2022-11-14T23:31:15-06:00 2021-12-31 350921680 CROWE LLP 225 West Wacker Drive Suite 2600 Chicago IL 606061224 990 2021-01-01 362264414 St Bernard Hospital STBE 7739624100 326 WEST 64TH STREET CHICAGO IL 60621 CHARLES HOLLAND JR PRESIDENT/CEO 7739624100 2022-11-14 true Charles Holland Jr 999009999 Jennifer Burke P01342224 3128997000 2021 2022-09-23 18:48:47Z CHARLES A HOLLAND JR 326 WEST 64TH STREET CHICAGO IL 60621 104882547 false X WWW.STBH.ORG X 1904 IL St. Bernard Hospital (SBH) aspires to live the healing mission of Christ within the South Side community of Chicago. During 2021 SBH provided $4.1 million in charity care at cost under its charity care policy. 14 13 940 14 0 0 28499789 10267707 87531045 90165173 137016 35083 3513007 4344077 119680857 104812040 0 0 56118911 54286546 0 104465 48316874 55166736 104435785 109453282 15245072 -4641242 113383248 104253183 39843052 35354229 73540196 68898954 X Since founded in 1904 by the Religious Hospitallers of Saint Joseph, a Catholic facility now sponsored by Catholic Health International, St. Bernard Hospital (SBH) aspires to live the Healing Mission of Christ within the South Side Community of Chicago. (Continued on Schedule O) false false 58111789 51095606 ST. BERNARD HOSPITAL OFFERS A FULL CONTINUUM OF INPATIENT SERVICES INCLUDING MEDICAL SURGICAL SERVICES, ICU, TELEMETRY, OBSTETRICS, NURSERY, NEONATOLOGY, MEDICAL DETOX, AND INPATIENT MENTAL HEALTH SERVICES. DURING 2021 ST. BERNARD HOSPITAL PROVIDED 23,981 INPATIENT DAYS OF SERVICE TO 4,069 PATIENTS. IN ADDITION, THE HOSPITAL HAD 1,586 MENTAL HEALTH ADMISSIONS. 22894703 20130489 DURING 2021 EMERGENCY ROOM SERVICES WERE PROVIDED TO 31,539 PATIENTS. THE EMERGENCY ROOM OF ST. BERNARD HOSPITAL SERVES AS THE PSYCHIATRIC TRIAGE CENTER FOR THE SOUTH SIDE OF CHICAGO COMMUNITY. THE EMERGENCY ROOM ALSO INCLUDES A FAST TRACK TREATMENT AREA AS A WAY TO FASTER TREAT PATIENTS WITH LESS SEVERE MEDICAL CONDITIONS. THIS ENABLES ST. BERNARD HOSPITAL TO GIVE ITS PATIENTS THE RESPONSIVE AND IMMEDIATE TREATMENT THEY DESERVE. 21097697 18550447 DURING 2021 ST. BERNARD HOSPITAL PROVIDED A FULL RANGE OF OUTPATIENT DIAGNOSTIC TREATMENT TO 72,244 OUTPATIENTS. SUCH SERVICES INCLUDED LAB WORK, X-RAYS, ULTRASOUNDS, NUCLEAR MEDICINE, CT SCANS, MAMMOGRAPHY SERVICES, EKG'S, AND EEG'S. ST. BERNARD HOSPITAL ALSO OPERATES A NUMBER OF DIFFERENT CLINICS. CLINICS OF ST. BERNARD HOSPITAL ARE OPEN TO TREAT ASTHMA, ORTHOPEDIC AND PODIATRIC PATIENTS. IN ADDITION, ST. BERNARD HOSPITAL OPERATES A DENTAL CLINIC, WHICH OPENED IN 2007, GEARED TOWARD TREATING CHILDREN, THAT TREATED 2,722 CHILDREN AND 2,405 ADULTS IN 2021. THE HOSPITAL ALSO OPERATES A MOBILE MEDICAL UNIT PROGRAM, WHICH WAS OPENED IN 2003, IT TREATED 2,849 PATIENTS TO PROVIDE IMMUNIZATIONS AND SCHOOL PHYSICALS TO THE CHILDREN IN ENGLEWOOD AND OTHER NEIGHBORHOODS ON THE SOUTH SIDE OF CHICAGO. 3543171 THE ORGANIZATION RECEIVES OTHER PROGRAM SERVICE REVENUE RELATED TO ANESTHESIA, DENTAL AND ORTHO SERVICES, THE RENTAL OF SPACE FOR ITS PHYSICIANS, AS WELL AS OTHER REVENUE FROM MAINTENANCE AND MEDICAL RECORDS. 3543171 102104189 true true false true false false false false true true false false false true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true false false false true 87 0 true 940 true false false false false false true true false false false false false false X 14 13 false false false false true true true true true false false true true true true true true false false true false X Robert Springer 7739624210 326 West 64th Street Chicago IL 60621 CHARLES HOLLAND JR PRESIDENT/CEO 40.0 2.0 X X 395468 0 23865 HENRY WIGGINS SECRETARY THRU FEB 2021 1.0 1.0 X X 0 0 0 OLALEKAN SOWADE MD VICE CHAIR, TREASURER & CHIEF OF STAFF 1.0 1.0 X X 0 0 0 PATRICIA MERRYWEATHER-ARGES CHAIRPERSON 1.0 1.0 X X 0 0 0 SR MARY POKORNY OP SECRETARY-EFFECTIVE MARCH 2021 1.0 2.0 X X 0 0 0 CAROL COLLUM EdD TRUSTEE 1.0 1.0 X 0 0 0 DANTE PIMENTEL MD MEDICAL STAFF PRESIDENT 1.0 1.0 X 0 0 0 FELICIA SLATON-YOUNG TRUSTEE 1.0 1.0 X 0 0 0 GEORGE DENGLER DO MEDICAL STAFF REPRESENTATIVE 1.0 1.0 X 0 0 0 GREGORY THOMAS PHD TRUSTEE 1.0 1.0 X 0 0 0 MICHAEL CLEAVENGER TRUSTEE 1.0 1.0 X 0 0 0 RAJ KHURANA MD TRUSTEE 1.0 1.0 X 0 0 0 REV GERALD DEW D Min TRUSTEE 1.0 1.0 X 0 0 0 SR ELIZABETH VAN STRATEN RHSJ TRUSTEE 1.0 2.0 X 0 0 0 SR JOANNE DELEHANTY OP TRUSTEE 1.0 1.0 X 0 0 0 DIAHANN SINCLAIR VP OF ORGANIZATIONAL & COMM DEVELOPMENT 40.0 0 X 126916 0 10165 EVELYN JONES VP OF NURSING 40.0 0 X 177736 0 14987 MICHAEL RICHARDSON PATIENT SAFETY & QUALITY OFFICER 40.0 0 X 37239 0 184 ROBERT SPRINGER CFO 40.0 0 X 220654 0 22341 ROLAND ABELLERA CHIEF OPERATIONS OFFICER 40.0 0 X 247454 0 28152 ABIGAIL STERN CLINICAL DIRECTOR OF DENTAL 40.0 0 X 190227 0 946 BESSIE ARCIGA JOAQUIN REGISTERED NURSE 52.0 0 X 162437 0 24282 EDNA RETIRADO REGISTERED NURSE 60.7 0 X 226826 0 22317 JOSE MARLOWE GUJIL REGISTERED NURSE 53.8 0 X 166882 0 9060 MARIJOY MENDOZA REGISTERED NURSE 60.6 0 X 200095 0 23075 2151934 0 179374 69 false true false PROLINK HEALTHCARE 4600 MONTGOMERY ROAD SUITE 300 CINCINNATI OH 45212 STAFFING FEES 3430795 SOUTH YALE EMERGENCY PHYSICIANS 326 WEST 64TH ST CHICAGO IL 60621 ER PHYSICIAN FEES 2861956 SPARC WELLNESS 2325 S MICHIGAN CHICAGO IL 60616 SOCIAL SERVICES & CASE MANAGEMENT FEES 2015670 MAXIM HEATHCARE SERVICES 13877 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 STAFFING FEES 1180964 SODEXO 4880 PAYSPHERE CIRCLE CHICAGO IL 60674 FOOD SERVICES MANAGEMENT 1114491 21 7027467 3240240 10267707 INPATIENT REVENUE 621110 51095606 51095606 OUTPATIENT REVENUE 621400 18550447 18550447 EMERGENCY REVENUE 621400 20130489 20130489 RENTAL REVENUE 621300 388631 388631 0 0 0 0 90165173 105590 105590 0 0 70507 -70507 0 -70507 -70507 PIH PAYMENTS 900099 756067 756067 CAFETERIA 722514 433470 433470 MEDICAL RECORDS 900099 20408 20408 3134132 3134132 0 0 4344077 104812040 93319713 0 1224620 X 1474576 1474576 40771287 39466057 1208028 97202 450833 428291 22542 8486897 7553338 933559 3102953 2925799 170383 6771 102527 102527 108000 108000 144000 144000 45193 45193 24266797 23223469 1043328 0 153069 153069 416762 416270 492 549541 412156 137385 4097234 3277787 819447 5100 3789 1311 128 128 24161 19329 4832 4638156 4638156 649387 246306 403081 Patient Supplies & Drugs 11751463 11751463 State Assessment 7381405 7381405 833813 776844 56969 0 109453282 102104189 7244628 104465 26139076 20113455 5872806 6418739 760000 1165000 14704629 12561997 0 0 0 0 1215934 1362556 1018988 1169523 158444399 104565426 55326003 53878973 8316863 7554980 0 0 28949 27960 113383248 104253183 13032522 10515392 0 0 1934848 24875682 24838837 39843052 35354229 67667391 62480215 5872805 6418739 0 73540196 68898954 113383248 104253183 -4641242 0 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 144000 false false 144000 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY AT THE STATE LEVEL LOBBYING WAS DONE TO EDUCATE LEGISLATORS AND GOVERNMENT OFFICIALS REGARDING ISSUES RELATING TO SAFETY NET HOSPITALS AND THE MEDICAID PROGRAM. AT THE FEDERAL LEVEL, LOBBYING WAS DONE TO EDUCATE LEGISLATORS AND GOVERNMENT OFFICIALSREGARDING ISSUES RELATING TO SAFETY NET HOSPITALSAND THE CARES ACT PROVIDERS RELIEF FUNDS. 2924156 319866 5992 3238030 2548040 381190 5074 2924156 2135700 417032 4692 2548040 2203523 -63434 4389 2135700 1934199 273395 4071 2203523 0.0 0.6 0.4 false false 6876544 6876544 92682461 55816752 36865709 58782798 48748674 10034124 102596 102596 53878973 EST LIAB - SELF INSURANCE PROGRAM 11435357 FIN 47 LIABILITY 307780 EST PAYABLES - THIRD PARTY REIMB. 1095700 Due To Related Organization 12000000 24838837 X Schedule D, Part V, Line 4 Intended uses of endowment funds The intended uses of the endowment funds are to help fund hospital outpatient services and children and adult outreach programs to better serve the community. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The Corporations (St. Bernard Hospital & Affiliates) follow the provisions of ASC Subtopic 740-10, Income Taxes - Overall. ASC Subtopic 740-10 clarifies the accounting for uncertainty in tax positions and also provides guidance on when the tax positions are recognized in an entity's financial statements and how the values of these positions are determined. As of December 31, 2021 and 2020 the Corporations do not have a liability for unrecognized tax benefits. true true X true X true X 600 true true true false true true 11519457 7381405 4138052 0.0378 0 0.0 0 0.0 0 0 11519457 7381405 4138052 0.0378 6186363 1584302 4602061 0.0420 695402 232083 463319 0.0042 10234387 2801610 7432777 0.0679 0 0.0 66619 66619 0.0006 0 0 17182771 4617995 12564776 0.1148 0 0 28702228 11999400 16702828 0.1526 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 1544465 0 18649135 28825649 -10176514 X true true PARTNERS IN HEALTH PROVIDE HEALTH CARE SERVICES TO MEDICAID PATIENTS 0.5 0.0 0.5 1 1 St Bernard Hospital 326 West 64th Street Chicago IL 60621 www.STBH.ORG Illinois Dept of Public Health 0002303 X X X X X St Bernard Hospital 1 false false true X X X X X X X X X 21 true false true true X https://rjgm1127reo287weg3e4awb3-wpengine.netdna-ssl.com/wp-content/uploads/STBH-CHNA-Final.pdf X true 22 true https://rjgm1127reo287weg3e4awb3-wpengine.netdna-ssl.com/wp-content/uploads/2021-Community-Health-Ne false true X 200.0 600.0 true true X X X true X https://www.stbh.org/patients/financial-services/ X https://www.stbh.org/patients/financial-services/ X https://www.stbh.org/patients/financial-services/ X X X X X X true X false X X X true X false false Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY ARE IDENTIFIED AND PRIORITIZED THROUGH THE CHNA. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - St. Bernard Hospital. To provide oversight of the CHNA process, St. Bernard Hospital convened a CHNA Advisory Committee comprising ten individuals that represented a blend of internal and external stakeholders. The CHNA Advisory Committee informed the CHNA, ensuring that the assessment process reflected the values and needs of St. Bernard Hospital and the broader community served by St. Bernard Hospital. St. Bernard Hospital also conducted Focus Groups with residents in STBH's service area. The focus groups included a total of 12 community stakeholders. The STBH CHNA Advisory Committee selected and recruited participants with the goal of achieving a diverse cross-section of the community, including representation of seniors, communities of color, and low-income community members. While no group this size can represent the experience or perspectives of the whole community, the participants reflected a broad array of sectors, ages, and lived experiences. In addition to residents, participants had the following affiliations: Resident Association of Greater Englewood (R.A.G.E.) * The Primo Center * Beloved Community Family Wellness Center * Imagine Englewood If... * Grow Greater Chicago *7th District Chicago Police Department * Greater Englewood Chamber of Commerce * Growing Home * Oak Street Health * Heartland Alliance Health Center * STBH staff and patients Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - St. Bernard Hospital. St. Bernard Hospital worked with the Sinai Urban Health Institute (SUHI) to develop this CHNA. SUHI is the community research arm of Sinai Chicago, a safety-net hospital system on the city's West Side. SUHI employs community-driven processes to identify and address health needs in Chicago communities. SUHI staff members, including CHNA authors, Myles Castro, Stephanie Jara, Lubia Nunez-Montelongo, and Pamela Roesch provided public health expertise in data collection, analysis, and interpretation. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - St. Bernard Hospital. Each year, St. Bernard Hospital prepares a Community Benefit Plan Annual Report which describes the current activities directed toward the significant needs identified in its CHNA. The 2021 Report provides details related to the Hospital's response to identified needs, especially the top priority needs. 0 Schedule H, Part V, Section B, Line 20a Explanation St. Bernard Hospital does not engage in any Extraordinary Collection Actions. Schedule H, Part V, Section B, Line 9 Current Year CHNA The Community Health Needs Assessment (CHNA) was completed and approved by the Hospital Board of directors on November 15, 2021. The Implementation strategy was developed by members of the Hospital staff and the CHNA Advisory Committee and was completed and approved by the Hospital Board of Directors on February 21, 2022. Please refer to the current Implementation Strategy for more information on how the Hospital is addressing the significant needs addressed in its most recently conducted CHNA. https://stbh.wpenginepowered.com/wp-content/uploads/2021-Community-Health-Needs-Assessment-Implementation-Plan.pdf Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount The Hospital uses historical bad debt percentages by payer type to estimate bad debt expense. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote Reference the financial statements footnote provided on page 10 Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE ENTIRE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. CARING FOR MEDICARE PATIENTS FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN. Ratio of Cost to charge to total charges by Payer. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance Of the nearly 75,000 patients seen annually at St. Bernard Hospital, approximately 66% of them receive Medicaid as coverage for their health care services. Another 12% are on Medicare; 17% receive charity care for which no bill is generated, and 5% of our patients are self-pay patients. Our patient mix necessitates that a fundamental component of St. Bernard Hospital's community benefit strategy is the provision of charity care to those who cannot afford to pay for their care. The Hospital performs normal accepted Collection procedures on legitimate balances owed to the Hospital. Hospital Patient Access staff assist uninsured or under insured patients in applying for any governmental assistance programs they may qualify for. Uninsured patients with incomes less than 200% of the federal poverty level are eligible for a 100% charity care discount. There are no further collection activities once a patient balance has been designated as a charity write off consistent with the Financial Assistance Policy. In addition, patients with incomes between 200% and 600% of the federal poverty guidelines are eligible for an automatic 50% discount with the remaining balance discounted on a sliding scale. Schedule H, Part V, Section B, Line 16a FAP website - St. Bernard Hospital: Line 16a URL: https://www.stbh.org/patients/financial-services/; Schedule H, Part V, Section B, Line 16b FAP Application website - St. Bernard Hospital: Line 16b URL: https://www.stbh.org/patients/financial-services/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - St. Bernard Hospital: Line 16c URL: https://www.stbh.org/patients/financial-services/; Schedule H, Part VI, Line 2 Needs assessment The hospital periodically commissions the community needs assessment to provide information to the healthcare needs of the community. The latest community needs assessment was done in 2021. The hospital also participates in community building and community healthcare advocacy groups to help identify needs and coordinate efforts to provide quality healthcare services to the community. The hospital participates in local health fairs and operates a mobile medical van that goes to schools providing immunizations and school physicals. From its work the van identified that there was a lack of dental services for children. The hospital has opened a dental clinic geared towards pediatric patients to fill that need. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Signs are posted in the waiting areas of the hospital as well as the hospital website announcing the availability of charity care. Hospital Patient Access staff assist uninsured or underinsured patients in applying for any governmental assistance programs they may qualify for as well as the hospital's charity care program. Hospital bills to patients also have information on applying for financial assistance. Schedule H, Part VI, Line 4 Community information The urban communities surrounding the Hospital from which the Hospital draws most of its patients are some of the poorest communities on the South Side of Chicago. Within the last 30 years, they have continued to lose population and have seen housing abandonment and commercial disinvestment grow. High rates of unemployment have had a disastrous effect on the social fabric necessary to maintain a stable community. People who have choices often leave and move to neighborhoods with greater amenities, leaving behind those with fewer options. Drugs and violent crime are rampant while 35% of the population lives below the federal poverty guidelines. 60% of the patients the hospital serves are on Medicaid, while 5% are self-pay, and 23% qualify for charity care, mostly with no payment source. The area is a federally designated underserved area. The hospital serves over 750,000 patients in its primary and secondary service areas. There are no other hospitals in its primary service area, but there are three other hospitals located in its secondary service area. Schedule H, Part VI, Line 5 Promotion of community health St. Bernard Hospital is a 174-bed Catholic community hospital founded in 1904 by the Religious Hospitallers of St. Joseph under the sponsorship of Catholic Health International. The Sisters of the Religious Hospitallers' enduring commitment to the hospital and the Englewood community for over one hundred years epitomizes St. Bernard's mission: to care for the sick and promote the health of South Side Chicago residents, while sustaining values of respect, dignity, caring and compassion for all persons. The hospital operates 174 licensed beds including medical/surgical, obstetrics, pediatrics, intensive care, emergency medicine, inpatient mental health, and medical detox services. The Englewood community, although challenged by the impacts of economic hardship, looks to St. Bernard Hospital as an institutional anchor. It is the community's single largest employer, employing nearly 800 people. Over 45% of its employees live in the Hospital's primary and secondary service area. The majority of it's Board of Trustee members live in its primary or secondary service area. It maintains an open medical staff of approximately 150 members and extends medical staff privileges to all qualified physicians in its community for all specialties. St. Bernard takes a lead role in improving the neighborhood and the lives of its residents by participating in economic development activities, such as building affordable homes in Bernard Place through its Housing Development subsidiary. As the community's major health care facility, the hospital provides services ranging from emergency medicine and obstetrics to mental health and substance abuse recovery. In keeping with modern demands, St. Bernard is proud to provide state-of-the-art technological capabilities that greatly enhance the hospital's high quality of care and promote patient safety. Of the more than nearly 75,000 patients seen at St. Bernard Hospital each year, close to 72% receive Medicaid or Medicare as coverage for their health care. The hospital provided more than $7.6 million in charity care charges in 2021, or 4.6% of total patient revenue. Community outreach addresses unmet health care needs of children through our baby immunization tracking service, Pediatric Mobile Health Unit, and on-site Dental Center. As a setting for education, St. Bernard is a vibrant clinical training classroom for medical and nursing students, including Emergency Medicine Residents, Surgery, OB, Psychiatric medical students, and nursing assistant and x-ray tech students. St. Bernard remains a constant, driving force helping to strengthen the foundations of the community by delivering high quality, comprehensive health care services, developing affordable housing, and fostering opportunities for economic growth. Schedule H, Part VI, Line 7 State filing of community benefit report IL X X X X false false false false false false false true false CHARLES HOLLAND JR PRESIDENT/CEO 391277 0 0 0 4191 0 15101 0 8764 0 419333 0 0 0 ROLAND ABELLERA CHIEF OPERATIONS OFFICER 245774 0 0 0 1680 0 10024 0 18128 0 275606 0 0 0 ROBERT SPRINGER CFO 219189 0 0 0 1465 0 4346 0 17995 0 242995 0 0 0 EVELYN JONES VP OF NURSING 175831 0 0 0 1905 0 7181 0 7806 0 192723 0 0 0 EDNA RETIRADO REGISTERED NURSE 221348 0 5000 0 478 0 4173 0 18144 0 249143 0 0 0 MARIJOY MENDOZA REGISTERED NURSE 194963 0 5000 0 132 0 5200 0 17875 0 223170 0 0 0 ABIGAIL STERN CLINICAL DIRECTOR OF DENTAL 190001 0 0 0 226 0 0 0 946 0 191173 0 0 0 JOSE MARLOWE GUJIL REGISTERED NURSE 166750 0 0 0 132 0 1300 0 7760 0 175942 0 0 0 BESSIE ARCIGA JOAQUIN REGISTERED NURSE 162268 0 0 0 169 0 6570 0 17712 0 186719 0 0 0 Schedule J, Part I, Line 7 Non-fixed payments In an effort to retain RN staff a retention bonus program was implemented. Form 990, Part III, Line 1 ORGANIZATION'S MISSION (CONTINUED) THIS MISSION CALLS SBH TO CARE FOR THE SICK AND PROMOTE THE HEALTH OF THE RESIDENTS IN THE COMMUNITY WHILE WITNESSING THE CHRISTIAN VALUES OF RESPECT, DIGNITY, CARE AND COMPASSION FOR ALL PERSONS. IN ALL MATTERS, ST. BERNARD HOSPITAL WILL SHOW A SPECIAL SENSITIVITY TO THE CULTURE OF THE PEOPLE IT SERVES AND THE SPECIAL NEEDS OF THE POOR AND POWERLESS. ST. BERNARD HOSPITAL IS LOCATED IN THE CHICAGO SOUTHSIDE COMMUNITY OF ENGLEWOOD, A PREDOMINANTLY AFRICAN AMERICAN COMMUNITY AREA THAT HAS SUFFERED THE CUMULATIVE EFFECTS OF POVERTY AND URBAN BLIGHT FOR DECADES. THE HOSPITAL OPERATES 174 LICENSED BEDS INCLUDING MEDICAL/SURGICAL, INTENSIVE CARE AND INPATIENT MENTAL HEALTH, AS WELL AS EMERGENCY MEDICINE AND OUTPATIENT DIAGNOSTIC SERVICES. $4.1 MILLION IN FORGONE CHARGES AT COST UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS PROVIDED TO PATIENTS SERVED BY THE HOSPITAL IN 2021. Form 990, Part III, Line 4d Description of other program services (Expenses $ including grants of $)(Revenue $ 3,543,171) THE ORGANIZATION RECEIVES OTHER PROGRAM SERVICE REVENUE RELATED TO ANESTHESIA, DENTAL AND ORTHO SERVICES, THE RENTAL OF SPACE FOR ITS PHYSICIANS, AS WELL AS OTHER REVENUE FROM MAINTENANCE AND MEDICAL RECORDS. Form 990, Part VI, Line 15b PROCESS USED TO ESTABLISH COMPENSATION FOR OTHER OFFICERS/KEY EMPLOYEES THE SALARIES OF THE POSITIONS OF CHIEF OPERATIONS OFFICER, CHIEF FINANCIAL OFFICER, VP NURSING SERVICES, VP ANCILLARY & SUPPORT SERVICES, AND VP OF ORGANIZATIONAL & COMMUNITY DEVELOPMENT ARE REVIEWED AND APPROVED BY THE PRESIDENT/CEO ON AN ANNUAL BASIS. COMPENSATION SURVEYS FROM METROPOLITAN CHICAGO HEALTHCARE COUNCIL, HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION, AND MODERN HEALTHCARE AS WELL AS THE FORM 990S OF OTHER ORGANIZATIONS ARE USED TO ESTABLISH THE REASONABLENESS OF COMPENSATION FOR EACH POSITION AS WELL AS EMPLOYEE PERFORMANCE. SUBSTANTIATION DOCUMENTING THIS PROCESS IS MAINTAINED BY THE PRESIDENT/CEO AND SHARED WITH THE BOARD CHAIRMAN. WRITTEN RESULTS ARE PROVIDED TO THE HOSPITAL FINANCE COMMITTEE FOR IMPLEMENTATION. THE PROCESS FOR DETERMINING COMPENSATION FOR THE ABOVE MENTIONED INDIVIDUALS WAS LAST UNDERTAKEN IN 2019 FOR THE CALENDAR YEAR 2021 COMPENSATION. Form 990, Part VI, Line 15a PROCESS USED TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL The compensation committee, which consists of independent members of the board, met to establish and approve the compensation of the CEO under a 3-year contract, during 2015. This process also occurred during 2018 for the new 3-year contract effective in 2019. Comparability data was used and all decisions related to establishing the compensation were contemporaneously documented. Form 990, Part VI, Line 1a Delegate broad authority to a committee THE GOVERNING DOCUMENTS OF ST. BERNARD HOSPITAL DELEGATE BROAD AUTHORITY TO AN EXECUTIVE COMMITTEE. PER SECTION 19 OF THE BY-LAWS, THE EXECUTIVE COMMITTEE MAY EXERCISE THE FULL POWERS OF THE BOARD IN ALL MATTERS OF ADMINISTRATE URGENCY. ADDITIONALLY, THE COMMITTEE SHALL REVIEW, ANALYZE AND ADVISE OR MAKE RECOMMENDATIONS TO THE BOARD OF TRUSTEES ON ANY OTHER MATTER AS MAY BE DIRECTED BY THE BOARD. THE EXECUTIVE COMMITTEE IS COMPRISED OF THE CHAIRPERSON OF THE BOARD, THE VICE CHAIRPERSON OF THE BOARD, TWO TRUSTEES, ONE OF WHOM SHALL BE APPOINTED BY THE CORPORATE MEMBER (ST. BERNARD HEALTH NETWORK), AND THE CHAIRPERSON OF THE FINANCE COMMITTEE. ADDITIONALLY, THE PRESIDENT-CHIEF EXECUTIVE OFFICER SHALL SERVE ON THE EXECUTIVE COMMITTEE AS AN EX-OFFICIO MEMBER. Form 990, Part VI, Line 6 Classes of members or stockholders ST. BERNARD HEALTH NETWORK, A RELATED TAX-EXEMPT, IS THE SOLE CORPORATE MEMBER OF ST. BERNARD HOSPITAL. ST BERNARD HOSPITAL & AFFILIATES INCLUDES THE HOSPITAL AND ST BERNARD HOUSING DEVELOPMENT CORPORATION ON THE AUDITED FINANCIAL STATEMENTS. FOR PURPOSES OF THE 990 BOTH THE HOSPITAL & HOUSING DEVELOPMENT CORPORATION FILE SEPARATE RETURNS. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body As the sole corporate member of St. Bernard Hospital, St. Bernard Health Network has the right to appoint members of the governing body of St. Bernard Hospital. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders As the sole corporate member of St. Bernard Hospital, St. Bernard Health Network has the right to approve or ratify significant decisions of St. Bernard Hospital's governing body. Such rights include, but are not limited to, approving budgets, approving the selection of the hospital's auditors, and approving members of the governing body of St. Bernard Hospital. Form 990, Part VI, Line 11b Review of form 990 by governing body Prior to filing, Management conducts a thorough review of Form 990 and any questions are directed to the Hospital CFO for resolution. Also prior to filing, a link to the final draft Form 990 is e-mailed to each Board member and any questions are directed to the Hospital CFO for resolution. Form 990, Part VI, Line 12c Conflict of interest policy Written conflict of interest statements are required to be completed and signed by each member of the governing body, officers, and key employees on an annual basis. The Corporate Board officers monitor any conflicts and prohibit any governing body member from participating in any deliberation or decision where the member may have a conflict of interest. Corporate officers, including the CEO and Chief Compliance Officer, monitor any conflict of interest issues with officers, key employees, and management. Form 990, Part VI, Line 19 Required documents available to the public The organization's financial statements, governing documents, and conflict of interest policies are not required disclosures pursuant to Internal Revenue Code (IRC) Section 6104. These documents are not available to the public at this time. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue - Total Revenue: 3134132, Related or Exempt Function Revenue: 3134132, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees Physician Fees - Total Expense: 11071544, Program Service Expense: 11071544, Management and General Expenses: , Fundraising Expenses: ; Ambulance fees - Total Expense: 37802, Program Service Expense: 37802, Management and General Expenses: , Fundraising Expenses: ; Collection fees - Total Expense: 10280, Program Service Expense: , Management and General Expenses: 10280, Fundraising Expenses: ; Billing fees - Total Expense: 229691, Program Service Expense: , Management and General Expenses: 229691, Fundraising Expenses: ; Contract labor & purch services - Total Expense: 11278910, Program Service Expense: 11278910, Management and General Expenses: , Fundraising Expenses: ; Dialysis & Detox Unit Management - Total Expense: 835213, Program Service Expense: 835213, Management and General Expenses: , Fundraising Expenses: ; Dietary Management - Total Expense: 803357, Program Service Expense: , Management and General Expenses: 803357, Fundraising Expenses: ; ST BERNARD HEALTH NETWORK 326 WEST 64TH ST CHICAGO IL 60621 201903584 HEALTHCARE IL 501(c)(3) Type II NA false LE ROYER FOUNDATION 326 WEST 64TH ST CHICAGO IL 60621 300135130 SUPPORT SBH IL 501(c)(3) Type I SBHN false ST BERNARD HOUSING DEVELOPMENT CORP 326 WEST 64TH ST CHICAGO IL 60621 364322147 HOUSING DEVELOPMENT IL 501(c)(3) Type II SBH true FOUNDATION FOR EMERGENCY SERVICES 326 WEST 64TH STREET CHICAGO IL 60621 364330129 MEDICAL BILLING IL SBH C Corporation 0 0 true FOUNDATION FOR OUTREACH SERVICES 326 WEST 64TH STREET CHICAGO IL 60621 364333745 MEDICAL BILLING IL SBH C Corporation 0 0 true false false false false true false false false false false false false false true true false false false false