Saint Francis Healthcare System

What it reported doing in 2024

Since its founding in 1875, saint francis medical center's (sfmc) mission has been to provide health care services to everyone, regardless of race, creed, gender, national origin, handicap, age or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of sfmc, it is recognized that not all individuals possess the ability to purchase essential medical services. In fulfilling our mission to serve residents of cape girardeau and the surrounding region, sfmc provides: -free and/or subsidized care when need and/or an individual's inability to pay coexist. This past year, sfmc provided over $37.6 million in free and/or subsidized care. -care for persons covered by governmental programs that reimburse below actual cost. -health screenings and educational programs to support the healthcare needs of the community. Sfmc provides a variety of wellness programs, community health education activities, special programs for the elderly, handicapped, medically underserved and participates in a variety of broad community support activities.sfmc served 9,537 inpatients, 45,333 emergency patients. During 2025, sfmc performed a total of 12,523 surgical procedures and had 290,748 patients registered. Physicians and other providers had a total of 811,377 patient encounters. During the fiscal year, sfmc had a total of 63,846 patient days in its medical/surgical, critical care, obstetric, and rehabilitation care units. Sfmc provides care to persons covered by governmental programs, for which it is reimbursed below cost. Recognizing its mission in the community, sfmc provides services to both medicare and medicaid patients. The unreimbursed value of providing care to these patients was in excess of$97.2 million in fy 2025. Charity care is provided in the form of many reduced priceand free services offered throughout the year. Sfmc strongly believes these programs and services fill a real need in the community. These programs and services include the following:-participation in and/or sponsorship of many community health fairs. These events range from children's special events to senior health fairs. These events draw several thousand attendees each year. -sfmc sponsors the regional arthritis center, offering information and assistance to people throughout southeast Missouri. -free or discounted health screenings (cholesterol, blood pressure, glaucoma, blood sugar, etc.) provided at health fairs and community health education programs, as well as our weekly wednesday morning heart health screenings.-community health forums were offered on topics such as arthritis, diabetes, cardiovascular fitness, children's health and safety, nutrition, breast cancer and osteoporosis. Other wellness programs such as weight management and smoking cessation are subsidized by sfmc and offered for a nominal fee.-childbirth, siblings, breastfeeding and infant care classes are provided free of charge to expectant mothers and young families. Sfmc sponsors healthcare speakers for community events and civic meetings. Sfmc staff presents free programs on a variety of health and wellness topics to various community, school and church groups throughout the year. Several sfmc outpatient clinics are offered at reduced fee or no cost to patients and their families. The clinics address diabetic footcare, genetics, orthopedics and sports injuries. -sfmc provides free first aid services at the weeklong semo district fair in cape girardeau. Medical center personnel staff the first aid station and provide minor medical services to hundreds of people during the course of the week. Sfmc also provides staff and first aid materials for other civic functions during the fiscal year. Sfmc provides free meeting room space and related assistance to many healthcare support groups. Several hundred people regularly participate in these support groups for diseases and disorders including breast cancer, muscular dystrophy, sleep disturbance, head injuri

Financial Efficiency

• Mission deployment rate: 57.3%; rating input score 57
• Program expense ratio: 78.5%; rating input score 78
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
• Pay-setting controls: 5 of 6 controls in place; rating input score 83
  • Compensation committee: Pass
  • Independent consultant: Pass
  • Other Form 990s reviewed: Missing
  • Written employment contract: Pass
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Limited
• Related-party transparency: Limited

Accountability

• Independent voting board: 75%; rating input score 75; 24th percentile among comparable filings
• Governance controls: 8 of 9 controls in place; rating input score 89
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Fail
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 17.3%; rating input score 85; 85th percentile among comparable filings
• Total-asset coverage ratio: 1.81; rating input score 60; 60th percentile among comparable filings
• Liabilities to assets ratio: 0.17; rating input score 72; 72nd percentile among comparable filings
• Officer compensation ratio: 0.1%; rating input score 92; 92nd percentile among comparable filings

Growth

• Program expense growth: 1.4% per year; rating input score 100; 12th percentile among comparable filings
• Revenue growth: 4.1% per year; rating input score 100; 34th percentile among comparable filings
• Asset growth: 6.1% per year; rating input score 100; 45th percentile among comparable filings