0	0
(27) ROBERT NEFF........................................................................ HOSPITAL DIRECTOR	2.0 .......................0.0	X			0	0
(28) JAMES DUFEK........................................................................ CHAIRMAN	2.0 .......................1.0	X	X		0	0
(29) KEVIN FORD........................................................................ HOSPITAL DIRECTOR	2.0 .......................0.0	X			0	0
(30) MICHAEL KOHLFELD........................................................................ HOSPITAL DIRECTOR	2.0 .......................0.0	X			0	0
(31) MICHELLE AYCOCK........................................................................ REGIONAL IMMEDIATE PAST CHAIR	3.0 .......................2.0	X			0	0
(32) ANGIE UMFLEET........................................................................ VICE CHAIRMAN	2.0 .......................1.0	X	X		0	0
(33) MARK AVERY........................................................................ REGIONAL CHAIRMAN	3.0 .......................2.0	X			0	0
(34) CHRISTINE MACKEY-ROSS........................................................................ HOSPITAL DIRECTOR	2.0 .......................0.0	X			0	0
(35) BENJAMIN LEWIS........................................................................ HOSPITAL DIRECTOR	2.0 .......................0.0	X			0	0
(36) GREG MATHIS........................................................................ REGIONAL DIRECTOR	3.0 .......................2.0	X			0	0
(37) BRIAN ROBISON........................................................................ REGIONAL DIRECTOR	3.0 .......................2.0	X			0	0
(38) CURT BUCHHEIT........................................................................ HOSPITAL DIRECTOR	3.0 .......................1.0	X			0	0
(39) FRED DUCHARME........................................................................ HOSPITAL DIRECTOR	3.0 .......................0.0	X			0	0
(40) ALBERT SPRADLING III........................................................................ HOSPITAL DIRECTOR	2.0 .......................0.0	X			0	0
(41) RYAN ADAMS........................................................................ REGIONAL SECRETARY/TREASURER	2.0 .......................2.0	X			0	0
(42) CLAY CROSSON........................................................................ REGIONAL VICE CHAIRMAN	2.0 .......................2.0	X			0	0
(43) MARISSA MILLS........................................................................ REGIONAL DIRECTOR	2.0 .......................2.0	X			0	0

(A) Name and business address	(B) Description of services	(C) Compensation
FASTAFF LLC, PO BOX 911452 DENVER,CO802911452	NURSE COVERAGE	5,506,125
CHG MEDICAL STAFFING RN NETWORK, PO BOX 974088 DALLAS,TX753974088	NURSE COVERAGE	4,221,494
MEDICAL SOLUTIONS, PO BOX 850737 MINNEAPOLIS,MN55485	PHYSICIAN COVERAGE	3,989,855
STAFF CARE, PO BOX 281923 ATLANTA,GA303841923	NURSE COVERAGE	1,926,366
LIFEPOINT REHABILITATION LLC, PO BOX 502096 ST LOUIS,MO631502096	NURSE COVERAGE	1,608,703
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 47

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public
Inspection

Name of the organization

SOUTHEAST HOSPITAL

Employer identification number

43-0654874

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2022

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2022 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2022. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2021. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2022

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2022 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2021 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2022 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2021 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2022. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2021. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2022

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2022

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2022

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2022

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2022 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2022	(iii) Distributable Amount for 2022
1 Distributable amount for 2022 from Section C, line 6
2 Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2022:
a From 2017.......
b From 2018.......
c From 2019.......
d From 2020.......
e From 2021.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2022 distributable amount
i Carryover from 2017 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2022 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2022 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2022, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2022. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2023. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2018.....
b Excess from 2019.....
c Excess from 2020.....
d Excess from 2021.....
e Excess from 2022.....

Schedule A (Form 990) (2022)

Schedule A (Form 990) 2022

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2022

Name of the organization

SOUTHEAST HOSPITAL

Employer identification number

43-0654874

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (2022)

Schedule B (Form 990) (2022) Page 2

Name of organization SOUTHEAST HOSPITAL

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2022)

Schedule B (Form 990) (2022)

Page 3

Name of organization SOUTHEAST HOSPITAL		Employer identification number 43-0654874

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2022)

Schedule B (Form 990) (2022)

Page 4


Name of organization SOUTHEAST HOSPITAL			Employer identification number 43-0654874
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2022)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

SOUTHEAST HOSPITAL

Employer identification number

43-0654874

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990) 2021

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2021

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

90,000

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

12,972

Total. Add lines 1c through 1i ....................................................................................................

102,972

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
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

Schedule C (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

SOUTHEAST HOSPITAL

Employer identification number

43-0654874

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2021

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	21,495,734		21,495,734
b	Buildings ....	160,970,667	94,442,114	66,528,553
c	Leasehold improvements	407,604	94,044	313,560
d	Equipment ....	241,804,736	197,262,854	44,541,882
e	Other .....	45,258,445	5,433,659	39,824,786
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				172,704,515

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	16,462,162
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2021

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
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 (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

SOUTHEAST HOSPITAL

Employer identification number

43-0654874

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	1,797,087		1,797,087	0.420 %
b	Medicaid (from Worksheet 3, column a) . . . . .	62,506,982	48,432,266	14,074,716	3.300 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	64,304,069	48,432,266	15,871,803	3.720 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).
f	Health professions education (from Worksheet 5) . . .	3,978,028	2,720,269	1,257,759	0.290 %
g	Subsidized health services (from Worksheet 6) . . . .	12,250,486	9,744,343	2,506,143	0.590 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .
j	Total. Other Benefits . .	16,228,514	12,464,612	3,763,902	0.880 %
k	Total. Add lines 7d and 7j .	80,532,583	60,896,878	19,635,705	4.600 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2022

Schedule H (Form 990) 2022

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

28,567,079

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

3,942,257

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

87,852,646

Enter Medicare allowable costs of care relating to payments on line 5.....

105,436,918

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-17,584,272

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2022

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?2Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)						Facility reporting group
1	SOUTHEAST HOSPITAL 1701 LACEY ST CAPE GIRARDEAU,MO63701 WWW.SEHEALTH.ORG 80	X	X	X	X	1
2	SOUTHEAST HEALTH OF STODDARD COUNTY 1200 NORTH ONE MILE ROAD DEXTER,MO63841 WWW.SEHEALTH.ORG 526	X	X		X	1

Schedule H (Form 990) 2022

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	FACILITY REPORTING GROUP #1
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 22

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V, SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE PART V, SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2022

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	FACILITY REPORTING GROUP #1
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.%
and FPG family income limit for eligibility for discounted care of 300.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, SECTION C

The FAP application form was widely available on a website (list url):

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2022

Page 6

Part VFacility Information (continued)

Billing and Collections

	FACILITY REPORTING GROUP #1
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2022

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	FACILITY REPORTING GROUP #1
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2022

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
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).

Schedule H (Form 990) 2022

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Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?54
Name and address		Type of Facility (describe)
1	SOUTHEAST CANCER CENTER 789 S MT AUBURN RD CAPE GIRARDEAU,MO63703	OUTPATIENT MEDICAL SERIVCES
2	SOUTHEAST PRIMARY CARE WEST 817 S MT AUBURN RD CAPE GIRARDEAU,MO63703	RURAL HEALTH CLINIC
3	SOUTHEAST HEALTHPOINT REHABILITATION 2126 INDEPENDENCE SUITE B CAPE GIRARDEAU,MO63701	OUTPATIENT REHAB SERVICES
4	SOUTHEAST HEALTHPOINT REHAB - JACKSON 410 WEST MAIN STREET DOOR B JACKSON,MO63755	OUTPATIENT REHAB SERVICES
5	SOUTHEAST WOUND CARE AND HYPERBARIC MED 310 S SILVER SPRINGS DR CAPE GIRARDEAU,MO63703	OUTPATIENT MEDICAL SERVICES
6	SOUTHEAST LAB SERVICES 62 DOCTORS PARK CAPE GIRARDEAU,MO63703	OUTPATIENT LABORATORY SERVICES
7	SOUTHEAST HOME HEALTH 10 DOCTORS PARK CAPE GIRARDEAU,MO63703	HOSPITAL BASED HHA
8	SOUTHEAST BREAST CARE AND DIAGNOSTIC CTR 60 DOCTORS PARK CAPE GIRARDEAU,MO63703	OUTPATIENT IMAGING SERVICES
9	SOUTHEAST GASTROENTEROLOGY 1723 BROADWAY SUITE 220 CAPE GIRARDEAU,MO63701	PHYSICIAN CLINIC
10	SOUTHEAST HEALTHPOINT FITNESS 2126 INDEPENDENCE CAPE GIRARDEAU,MO63701	FITNESS CENTER
11	SOUTHEAST PHARMACY 1723 BROADWAY SUITE 110 CAPE GIRARDEAU,MO63701	RETAIL PHARMACY
12	SOUTHEAST PEDIATRICS 25 DOCTORS PARK CAPE GIRARDEAU,MO63703	RURAL HEALTH CLINIC
13	SOUTHEAST NEUROLOGY 1723 BROADWAY SUITE 205 CAPE GIRARDEAU,MO63701	PHYSICIAN CLINIC
14	SOUTHEAST VISITING SPECIALISTS 1723 BROADWAY STREET SUITE 120 CAPE GIRARDEAU,MO63701	PHYSICIAN CLINIC
15	SOUTHEAST PHARMACY 817 S MT AUBURN RD SUITE 130 CAPE GIRARDEAU,MO63703	RETAIL PHARMACY
16	SOUTHEAST DIABETES CENTER 15 DOCTORS PARK CAPE GIRARDEAU,MO63703	OUTPATIENT MEDICAL SERVICES
17	SOUTHEAST PULMONOLOGY 371 S BROADVIEW STREET CAPE GIRARDEAU,MO63701	PHYSICIAN CLINIC
18	SOUTHEAST IMAGING 817 S MT AUBURN RD CAPE GIRARDEAU,MO63703	OUTPATIENT IMAGING SERVICES
19	SOUTHEAST OCCUPATIONAL MEDICINE 2126 INDEPENDENCE DOOR B CAPE GIRARDEAU,MO63701	PHYSICIAN CLINIC
20	SOUTHEAST PHYSICAL MEDICINE AND REHAB 2126 INDEPENDENCE CAPE GIRARDEAU,MO63701	PHYSICIAN CLINIC
21	SOUTHEAST HEALTHPOINT FITNESS 410 WEST MAIN STREET CAPE GIRARDEAU,MO63755	FITNESS CENTER
22	THE CLINIC AT WALMART BY SOUTHEASTHEALTH 2025 BUSINESS HWY 60 DEXTER,MO63841	RURAL HEALTH CLINIC
23	SOUTHEAST ENDOCRINOLOGY 15 DOCTORS PARK CAPE GIRARDEAU,MO63703	PHYSICIAN CLINIC
24	SOUTHEASTHEALTH FAMILY MEDICINE 1200 N ONE MILE RD DEXTER,MO63841	RURAL HEALTH CLINIC
25	SOUTHEAST HEALTH BLOOMFIELD CLINIC 1003 N HWY 25 BLOOMFIELD,MO63825	RURAL HEALTH CLINIC
26	SOUTHEAST HOME HEALTH OF DEXTER 1300 N ONE MILE ROAD DEXTER,MO63841	HOSPITAL BASED HHA
27	SOUTHEASTHEALTH MALDEN CLINIC 500 N DOUGLAS MALDEN,MO63863	RURAL HEALTH CLINIC
28	SOUTHEASTHEALTH BERNIE CLINIC 810 N WALNUT ST BERNIE,MO63822	RURAL HEALTH CLINIC
29	SOUTHEASTHEALTH FAM MED OF POPLAR BLUFF 2002 KANELL BOULEVARD STE 103 106 POPLAR BLUFF,MO63901	RURAL HEALTH CLINIC
30	CARDIOVASCULAR CONSULTANTS 371 S BROADVIEW ST CAPE GIRARDEAU,MO63703	PHYSICIAN CLINIC
31	SOUTHEASTHEALTH PHARMACY 2002 KANELL BOULEVARD SUITE 102 POPLAR BLUFF,MO63901	RETAIL PHARMACY
32	SOUTHEAST CONVENIENT CARE 2432 EAST MAIN JACKSON,MO63755	PHYSICIAN CLINIC
33	SOUTHEAST EAR NOSE AND THROAT 1723 BROADWAY STE 205 CAPE GIRARDEAU,MO63701	PHYSICIAN CLINIC
34	WOMEN FIRST OF SOUTHEASTHEALTH 1111 N MT AUBURN RD CAPE GIRARDEAU,MO63701	PHYSICIAN CLINIC
35	SOUTHEAST HOSPICE 10 DOCTORS PARK CAPE GIRARDEAU,MO63703	HOSPITAL BASED HHA
36	SOUTHEAST RHEUMATOLOGY 1723 BROADWAY SUITE 310 CAPE GIRARDEAU,MO63701	PHYSICIAN CLINIC
37	SOUTHEAST PRIMARY CARE JACKSON 2600 EAST MAIN STREET JACKSON,MO63755	PHYSICIAN CLINIC
38	SOUTHEAST CARDIAC IMAGING 371 S BROADVIEW STREET CAPE GIRARDEAU,MO63703	OUTPATIENT IMAGING SERVICES
39	SOUTHEAST CARDIAC AND PULMONARY REHAB 1708 LACEY STREET CAPE GIRARDEAU,MO63701	OUTPATIENT REHAB SERVICES
40	SOUTHEAST CAMPUS HEALTH CLINIC 725 N PACIFIC ROOM 101 CAPE GIRARDEAU,MO63701	CAMPUS HEALTH CLINIC
41	SOUTHEAST CARDIOVASCULAR AND THORACIC SU 1723 BROADWAY SUITE 210 CAPE GIRARDEAU,MO63701	PHYSICIAN CLINIC
42	SOUTHEAST PRIMARY CARE 624 OLD SAINT MARYS ROAD PERRYVILLE,MO63775	PHYSICIAN CLINIC
43	SOUTHEASTHEALTH IMAGING OF POPLAR BLUFF 2002 KANELL BLVD SUITE 104 POPLAR BLUFF,MO63901	OUTPATIENT IMAGING SERVICES
44	SOUTHEASTHEALTH LAB SERV OF POPLAR BLUFF 2002 KANELL BLVD SUITE 105 POPLAR BLUFF,MO63901	OUTPATIENT LABORATORY SERVICES
45	NEW MADRID CLINIC 800 US HWY 61 NEW MADRID,MO63869	RURAL HEALTH CLINIC
46	SIKESTON CLINIC 522 VIRGINIA STREET SIKESTON,MO63801	RURAL HEALTH CLINIC
47	SOUTHEAST WOMEN AND CHILDREN SERVICES 1413 N MT AUBURN ROAD CAPE GIRARDEAU,MO63701	PHYSICIAN CLINIC
48	SOUTHEAST IMAGING 1723 BROADWAY SUITE 130 CAPE GIRARDEAU,MO63701	OUTPATIENT IMAGING SERVICES
49	SOUTHEAST IMAGING 2600 EAST MAIN STREET JACKSON,MO63755	OUTPATIENT IMAGING SERVICES
50	SOUTHEAST OCCUPATIONAL MEDICINE 1300 N ONE MILE ROAD DEXTER,MO63841	PHYSICIAN CLINIC
51	SOUTHEAST LAB SERVICES 1723 BROADWAY SUITE 130 CAPE GIRARDEAU,MO63701	OUTPATIENT LAB SERVICES
52	SOUTHEAST LAB SERVICES 2600 EAST MAIN STREET JACKSON,MO63701	OUTPATIENT LAB SERVICES
53	SOUTHEAST PHARMACY 2600 EAST MAIN STREET JACKSON,MO63755	RETAIL PHARMACY
54	SOUTHEAST ORTHOPEDICS 1723 BROADWAY SUITE CAPE GIRARDEAU,MO63701	PHYSICIAN CLINIC

Schedule H (Form 990) 2022

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
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

Schedule H (Form 990) 2022

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2022

Open to Public
Inspection

Name of the organization
SOUTHEAST HOSPITAL

Employer identification number
43-0654874

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2022

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) FEDERAL STUDENT LOANS	128	875,355
(2) PELL GRANTS	89	330,283
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
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.

Schedule I (Form 990) 2022

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

SOUTHEAST HOSPITAL

Employer identification number

43-0654874

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2022

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1KENNETH BATEMAN PRESIDENT AND CEO	(i) (ii)	738,139 ------------- 0	0 ------------- 0	8,712 ------------- 0	126,600 ------------- 0	27,384 ------------- 0	900,835 ------------- 0	0 ------------- 0
2JAMIE HARRISON FAMILY PRACTITIONER	(i) (ii)	212,292 ------------- 0	193,360 ------------- 0	518 ------------- 0	6,100 ------------- 0	34,437 ------------- 0	446,707 ------------- 0	0 ------------- 0
3BRENT KELLER GI PHYSICIAN	(i) (ii)	928,440 ------------- 0	83,489 ------------- 0	3,515 ------------- 0	6,100 ------------- 0	33,334 ------------- 0	1,054,878 ------------- 0	0 ------------- 0
4DAVID LAW CARDIOLOGIST	(i) (ii)	351,353 ------------- 0	438,333 ------------- 0	1,479 ------------- 0	6,100 ------------- 0	26,919 ------------- 0	824,184 ------------- 0	0 ------------- 0
5ANTHONY MCPHERRON ORTHOPEDIC SURGEON	(i) (ii)	783,902 ------------- 0	100,000 ------------- 0	2,867 ------------- 0	26,600 ------------- 0	32,928 ------------- 0	946,297 ------------- 0	0 ------------- 0
6PAUL ROBISON CARDIOVASCULAR SURGEON	(i) (ii)	249,289 ------------- 0	100,000 ------------- 0	514,975 ------------- 0	13,196 ------------- 0	21,274 ------------- 0	898,734 ------------- 0	0 ------------- 0
7GABRIEL SOTO CARDIOLOGIST	(i) (ii)	496,101 ------------- 0	431,051 ------------- 0	1,167 ------------- 0	27,388 ------------- 0	27,318 ------------- 0	983,025 ------------- 0	0 ------------- 0
8MATTHEW JANZOW VP AND CHIEF MEDICAL OFFICER	(i) (ii)	424,441 ------------- 0	0 ------------- 0	2,250 ------------- 0	6,100 ------------- 0	33,996 ------------- 0	466,787 ------------- 0	0 ------------- 0
9MARIELLENA SUDAK VP AND CHIEF OPERATING OFFICER	(i) (ii)	350,578 ------------- 0	0 ------------- 0	3,260 ------------- 0	6,100 ------------- 0	25,257 ------------- 0	385,195 ------------- 0	0 ------------- 0
10ERIN PFEIFER VP OF HUMAN RESOURCES AND DEVE	(i) (ii)	230,535 ------------- 0	0 ------------- 0	1,389 ------------- 0	4,793 ------------- 0	23,047 ------------- 0	259,764 ------------- 0	0 ------------- 0
11STEVEN LANGDON PRESIDENT - COLLEGE OF NURSING	(i) (ii)	219,766 ------------- 0	0 ------------- 0	2,055 ------------- 0	4,482 ------------- 0	18,106 ------------- 0	244,409 ------------- 0	0 ------------- 0
12GINA LEATH VP AND CHIEF NURSING OFFICER	(i) (ii)	218,244 ------------- 0	0 ------------- 0	2,075 ------------- 0	4,541 ------------- 0	30,490 ------------- 0	255,350 ------------- 0	0 ------------- 0
13KRISTA BERRY CONTROLLER	(i) (ii)	204,642 ------------- 0	0 ------------- 0	7,666 ------------- 0	4,313 ------------- 0	16,788 ------------- 0	233,409 ------------- 0	0 ------------- 0
14REGINA FAULKENBERRY VP AND GENERAL COUNSEL	(i) (ii)	183,917 ------------- 0	0 ------------- 0	994 ------------- 0	3,881 ------------- 0	24,171 ------------- 0	212,963 ------------- 0	0 ------------- 0
15SHAUNA WINTERS HOFFMAN VP OF MARKETING & DEVELOPMENT	(i) (ii)	202,599 ------------- 0	0 ------------- 0	1,856 ------------- 0	4,119 ------------- 0	11,290 ------------- 0	219,864 ------------- 0	0 ------------- 0
16SHERRIE LANE DIRECTOR OF PHARMACY	(i) (ii)	170,689 ------------- 0	0 ------------- 0	4,046 ------------- 0	3,532 ------------- 0	9,916 ------------- 0	188,183 ------------- 0	0 ------------- 0
17KATHRYN VICKERY VP ANCILLARY SERVICES	(i) (ii)	235,792 ------------- 0	0 ------------- 0	2,565 ------------- 0	4,793 ------------- 0	18,880 ------------- 0	262,030 ------------- 0	0 ------------- 0
18SUE ANN WILLIAMS CEO STODDARD	(i) (ii)	152,830 ------------- 0	0 ------------- 0	1,730 ------------- 0	3,214 ------------- 0	32,732 ------------- 0	190,506 ------------- 0	0 ------------- 0
19JASON EMMENDERFER EXEC DIR SPORTS MED AND ORTHO	(i) (ii)	147,862 ------------- 0	0 ------------- 0	2,340 ------------- 0	3,164 ------------- 0	30,583 ------------- 0	183,949 ------------- 0	0 ------------- 0
20MICHAEL NICHOLS VP & CHIEF INFORMATION OFFICER	(i) (ii)	293,844 ------------- 0	0 ------------- 0	3,201 ------------- 0	6,091 ------------- 0	26,589 ------------- 0	329,725 ------------- 0	0 ------------- 0
21STEVEN HAAS VP AND CHIEF FINANCIAL OFFICER	(i) (ii)	346,881 ------------- 0	0 ------------- 0	4,160 ------------- 0	6,100 ------------- 0	29,380 ------------- 0	386,521 ------------- 0	0 ------------- 0
22MARIA STIFFLER EXECUTIVE DIRECTOR HEART LUNG	(i) (ii)	164,339 ------------- 0	0 ------------- 0	2,281 ------------- 0	3,319 ------------- 0	1,051 ------------- 0	170,990 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2022

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
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.

Schedule J (Form 990) 2022

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization
SOUTHEAST HOSPITAL

Employer identification number
43-0654874

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	IND DEV AUTH OF THE COUNTY OF CAPE GIRARDEAU MO	43-1193901	86149UAB0	03-16-2016	21,930,000	REVENUE AND REFUNDING BONDS		X		X		X
B	IND DEV AUTH OF STODDARD COUNTY MO	43-1282203	86149UAA2	03-16-2016	16,880,000	REVENUE AND REFUNDING BONDS		X		X		X
C	IND DEV AUTH OF THE COUNTY OF CAPE GIRARDEAU MO	43-1193901	139404GT8	08-24-2017	94,510,782	REVENUE AND REFUNDING BONDS		X		X		X
D	IND DEV AUTH OF STODDARD COUNTY MO	43-1282203	86149UAB0	08-24-2017	6,707,250	REVENUE AND REFUNDING BONDS		X		X		X
	IND DEV AUTH OF THE COUNTY OF CAPE GIRARDEAU MO	43-1193901	139404HT7	05-25-2021	66,088,649	REVENUE AND REFUNDING BONDS		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	5,300,000		1,840,000		23,770,782		0
2 Amount of bonds legally defeased ..............	0		0		0		0
3 Total proceeds of issue ..................	21,983,777		16,889,125		94,697,311		6,716,760
4 Gross proceeds in reserve funds .............	663,656		510,770		0		0
5 Capitalized interest from proceeds .............	0		0		0		0
6 Proceeds in refunding escrows ...............	17,910,771		11,140,866		78,420,703		0
7 Issuance costs from proceeds ...............	383,916		257,336		1,286,579		103,159
8 Credit enhancement from proceeds .............	0		0		0		0
9 Working capital expenditures from proceeds .............	0		0		0		0
10 Capital expenditures from proceeds .............	3,025,513		4,980,153		14,990,029		6,613,601
11 Other spent proceeds .............	0		0		0		0
12 Other unspent proceeds .............	0		0		0		0
13 Year of substantial completion .............	2019		2018		2019		2018
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........	X		X		X			X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2021

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %		0 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............		X		X		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X	X		X		X
b Exception to rebate? ........		X		X		X		X
c No rebate due? .........	X			X		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X		X		X

Schedule K (Form 990) 2021

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........	0		0		0		0
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........	0		0		0		0
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
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
SCHEDULE K, PART II, LINE 3, COLUMN A	TOTAL PROCEEDS ON LINE 3 DOES NOT EQUAL THE ISSUE PRICE. LINE 3 INCLUDES INVESTMENT INCOME.

Schedule K (Form 990) 2021

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization
SOUTHEAST HOSPITAL

Employer identification number
43-0654874

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	IND DEV AUTH OF THE COUNTY OF CAPE GIRARDEAU MO	43-1193901	86149UAB0	03-16-2016	21,930,000	REVENUE AND REFUNDING BONDS		X		X		X
B	IND DEV AUTH OF STODDARD COUNTY MO	43-1282203	86149UAA2	03-16-2016	16,880,000	REVENUE AND REFUNDING BONDS		X		X		X
C	IND DEV AUTH OF THE COUNTY OF CAPE GIRARDEAU MO	43-1193901	139404GT8	08-24-2017	94,510,782	REVENUE AND REFUNDING BONDS		X		X		X
D	IND DEV AUTH OF STODDARD COUNTY MO	43-1282203	86149UAB0	08-24-2017	6,707,250	REVENUE AND REFUNDING BONDS		X		X		X
	IND DEV AUTH OF THE COUNTY OF CAPE GIRARDEAU MO	43-1193901	139404HT7	05-25-2021	66,088,649	REVENUE AND REFUNDING BONDS		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	5,300,000		1,840,000		23,770,782		0
2 Amount of bonds legally defeased ..............	0		0		0		0
3 Total proceeds of issue ..................	21,983,777		16,889,125		94,697,311		6,716,760
4 Gross proceeds in reserve funds .............	663,656		510,770		0		0
5 Capitalized interest from proceeds .............	0		0		0		0
6 Proceeds in refunding escrows ...............	17,910,771		11,140,866		78,420,703		0
7 Issuance costs from proceeds ...............	383,916		257,336		1,286,579		103,159
8 Credit enhancement from proceeds .............	0		0		0		0
9 Working capital expenditures from proceeds .............	0		0		0		0
10 Capital expenditures from proceeds .............	3,025,513		4,980,153		14,990,029		6,613,601
11 Other spent proceeds .............	0		0		0		0
12 Other unspent proceeds .............	0		0		0		0
13 Year of substantial completion .............	2019		2018		2019		2018
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........	X		X		X			X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2021

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %		0 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............		X		X		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X	X		X		X
b Exception to rebate? ........		X		X		X		X
c No rebate due? .........	X			X		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X		X		X

Schedule K (Form 990) 2021

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........	0		0		0		0
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........	0		0		0		0
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
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
SCHEDULE K, PART II, LINE 3, COLUMN A	TOTAL PROCEEDS ON LINE 3 DOES NOT EQUAL THE ISSUE PRICE. LINE 3 INCLUDES INVESTMENT INCOME.

Schedule K (Form 990) 2021

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Schedule L
(Form 990)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

SOUTHEAST HOSPITAL

Employer identification number

43-0654874

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990) 2021

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) ERIC BATEMAN	SEE PART V	66,114	COMPENSATION		No
(2) JULIE KIRCHDOERFER-ETINK	SEE PART V	70,708	COMPENSATION		No
(3) PARKER KOHLFELD	SEE PART V	256,531	COMPENSATION		No
(4) JENNIFER SUDAK	SEE PART V	41,282	COMPENSATION		No
(5) CHRISTINA WILCSEK	SEE PART V	41,125	COMPENSATION		No
(6) RYAN WILCSEK	SEE PART V	30,733	COMPENSATION		No
(7) SCOTT LEATH	SEE PART V	40,988	COMPENSATION		No
(8) PETER KINDER	SEE PART V	130,540	COMPENSATION		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference

Explanation

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.

Schedule L (Form 990) 2021

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SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

SOUTHEAST HOSPITAL

Employer identification number

43-0654874

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...	X	1	115,000	FAIR MARKET VALUE
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( )
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2022)

Page 2

Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation
SCHEDULE M, PART I, COLUMN B	NUMBER OF CONTRIBUTIONS: THE NUMBER OF CONTRIBUTIONS LISTED IN COLUMN B IS BASED ON THE NUMBER OF CONTRIBUTORS.

Schedule M (Form 990) (2022)

Additional Data

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SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

SOUTHEAST HOSPITAL

Employer identification number

43-0654874

Return Reference	Explanation
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

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

SOUTHEAST HOSPITAL

Employer identification number

43-0654874

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) SOUTHEAST MISSOURI HOSPITAL PHYSICIANS LLC 1701 LACEY STREET CAPE GIRARDEAU,MO63701 43-1912860	PHYSICIANS	MO	0	0	SEH
(2) SOUTHEASTHEALTH HOSPITAL HOLDINGS LLC 2002 KANELL BOULEVARD POPLAR BLUFF,MO63901 46-1480915	HOLDING CO	MO	0	0	SEH
(3) SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC 1200 NORTH ONE MILE RO DEXTER,MO63841 46-1481133	HEALTHCARE	MO	45,451,115	38,287,279	SEH
(4) SERVIR LLC 1701 LACEY STREET CAPE GIRARDEAU,MO63701 45-2912066	IT	MO	0	0	SEH
(5) SOUTHEAST HEALTH PHARMACY LLC 2002 KANELL BOULEVARD POPLAR BLUFF,MO63901 46-1606996	PHARMACY	MO	2,668,952	536,787	SEH
(6) SOUTHEAST HEALTH CENTER OF REYNOLDS COUNTY LLC 100 HIGHWAY 21 SOUTH ELLINGTON,MO63638 46-1480575	HEALTHCARE	MO	0	0	SEH
(7) CARDIOVASCULAR CONSULTANTS OF CAPE GIRARDEAU LLC 1701 LACEY STREET CAPE GIRARDEAU,MO63701 43-1268532	PHYS CLINIC	MO	0	0	SEH
(8) SOUTHEAST HEALTH CLINICS-RH LLC 1701 LACEY STREET CAPE GIRARDEAU,MO63701	PHYS CLINIC	MO	0	0	SEH
(9) ELITE STAFFING OF TENNESSEE LLC 511 UNION ST STE 1000 NASHVILLE,TN37219 88-2733650	NURSE STAFF	TN	0	0	SEH
(10) ELITE STAFFING HOLDING CO LLC 1000 WALNUT ST STE 1400 KANSAS CITY,MO64106 88-2739249	NURSE STAFF	MO	0	0	SEH

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)SOUTHEAST HEALTH CENTER OF RIPLEY COUNTY 1701 LACEY STREET CAPE GIRARDEAU,MO63701 27-3868479	HOSPITAL	MO	501(C)(3)	3	SEH SYSTEM		No
(2)SOUTHEASTHEALTH SYSTEM 1701 LACEY STREET CAPE GIRARDEAU,MO63701 47-4890906	PARENT	MO	501(C)(3)	12C III-FI	NA		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2021

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No

Schedule R (Form 990) 2021

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

Yes

e Loans or loan guarantees by related organization(s) ............................

Yes

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2021

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2021

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2021

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TOGETHER WE WILL EVOLVE HEALTHCARE THROUGH INNOVATION, COMPASSION AND PARTNERSHIPS.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	23
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	19
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	3,070
6	Total number of volunteers (estimate if necessary) .............	6	72
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	13,228,883
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	25,651,569	11,494,620
9	Program service revenue (Part VIII, line 2g) .........	400,707,448	390,664,583
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	1,836,574	3,758,981
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	-1,584,508	-1,029,769
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	426,611,083	404,888,415
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	1,681,851	1,205,638
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	189,213,629	188,628,858
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	218,493,760	237,012,533
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	409,389,240	426,847,029
19	Revenue less expenses. Subtract line 18 from line 12.......	17,221,843	-21,958,614
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	474,182,729	410,375,855
21	Total liabilities (Part X, line 26).............	290,723,610	259,839,554
22	Net assets or fund balances. Subtract line 21 from line 20.....	183,459,119	150,536,301

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 376,708,078 including grants of $ 1,205,638 ) (Revenue $ 391,475,710 )
	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.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses376,708,078

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	9,227,809	0	816,496

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	10,800,021

f	All other contributions, gifts, grants, and similar amounts not included above		1f	694,599

g	Noncash contributions included in lines 1a - 1f:$		1g	115,000

h Total. Add lines 1a-1f.......		11,494,620

		Business Code
2a	NET PATIENT SERVICE REVENUE	621400	370,134,814	370,134,814
b	PHARMACY REVENUE	456110	9,015,445	2,659,770	6,355,675
c	LAB REVENUE	621500	6,814,968		6,814,968
d	TUITION REVENUE	611600	2,692,731	2,692,731
e	CAFETERIA REVENUE	722514	514,050	514,050
f	All other program service revenue.		1,492,575	1,434,335	58,240
g	Total. Add lines 2a–2f .....		390,664,583

3 Investment income (including dividends, interest, and othersimilar amounts) ......			2,319,225			2,319,225
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		561,439	6a
b	Less: rental expenses		456,718	6b
c	Rental income or (loss)	0	104,721	6c
d	Net rental income or (loss).......			104,721			104,721
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	45,599	56,254,058	7a
b	Less: cost or other basis and sales expenses	255,585	54,604,316	7b
c	Gain or (loss)	-209,986	1,649,742	7c
d	Net gain or (loss).........			1,439,756			1,439,756
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a	0
b	Less: direct expenses ...		8b	0
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a	0
b	Less: direct expenses ...		9b	0
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
			10a	0
b	Less: cost of goods sold ..		10b	0
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a	LOSS ON EQUITY INVESTEE		900099	-846,967			-846,967
b	Loss on Restructuring		900099	-287,523			-287,523
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			-1,134,490
12	Total revenue. See instructions.....			404,888,415	377,435,700	13,228,883	2,729,212

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	0
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	1,205,638	1,205,638
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............	0
4	Benefits paid to or for members .......	0
5	Compensation of current officers, directors, trustees, and key employees ...........	5,237,187	2,348,250	2,888,937
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	682,113	682,113
7	Other salaries and wages........	156,976,652	128,450,515	28,526,137
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	2,826,596	2,297,535	529,061
9	Other employee benefits .......	11,516,951	9,327,545	2,189,406
10	Payroll taxes ...........	11,389,359	9,083,693	2,305,666
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	287,308		287,308
c	Accounting ...........	436,648		436,648
d	Lobbying ...........	90,000	81,292	8,708
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	58,110,882	53,562,274	4,548,608
12	Advertising and promotion ....	2,217,484	2,002,925	214,559
13	Office expenses .......	10,178,179	9,191,444	986,735
14	Information technology ......	11,029,152	9,961,993	1,067,159
15	Royalties ..	0
16	Occupancy ...........	5,168,597	4,668,494	500,103
17	Travel ............	433,367	391,435	41,932
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	766,145	692,014	74,131
20	Interest ...........	6,050,704	4,886,381	1,164,323
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	19,158,037	15,425,953	3,732,084
23	Insurance ...	4,599,427	4,154,395	445,032
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES & DRUGS	98,516,514	98,516,514
b	PROVIDER TAX	17,981,511	17,981,511
c	LICENSES, DUES, SUBSCRIPTIONS	1,063,115	960,250	102,865
d	RECRUITING & RETENTION	689,343	622,644	66,699
e	All other expenses	236,120	213,270	22,850
25	Total functional expenses. Add lines 1 through 24e	426,847,029	376,708,078	50,138,951	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			14,987,350	1	10,103,296
2	Savings and temporary cash investments .........			133,536,953	2	63,650,785
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			52,930,947	4	51,861,145
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........			38,731	7	14,249
8	Inventories for sale or use ............			8,836,697	8	8,464,391
9	Prepaid expenses and deferred charges ......			4,454,279	9	5,307,603
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	469,937,186
b	Less: accumulated depreciation	10b	297,232,671	154,177,692	10c	172,704,515
11	Investments—publicly traded securities .			82,274,540	11	77,785,139
12	Investments—other securities. See Part IV, line 11 .....			5,211,197	12	4,514,991
13	Investments—program-related. See Part IV, line 11 ..			5,533,464	13	5,047,698
14	Intangible assets ...............			2,623,873	14	757,304
15	Other assets. See Part IV, line 11 ...........			9,577,006	15	10,164,739
16	Total assets. Add lines 1 through 15 (must equal line 33)...			474,182,729	16	410,375,855

17	Accounts payable and accrued expenses .....	52,843,934	17	54,258,610
18	Grants payable ...	0	18	0
19	Deferred revenue .........	9,216,862	19	210,286
20	Tax-exempt bond liabilities .........	183,186,598	20	177,715,818
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	11,457,022	23	11,192,678
24	Unsecured notes and loans payable to unrelated third parties ..	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	34,019,194	25	16,462,162
26	Total liabilities. Add lines 17 through 25..	290,723,610	26	259,839,554

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	177,925,655	27	145,488,603
28	Net assets with donor restrictions ...........	5,533,464	28	5,047,698
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	183,459,119	32	150,536,301
33	Total liabilities and net assets/fund balances ........	474,182,729	33	410,375,855