ST BERNARD COMMUNITY HOSPITAL CORPORATION: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- ST BERNARD COMMUNITY HOSPITAL CORPORATION (EIN 71-0835247)
- Tax period
- 2023-10-01 to 2024-09-30
- Filed
- 2025-08-15
- IRS object ID
- 202542279349304054
- Schema version
- 2023v6.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-08-15T16:32:29+00:00 | ReturnTs |
| Tax Period End | 2024-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 440160260 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Forvis Mazars LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 3667 | AddressLine1Txt |
| City | Little Rock | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 722033667 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 710835247 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST BERNARDS COMMUNITY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STBE | BusinessNameControlTxt |
| Phone | 8702383300 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 590 | AddressLine1Txt |
| City | WYNNE | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72396 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BENJAMIN BARYLSKE | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Signature | 2025-08-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Amber Sherrill | PreparerPersonNm |
| PTIN | P00748683 | PTIN |
| Phone | 5013721040 | PhoneNum |
| Preparation | 2025-08-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROSSRIDGE COMMUNITY HOSPITAL | BusinessNameLine1Txt |
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SR MARY JOHN SEYLER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 590 | AddressLine1Txt |
| City | WYNNE | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72396 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $19,643,634 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | https://www.stbernards.info/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1999 | FormationYr |
| Legal Domicile State | AR | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE CHRIST-LIKE HEALING TO THE COMMUNITY THROUGH EDUCATION, TREATMENT, AND HEALTH SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 218 | TotalEmployeeCnt |
| Total Volunteers | 9 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,971,045 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,640,912 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $14,541,465 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $15,793,271 | CYProgramServiceRevenueAmt |
| PY Investment Income | $19,096 | PYInvestmentIncomeAmt |
| CY Investment Income | $13,735 | CYInvestmentIncomeAmt |
| PY Other Revenue | $160,672 | PYOtherRevenueAmt |
| CY Other Revenue | $195,716 | CYOtherRevenueAmt |
| PY Total Revenue | $18,692,278 | PYTotalRevenueAmt |
| CY Total Revenue | $19,643,634 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $32,366 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $23,531 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $9,971,276 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $10,556,817 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $9,120,544 | PYOtherExpensesAmt |
| CY Other Expenses | $9,905,447 | CYOtherExpensesAmt |
| PY Total Expenses | $19,124,186 | PYTotalExpensesAmt |
| CY Total Expenses | $20,485,795 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$431,908 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$842,161 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $12,886,725 | TotalAssetsBOYAmt |
| Total Assets EOY | $11,875,993 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,972,489 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,803,918 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $10,914,236 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $10,072,075 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE CHRIST-LIKE HEALING TO THE COMMUNITY THROUGH EDUCATION, TREATMENT, AND HEALTH SERVICES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $13,249,469 | ExpenseAmt |
| Grant | $23,531 | GrantAmt |
| Revenue | $15,793,271 | RevenueAmt |
| Desc | THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO PATIENTS IN WYNNE, ARKANSAS AND THE SURROUNDING AREA. IT ALSO OPERATES A HOME HEALTH AGENCY IN THE SAME GEOGRAPHIC REGION. DURING FISCAL YEAR 2024, $1,404,433 WAS SPENT FOR COMMUNITY BENEFIT. 47,621 PERSONS WERE SERVED THROUGH HEALTH SCREENINGS, DONATIONS, EDUCATIONAL CLASSES AND VOLUNTEER EFFORTS. | Desc |
| Total Program Service Expenses | $13,249,469 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 218 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | AR | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BENJAMIN BARYLSKE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8702074100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 EAST WASHINGTON | AddressLine1Txt |
| City | JONESBORO | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72401 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| SISTER MARY JOHN SEYLER | ||||||||
| CHAIRPERSON | 1.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DARRYL SCHLENKER | ||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| DR ROBERT HAYES | ||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| JAMES DAVIS | ||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| JOEY OWENS | ||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| JON DAVIS KING | ||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| KARA SMITH | ||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| KIM REDDMANN | ||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| STAN BRADSHAW | ||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| TREVOR MALONE | ||||||||
| DIRECTOR | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| BENJAMIN BARYLSKE | ||||||||
| CFO | 1.0 | 47.0 | Yes (X) | $0 | $411,891 | $23,270 | ||
| CHRIS BARBER | ||||||||
| PRESIDENT & CEO | 1.0 | 48.0 | Yes (X) | $0 | $882,808 | $45,068 | ||
| GARRETT MORGAN | ||||||||
| ADMINSTRATOR | 40.0 | 0 | Yes (X) | $77,669 | $0 | $351 | ||
| GARY SPARKS | ||||||||
| ADMINSTRATOR | 1.0 | 40.0 | Yes (X) | $0 | $220,435 | $180 | ||
| JODI HUGGINS | ||||||||
| RN | 40.0 | 0 | $102,272 | $0 | $0 | Yes (X) | ||
| STACIE SCHLENKER | ||||||||
| PHARMACIST | 40.0 | 0 | $179,565 | $0 | $5,819 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $359,506 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,515,134 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $74,688 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| SUNRISE EMERGENCY STAFFING | ||||||
| 1398 COUNTY ROAD 473 | PIGGOTT | AR | 72454 | PHYSICIAN SERVICES | $1,777,824 | |
| GE Precision Healthcare LLC | ||||||
| PO Box 96483 | Chicago | IL | 60693 | Medical Devices | $122,871 | |
| Communications Group Inc | ||||||
| 201 E Markham | Little Rock | AR | 72201 | Marketing | $102,655 | Suite 300 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $17,000 | RelatedOrganizationsAmt |
| Government Grants | $3,465,885 | GovernmentGrantsAmt |
| All Other Contributions | $158,027 | AllOtherContributionsAmt |
| Total Contributions | $3,640,912 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| PATIENT SERVICES | 622110 | $13,270,679 | $13,270,679 | $0 | $0 |
| PHARMACY | 456110 | $1,562,908 | $1,562,908 | $0 | $0 |
| MEDICAID ASSESSMENT FEE | 524114 | $911,599 | $911,599 | $0 | $0 |
| FITNESS CENTER REVENUE | 454210 | $48,085 | $48,085 | $0 | $0 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $15,793,271 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,735 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $13,735 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $18,000 | RealAmt |
| Personal | $0 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $18,000 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,000 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $18,000 | ExclusionAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| CAFETERIA REVENUE | 722310 | $143,442 | $0 | $0 | $143,442 |
| MEAL REVENUE | 624210 | $12,877 | $0 | $0 | $12,877 |
| DUES & SUBSCRIPTIONS | 900099 | $7,848 | $0 | $0 | $7,848 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,549 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $13,549 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $177,716 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,643,634 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $15,793,271 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $209,451 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,531 | TotalAmt |
| Program Services | $23,531 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,153,774 | TotalAmt |
| Program Services | $4,818,572 | ProgramServicesAmt |
| Management And General | $3,335,202 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,974 | TotalAmt |
| Program Services | $49,034 | ProgramServicesAmt |
| Management And General | $33,940 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,681,163 | TotalAmt |
| Program Services | $993,504 | ProgramServicesAmt |
| Management And General | $687,659 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $638,906 | TotalAmt |
| Program Services | $377,569 | ProgramServicesAmt |
| Management And General | $261,337 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,701,561 | TotalAmt |
| Program Services | $1,005,558 | ProgramServicesAmt |
| Management And General | $696,003 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,452 | TotalAmt |
| Program Services | $7,359 | ProgramServicesAmt |
| Management And General | $5,093 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,656 | TotalAmt |
| Program Services | $12,207 | ProgramServicesAmt |
| Management And General | $8,449 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,585 | TotalAmt |
| Program Services | $2,119 | ProgramServicesAmt |
| Management And General | $1,466 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,406,179 | TotalAmt |
| Program Services | $1,421,961 | ProgramServicesAmt |
| Management And General | $984,218 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,811 | TotalAmt |
| Program Services | $36,528 | ProgramServicesAmt |
| Management And General | $25,283 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $410,076 | TotalAmt |
| Program Services | $242,339 | ProgramServicesAmt |
| Management And General | $167,737 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,016 | TotalAmt |
| Program Services | $57,924 | ProgramServicesAmt |
| Management And General | $40,092 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $606,838 | TotalAmt |
| Program Services | $358,618 | ProgramServicesAmt |
| Management And General | $248,220 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,190 | TotalAmt |
| Program Services | $45,616 | ProgramServicesAmt |
| Management And General | $31,574 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,268 | TotalAmt |
| Program Services | $6,659 | ProgramServicesAmt |
| Management And General | $4,609 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,222 | TotalAmt |
| Program Services | $722 | ProgramServicesAmt |
| Management And General | $500 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $680,847 | TotalAmt |
| Program Services | $402,355 | ProgramServicesAmt |
| Management And General | $278,492 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $151,595 | TotalAmt |
| Program Services | $89,587 | ProgramServicesAmt |
| Management And General | $62,008 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $2,771,171 | $2,771,171 | |
| REPAIRS, MAINTENANCE, & EQUIPMENT | $306,300 | $181,012 | $125,288 |
| DIETARY SUPPLIES & FOOD | $287,008 | $169,611 | $117,397 |
| DUES & LICENSES | $65,377 | $38,635 | $26,742 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $232,295 | TotalAmt |
| Program Services | $137,278 | ProgramServicesAmt |
| Management And General | $95,017 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,485,795 | TotalAmt |
| Program Services | $13,249,469 | ProgramServicesAmt |
| Management And General | $7,236,326 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $522,212 | BOYAmt |
| EOY | $130,688 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,761,276 | BOYAmt |
| EOY | $1,413,470 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,717,218 | BOYAmt |
| EOY | $2,155,827 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,008,521 | BOYAmt |
| EOY | $879,707 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $124,669 | BOYAmt |
| EOY | $127,540 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $231,482 | BOYAmt |
| EOY | $64,930 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $15,353,793 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $9,318,655 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,346,291 | BOYAmt |
| EOY | $6,035,138 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,175,056 | BOYAmt |
| EOY | $1,068,693 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,886,725 | BOYAmt |
| EOY | $11,875,993 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $975,375 | BOYAmt |
| EOY | $1,054,859 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $997,114 | BOYAmt |
| EOY | $749,059 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,972,489 | BOYAmt |
| EOY | $1,803,918 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,914,236 | BOYAmt |
| EOY | $10,072,075 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,914,236 | BOYAmt |
| EOY | $10,072,075 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,886,725 | BOYAmt |
| EOY | $11,875,993 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$842,161 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $3,586 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $3,586 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1i | FormAndLineReferenceDesc |
| Explanation | PERCENTAGE OF DUES TO VARIOUS PROFESSIONAL ASSOCIATIONS ALLOCABLE TO LOBBYING EXPENSES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $284,107 | OtherCostOrOtherBasisAmt |
| Book Value | $284,107 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $7,229,397 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,120,406 | DepreciationAmt |
| Book Value | $4,108,991 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $371,072 | OtherCostOrOtherBasisAmt |
| Depreciation | $362,164 | DepreciationAmt |
| Book Value | $8,908 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $7,456,488 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,836,085 | DepreciationAmt |
| Book Value | $1,620,403 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $12,729 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $12,729 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $6,035,138 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| SALES TAX RECEIVABLE | $633,899 |
| ROU ASSET | $434,794 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,068,693 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATES | $317,348 |
| LEASE LIABILITY | $431,711 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $749,059 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $19,653,307 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $9,673 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $0 | OtherRevenueAmt |
| Revenue Not Reported | $9,673 | RevenueNotReportedAmt |
| Revenue Subtotal | $19,643,634 | RevenueSubtotalAmt |
| Other Revenues Not Included | $0 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $19,643,634 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $20,495,468 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $9,673 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $0 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $9,673 | ExpensesNotReportedAmt |
| Expenses Subtotal | $20,485,795 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $0 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $20,485,795 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 | FormAndLineReferenceDesc |
| Explanation | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| Indiv Hospital Tailored Policy | Yes (X) | IndivHospitalTailoredPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 3398 | PersonsServedCnt |
| Total Community Benefit Expns | $551,219 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $551,219 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0269 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 2704 | PersonsServedCnt |
| Total Community Benefit Expns | $1,999,540 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,031,511 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 6102 | PersonsServedCnt |
| Total Community Benefit Expns | $2,550,759 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,031,511 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $551,219 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0269 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Persons Served | 24226 | PersonsServedCnt |
| Total Community Benefit Expns | $55,834 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $55,834 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0027 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,411,719 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $657,657 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $754,062 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0368 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 12343 | PersonsServedCnt |
| Total Community Benefit Expns | $43,318 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $43,318 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0021 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 11 | ActivitiesOrProgramsCnt |
| Persons Served | 36569 | PersonsServedCnt |
| Total Community Benefit Expns | $1,510,871 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $657,657 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $853,214 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0416 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 11 | ActivitiesOrProgramsCnt |
| Persons Served | 42671 | PersonsServedCnt |
| Total Community Benefit Expns | $4,061,630 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,689,168 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,404,433 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0686 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 4950 | PersonsServedCnt |
| Total Community Benefit Expns | $12,197 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,197 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0006 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 4950 | PersonsServedCnt |
| Total Community Benefit Expns | $12,197 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,197 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0006 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,672,099 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $4,945,903 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $3,034,677 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $1,911,226 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST BERNARDS COMMUNITY HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 590 | AddressLine1Txt |
| City | WYNNE | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72396 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.STBERNARDS.INFO | WebsiteAddressTxt |
| State License | AR4063 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST BERNARDS COMMUNITY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.STBERNARDS.INFO/CORPORATE/COMMUNITY-HEALTH-ASSESSMENT | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | false | StrategyPostedWebsiteInd |
| Strategy Attached | Yes (true) | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.0 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.STBERNARDS.INFO/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.STBERNARDS.INFO/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.STBERNARDS.INFO/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 3E | |
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - . SPEAKING WITH KEY INTERVIEWEES (COMMUNITY STAKEHOLDERS THAT REPRESENT THE BROAD INTEREST OF THE COMMUNITY WITH KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH) IS A TECHNIQUE EMPLOYED TO ASSESS PUBLIC PERCEPTIONS OF THE COUNTY'S HEALTH STATUS AND UNMET NEEDS. THESE INTERVIEWS ARE INTENDED TO ASCERTAIN OPINIONS AMONG INDIVIDUALS LIKELY TO BE KNOWLEDGEABLE ABOUT THE COMMUNITY AND INFLUENTIAL OVER THE OPINIONS OF OTHERS ABOUT HEALTH CONCERNS IN THE COMMUNITY. KEY INTERVIEWEES INCLUDED THE CROSS COUNTY HEALTH DEPARTMENT ADMINISTRATOR, AS WELL AS INDIVIDUALS WHO ARE KNOWLEDGEABLE ABOUT POPULATIONS WITHIN THE COMMUNITY WHOSE HEALTH AND QUALITY OF LIFE MAY NOT BE AS GOOD AS OTHERS, SUCH AS REPRESENTATIVES OF ORGANIZATIONS SERVING THE POOR. ADDITIONAL COMMUNITY STAKEHOLDERS, SUCH AS LOCAL GOVERNMENT AND BUSINESS LEADERS, WERE ALSO INTERVIEWED. |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - CROSSRIDGE COMMUNITY HOSPITAL. ALTHOUGH CROSSRIDGE COMMUNITY HOSPITAL (CRCH) RECOGNIZES THE IMPORTANCE OF ALL THE NEEDS IDENTIFIED BY THE COMMUNITY, CRCH WILL NOT DIRECTLY DESIGN STRATEGIES FOR ALL THESE NEEDS IN THE IMPLEMENTATION PLAN. PRIORITY WAS GIVEN TO THE FIVE TOP IDENTIFIED NEEDS AS WELL AS THE NEEDS IN WHICH THE MEDICAL CENTER IS MOST CAPABLE OF DIRECTLY INFLUENCING. SEE THE ATTACHED IMPLEMENTATION STRATEGY FOR A MORE DETAILED APPROACH. THE TOP FIVE SIGNIFICANT NEEDS IDENTIFIED IN THE MOST RECENT CHNA CONDUCTED ARE: 1. HEALTH & WELLNESS EDUCATION - 5210 OBESITY PREVENTION AND HEALTHY BEHAVIOR CURRICULA TAUGHT TO 220 3RD GRADERS IN WYNN SCHOOL DISTRICT EACH MONTH. ENCOURAGES STUDENTS TO SET A GOAL OF GETTING 5 SERVINGS OF FRUITS AND VEGETABLES EVERY DAY, 2 HOURS OR LESS OF RECREATIONAL SCREEN TIME, 1 HOUR OR MORE OF PHYSICAL ACTIVITY AND 0 SUGARY DRINKS - SPONSORSHIP AND PARTICIPATION IN MID SOUTH MARATHON COMMUNITY BASED 5KS THAT PROMOTE PHYSICAL ACTIVITY AND REDUCE OBESITY. - EXERCISE CLASSES, SILVER SNEAKERS, AND CARDIAC REHAB OFFERED WITH CERTIFIED PERSONAL TRAINER OFFERED 3 TIMES PER WEEK TO TREAT AND PREVENT OBESITY. - FREE HEALTH SCREENINGS TO THE COMMUNITY, EMPLOYEES AND LOCAL WORKSITES INCLUDING: TOTAL CHOLESTEROL, BLOOD PRESSURE, BLOOD SUGAR, WEIGHT, BMI, AND HEALTH COUNSELING BY A CERTIFIED HEALTH EDUCATION SPECIALIST TO PREVENT OBESITY. 2. OBESITY - 5210 OBESITY PREVENTION AND HEALTHY BEHAVIOR CURRICULA TAUGHT TO 220 3RD GRADERS IN WYNN SCHOOL DISTRICT EACH MONTH. ENCOURAGES STUDENTS TO SET A GOAL OF GETTING 5 SERVINGS OF FRUITS AND VEGETABLES EVERY DAY, 2 HOURS OR LESS OF RECREATIONAL SCREEN TIME, 1 HOUR OR MORE OF PHYSICAL ACTIVITY AND 0 SUGARY DRINKS - SPONSORSHIP AND PARTICIPATION IN MID SOUTH MARATHON AND NEA KOMEN RACE THAT PROMOTE PHYSICAL ACTIVITY AND REDUCE OBESITY - EXERCISE CLASSES WITH CERTIFIED PERSONAL TRAINER OFFERED 3 TIMES PER WEEK TO TREAT AND PREVENT OBESITY. - FREE HEALTH SCREENINGS TO THE COMMUNITY, EMPLOYEES AND LOCAL WORKSITES INCLUDING: TOTAL CHOLESTEROL, BLOOD PRESSURE, BLOOD SUGAR, WEIGHT, BMI, AND HEALTH COUNSELING BY A CERTIFIED HEALTH EDUCATION SPECIALIST TO PREVENT OBESITY. -CARDIAC MEDICAL REHAB/EDUCATION SESSION: PATIENTS ARE EDUCATED ON WAYS TO SELF MANAGE CHRONIC ILLNESS WHICH INCLUDES MEDICAL EXERCISE REHAB. -UTILIZE LOCAL MEDIA TO PROMOTE OBESITY PREVENTION AND HEALTH AND WELLNESS MESSAGING 3. DIABETES - FREE HEALTH SCREENINGS TO THE COMMUNITY, EMPLOYEES, AND WORKSITES INCLUDING: CHOLESTEROL, BLOOD PRESSURE, DIABETES, WEIGHT, BMI AND HEALTH COUNSELING BY A CERTIFIED HEALTH EDUCATION SPECIALIST. FREE SCREENINGS PROVIDE A MEANS OF EARLY DETECTION OF DIABETES. - FREE CERTIFIED PERSONAL TRAINER IS PROVIDED TO DIABETICS IN CROSS COUNTY TO EXERCISE 3 TIMES PER WEEK TO HELP CONTROL DIABETES. - FREE MEDICINE ASSISTANCE PROGRAM TO HELP DIABETICS WHO HAVE NO HEALTH INSURANCE (OR THOSE WHO ARE UNDERINSURED) RECEIVE THE MEDICINE AND SUPPLIES THAT THEY NEED AT REDUCED COSTS TO ASSIST IN DISEASE MANAGEMENT. 4. HEART DISEASE - PROVIDING EDUCATION FOR INDIVIDUALS THAT HAVE ABNORMAL LAB VALUES OR HIGH BLOOD PRESSURE THAT ATTENDED THE FREE HEALTH SCREENINGS. - FREE HEALTH SCREENINGS INCLUDING: CHOLESTEROL, BLOOD PRESSURE, DIABETES, WEIGHT, BMI AND HEALTH COUNSELING BY A CERTIFIED HEALTH SPECIALIST. - CPR AND AED EDUCATION TO COMMUNITY MEMBERS IN CROSS COUNTY - CROSSRIDGE CARDIAC AND PULMONARY REHABILITATION OUTPATIENT CARDIAC REHABILITATION IS THE SPECIFIC EDUCATIONAL AND PROGRESSIVE REHABILITATION PROGRAM FOR CARDIAC PATIENTS WHICH PROVIDES EDUCATIONAL AND OUTPATIENT CARDIAC REHAB SERVICES TO A MULTITUDE OF PATIENT POPULATIONS INCLUDING CARDIAC, PULMONARY AND DIABETIC PATIENTS. OUTPATIENT PULMONARY REHABILITATION IS ALSO OFFERED. - ARSAVES STOKE PROGRAM CROSSRIDGE HEALTH AND WELLNESS TELEMEDICINE ACCESS TO NEUROSURGEONS 24/7 THROUGH CROSSRIDGE ED ENSURE THAT STROKE VICTIMS ARE TREATED APPROPRIATELY IN A TIMELY MANNER. ALSO PROVIDES STROKE EDUCATION TO ALL AGES OF THE LOCAL COMMUNITY REGARDING EARLY DETECTION OF STROKE SYMPTOMS AT LEAST TWICE PER MONTH. FREE HEALTH SCREENING TO THE COMMUNITY, EMPLOYEES AN LOCAL WORKSITES THAT PROVIDE BLOOD PRESSURE SCREENINGS AND EDUCATION REGARDING STROKE AND PREVENTION. - ST. BERNARDS CODE STEMI/HEART ATTACK TREATMENT PROGRAM PROVIDES EDUCATION TO COMMUNITY ON SIGNS AND SYMPTOMS OF A HEART ATTACK AND HOW TO CALL 911. 5. SUBSTANCE ABUSE - CROSSRIDGE IS THE RECIPIENT OF A 10 YEAR FEDERAL GRANT FROM THE CDC TO PROMOTE A SUBSTANCE FREE COMMUNITY THROUGH PREVENTIONS STRATEGIES AND COMMUNITY COALITION EFFORTS. - PARTNERSHIP WITH LOCAL ARCARE TO ASSIST SUBSTANCE ABUSE IN OUR COMMUNITY VIA SOCIAL WORK REFERRALS AND TREATMENT OPTIONS COMMUNITY VIA SOCIAL WORK REFERRALS AND TREATMENT OPTIONS. |
| Schedule H, Part V, Section B, Line 13 Facility , 1 | Facility , 1 - CROSSRIDGE COMMUNITY HOSPITAL. THE ONLY EXCEPTION IS IF THE PATIENT HAS BEEN APPROVED BY ST. BERNARDS FOR FINANCIAL ASSISTANCE; IN WHICH CASE, CRCH AUTOMATICALY ACCEPTS THE PATIENT AS ELIGIBLE FOR ASSISTANCE. |
| Schedule H, Part V, Section B, Line 16 Facility , 1 | Facility , 1 - CROSSRIDGE COMMUNITY HOSPITAL. CRCH BUSINESS OFFICE MAILS OUT COPIES OF THE FINANCIAL ASSISTANCE POLICY TO SELF PAY ACCOUNTS THAT MAINTAIN A CONSIDERABLE BALANCE AFTER A PERIOD OF TIME. |
| Schedule H, Part V, Section B, Line 20 Facility , 1 | Facility , 1 - CROSSRIDGE COMMUNITY HOSPITAL. THE HOSPITAL WILL MAKE ATTEMPTS TO CONTACT THE PATIENT PRIOR TO PLACING ANY ACCOUNTS WITH COLLECTIONS (PHONE CALLS, STATEMENTS, AND LETTERS). |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| CROSSRIDGE COMM HOSPITAL HOME HEALTH | ||||
| 732 ELDRIDGE AVE | WYNNE | AR | 72396 | HOME HEALTH AGENCY |
| WYNNE MEDICAL CLINIC-HOPD | ||||
| 710 FALLS BLVD | WYNNE | AR | 72396 | OUTPATIENT CLINIC |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 7 | THE AMOUNTS REPORTED ON LINE 7A AND 7B WERE CALCULATED USING THE COST TO CHARGE RATIO, CALCULATED USING WORKSHEET 2. |
| Schedule H, Part II | THE HOSPITAL'S INVOLVEMENT IN COMMUNITY BUILDING ACTIVITIES HELP PROMOTE THE HEALTH OF THE COMMUNITIES IT SERVES BY BRINGING AWARENESS OF HEALTH ISSUES WHILE SUPPORTING THE COMMUNITY. |
| Schedule H, Part III, Line 2 | THE HOSPITAL HAS ADOPTED REVENUE RECOGNITION STANDARD ASU 2014-09. THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO COLLECT ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND AS SUCH ARE RECORDED AS A DEDUCTION FROM GROSS PATIENT REVENUE. THE HOSPITAL INTERNALLY TRACTS 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, Line 4 | SEE FOOTNOTE 2 IN ATTACHED AUDITED FINANCIAL STATEMENTS. |
| Schedule H, Part III, Line 8 | THE AMOUNTS WERE PULLED FROM THE MOST RECENT "AS FILED" MEDICARE COST REPORT. THE HOSPITAL FOLLOWS CHA COMMUNITY BENEFIT GUIDELINES AND DOES NOT COUNT MEDICARE SHORTFALL AS COMMUNITY BENEFIT. |
| Schedule H, Part III, Line 9b | AFTER ALL REASONABLE EFFORTS ARE MADE TO DETERMINE WHETHER INDIVIDUALS ARE ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY, ACCOUNTS WHICH ARE DEEMED UNCOLLECTIBLE ARE REFERRED TO AN OUTSIDE AGENCY FOR COLLECTING. AN ACCOUNT IS CONSIDERED UNCOLLECTIBLE WHEN THE GUARANTOR HAS HAD SUFFICIENT NOTICE AND TIME TO PAY A BILL OR MAKE ARRANGEMENTS TO PAY A BILL, BUT HAS FAILED TO DO SO. MEDICARE BAD DEBT IS DEFINED ACCORDING TO CENTERS FOR MEDICARE AND MEDICAID SERVICES GUIDELINES. |
| Schedule H, Part VI, Line 2 | THE HOSPITAL IS DEDICATED TO TEAMWORK AND COMMUNITY INVOLVEMENT, SPONSORING HEALTH FAIRS, SUPPORT GROUPS AND OTHER ACTIVITIES THAT MAKE A POSITIVE DIFFERENCE IN THE HEALTH AND SAFETY OF THE COMMUNITY IT SERVES. FREE HEALTH SCREENINGS TO THE COMMUNITY, EMPLOYEES, AND LOCAL WORKSITES INCLUDING: CHOLESTEROL, BLOOD PRESSURE, BLOOD SUGAR, WEIGHT, BMI, AND HEALTH COUNSELING BY A CERTIFIED HEALTH EDUCATION SPECIALIST HELP ASSESS COMMUNITY HEALTH AND WELLNESS ON AN ONGOING BASIS. THE HOSPITAL ALSO PARTNERS WITH ARCARE TO ASSIST IN THE TREATMENT OF SUBSTANCE ABUSE IN OUR COMMUNITY THROUGHOUT THE YEAR. |
| Schedule H, Part VI, Line 3 | ALL REGISTRATION AREAS HAVE OUR FINANCIAL ASSISTANCE NOTICE EITHER ON THE REGISTRATION DESK, ON THE WALL AT REGISTRATION OR IN A DISPLAY CASE IN REGISTRATION. UPON REGISTRATION, IF REGISTERED SELF PAY, A FINANCIAL APPLICATION AUTOMATICALLY PRINTS AND IS GIVEN TO THE PATIENT. GENERAL ADMISSIONS ALSO HAS OUR APPLICATIONS ALONG WITH OUR ENVELOPES DISPLAYED AT THE DESK FOR ANYONE TO PICK UP. INFORMATION AND TELEPHONE NUMBERS ARE ON THE BACK OF ALL OUR STATMENTS AND LETTERS THAT GO OUT TO PATIENTS. SOCIAL SERVICES LOOKS AT INPATIENTS THAT ARE SELF PAY AND CONTACTS THE PATIENT TO SEE IF THEY WOULD BE ELIGIBLE FOR MEDICAID, CHARITY, OR ANY OTHER ASSISTANCE. OUR FINANCIAL ASSISTANCE APPLICATION AND PHONE NUMBER ARE ALSO AVAILABLE ON OUR WEB SITE WWW.STBERNARDS.INFO AND FINANCIAL ASSISTANCE INFORMATION IS PRINTED ON EACH MAILED TO PATIENTS. |
| Schedule H, Part VI, Line 4 | THE COMMUNITY SERVED BY THE HOSPITAL IS A RURAL AREA IN NORTHEAST ARKANSAS. ACCORDING TO THE U.S. CENSUS BUREAU AMERICAN COMMUNITY SURVEY 2015-19 FIVE-YEAR ESTIMATES, APPROXIMATELY 16,800 PEOPLE LIVE IN CROSS COUNTY. ACCORDING TO THE U.S. CENSUS BUREAU, APPROXIMATELY 45% OF THE COMMUNITY'S POPULATION IS OVER AGE 45, WHICH IS HIGHER THAN IN ARKANSAS (42%) AND HIGHER THAN IN THE UNITED STATES (41%) AS A WHOLE. IN THE MOST RECENTLY CONDUCTED CHNA, THE AVERAGE MEDIAN HOUSEHOLD INCOME IN THE HOSPITAL'S COMMUNITY IS $46,787, COMPARED TO $47,597 FOR THE STATE OF ARKANSAS AND $62,843 FOR THE UNITED STATES. LOWER THAN AVERAGE HOUSEHOLD INCOME SUGGESTS THAT MANY MEMBERS OF THE COMMUNITY MAY HAVE DIFFICULTY OBTAINING HEALTH CARE, ESPECIALLY PREVENTATIVE CARE. HOWEVER, THE LEVELS OF POVERTY ARE NOT MUCH DIFFERENT FROM THE RATES IN THE STATE OF ARKANSAS AND THE UNITED STATES. APPROXIMATELY 16% OF THE POPULATION AGE 25 OR OLDER DOES NOT HAVE A HIGH SCHOOL DIPLOMA, COMPARED TO ABOUT 12% IN THE COUNTRY AS A WHOLE. LOWER LEVELS OF EDUCATION HAVE BEEN LINKED TO NEGATIVE HEALTH OUTCOMES, SO THE EDUCATIONAL ATTAINMENT OF THE COMMUNITY IS RELEVANT TO THE CONSIDERATION OF THE HEALTH NEEDS OF THE COMMUNITY. THESE HARSH DEMOGRAPHICS, COMBINED WITH POOR HEALTH STATISTICS, MAKE THE NEED FOR HEALTH PROMOTION ACTIVITIES IN THE COMMUNITY HIGH PRIORITY. |
| Schedule H, Part VI, Line 5 | CROSSRIDGE HAS RESPONDED TO THE FINDINGS OF THE NEEDS ASSESSMENTS BY PROVIDING SEVERAL HEALTH PROMOTION ACTIVITIES TO AID IN REDUCING HEALTH DISPARITIES. -THE HOSPITAL'S HEALTH AND WELLNESS PARTICIPANTS ARE EDUCATED ON WAYS TO SELF-MANAGE CHRONIC ILLNESS, WHICH INCLUDES MEDICAL EXERCISE REHABILITATION. - RACE FOR THE CURE PROCEEDS GO TO THE KOMEN FOUNDATION. - THE HOSPITAL OFFERS MAMMOGRAMS FOR $99 THROUGHOUT THE MONTH OF OCTOBER AND PROVIDES FREE MAMMOGRAMS THROUGHOUT THE YEAR FOR THOSE WHO QUALIFY. - THE HOSPITAL HOSTS A BREAST CANCER AWARENESS LUNCHEON EACH YEAR TO PROMOTE THE IMPORTANCE OF MAKING BREAST HEALTH A PRIORITY. - THE HOSPITAL OFFERS A FREE ANNUAL PROSTATE HEALTH SCREENING TO MEN IN CROSS COUNTY. THE SCREENING INCLUDES A PSA, BLOOD PRESSURE AND DIGITAL RECTAL EXAM BY STAFF FROM UROLOGY ASSOCIATES. - THE HOSPITAL OFFERS THE ARSAVES STROKE PROGRAM. THIS PROGRAM OFFERS TELEMEDICINE ACCESS TO NEUROSURGEONS 24/7 THROUGH CROSSRIDGE ED TO ENSURE THAT STROKE VICTIMS ARE TREATED APPROPRIATELY IN A TIMELY MANNER. ALSO, THIS PROGRAM PROVIDES STROKE EDUCATION TO ALL AGES OF THE LOCAL COMMUNITY REGARDING EARLY DETECTION OF STROKE SYMPTOMS AT LEAST TWICE PER MONTH. - THE HOSPITAL OFFERS FREE HEALTH SCREENINGS TO THE COMMUNITY, EMPLOYEES AND LOCAL WORKSITES THAT PROVIDE BLOOD PRESSURE SCREENINGS AND EDUCATION REGARDING STROKE AND HOW TO PREVENT THEM. |
| Schedule H, Part VI, Line 6 | SBHC SYSTEM FOCUSES ITS ENERGIES AND RESOURCES ON PARTNERSHIPS THAT HAVE THE GREATEST POTENTIAL FOR A POSITIVE IMPROVEMENT IN THE HEALTH AND QUALITY OF LIFE FOR INDIVIDUALS AND COMMUNITIES. AREAS WHERE CONSIDERABLE ACTIVITY IS EXPENDED INCLUDE: - COMMUNITY HEALTH EDUCATION, PREVENTION, EARLY DETECTION, AND INTERVENTION ACTIVITIES THAT WOULD REDUCE THE INCIDENCE AND SERIOUSNESS OF ILLNESS, THEREBY MINIMIZING THE NEED FOR PREVENTABLE AND EXPENSIVE MEDICAL INTERVENTIONS. - CHRONIC DISEASE MANAGEMENT ACTIVITIES, WHICH, WHEN DONE EFFECTIVELY, MINIMIZE THE NEED FOR MEDICAL INTERVENTIONS. - PROACTIVE HEALTH GRANT PROGRAMS THAT FUND COMMUNITY BASED HEALTH PROGRAMS AND INITIATIVES. - INCREASING ACCESS TO HEALTH COVERAGE FOR ELIGIBLE RESIDENTS IN PROGRAMS SUCH AS AR KIDS FIRST. - INCREASING ACCESS TO HEALTHCARE SERVICES FOR THOSE IN NEED REGARDLESS OF ABILITY TO PAY. - COLLABORATIVE PARTNERSHIPS THAT SUPPORT THE PURPOSE OF INCREASING INDIVIDUAL AND COMMUNITY CAPACITY TO ACHIEVE THE HEALTHY COMMUNITY VISION. - HEALTH RESEARCH, EDUCATION AND TRAINING PROGRAMS. - DONATIONS OF FOOD, SURPLUS EQUIPMENT AND STAFF TIME TO ORGANIZATIONS ADDRESSING THE HEALTH NEEDS OF THE COMMUNITY. - PARTNERSHIPS WHICH MOTIVATE RESIDENTS TO GIVE BACK TO THEIR COMMUNITIES TO MOVE THE COMMUNITY CLOSER TO THE HEALTHY COMMUNITY VISION. |
| Schedule H, Part VI, Line 7 | CROSSRIDGE COMMUNITY HOSPITAL DOES NOT FILE A COMMUNITY BENEFIT REPORT WITH THE STATE OF ARKANSAS AS THERE IS NO REQUIREMENT TO DO SO. |
| Schedule H, Part V, Section B, Line 16a FAP website | - ST BERNARDS COMMUNITY HOSPITAL: Line 16a URL: WWW.STBERNARDS.INFO/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - ST BERNARDS COMMUNITY HOSPITAL: Line 16b URL: WWW.STBERNARDS.INFO/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | - ST BERNARDS COMMUNITY HOSPITAL: Line 16c URL: WWW.STBERNARDS.INFO/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE; |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|---|---|
| CROSS COUNTY HIGH SCHOOL | ||||||||||
| PO BOX 180 | CHERRY VALLEY | AR | 72324 | 710392273 | 115 | $5,000 | $0 | FMV | N/A | ATHLETICS PROGRAM |
| ST BERNARDS DEVELOPMENT FOUNDATION | ||||||||||
| 400 EAST STREET | JONESBORO | AR | 72401 | 710563245 | 501(c)(3) | $12,407 | $0 | FMV | N/A | GENERAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds | FormAndLineReferenceDesc |
| Explanation | We award funds based on the community benefits received that support our mission of health and education to the people we serve. We evaluate the intended use and monitor the programs they support. We evaluate the results both during and after the programs are implemented to measure the success of those programs in our communities. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHRIS BARBER | ||||||||||||||
| PRESIDENT & CEO | $0 | $839,097 | $0 | $0 | $0 | $43,711 | $0 | $30,000 | $0 | $15,068 | $0 | $927,876 | $0 | $0 |
| BENJAMIN BARYLSKE | ||||||||||||||
| CFO | $0 | $405,501 | $0 | $0 | $0 | $6,390 | $0 | $13,604 | $0 | $9,666 | $0 | $435,161 | $0 | $0 |
| GARY SPARKS | ||||||||||||||
| ADMINSTRATOR | $0 | $214,827 | $0 | $0 | $0 | $5,608 | $0 | $0 | $0 | $180 | $0 | $220,615 | $0 | $0 |
| STACIE SCHLENKER | ||||||||||||||
| PHARMACIST | $179,397 | $0 | $0 | $0 | $168 | $0 | $5,564 | $0 | $255 | $0 | $185,384 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 | ST. BERNARDS HEALTHCARE, A RELATED ORGANIZATION, USES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD TO ESTABLISH COMPENSATION OF THE CEO. |
| Schedule J, Part II, Column (D) | THE INCREASE OF THE ACTUARIAL VALUE OF THE DEFINED BENEFIT PENSION PLAN IS NOT CALCULATED ON AN INDIVIDUAL EMPLOYEE BASIS BUT RATHER ON THE EMPLOYEE GROUP TAKEN AS A WHOLE. THE INCREASE IN EACH INDIVIDUAL'S BALANCE WOULD HAVE TO BE ESTIMATED USING ASSUMPTIONS UNIQUE TO THAT INDIVIDUAL RATHER THAN THE PLAN AS A WHOLE. THIS INFORMATION IS NOT AVAILABLE AT THIS TIME. HOWEVER, WE BELIEVE THE INCREASE TO EACH INDIVIDUAL'S ACCOUNT WOULD NOT MATERIALLY CHANGE THE COMPENSATION REPORTED. WE WILL WORK WITH OUR ACTUARY TO DETERMINE THE ANNUAL INCREASE IN FUTURE PERIODS. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part V, Line 1a | THE ORGANIZATION DOES NOT DIRECTLY COMPENSATE ANY INDEPENDENT CONTRACTORS. A RELATED ORGANIZATION PAYS THEM AND FILES 1099'S ON THEIR BEHALF. THE ORGANIZATION THEN REIMBURSES THE RELATED ORGANIZATION. |
| Form 990, Part VI, Line 15a 15b | OFFICERS OF CROSS RIDGE COMMUNITY HOSPITAL ARE COMPENSATED BY A RELATED ORGANIZATION. THEREFORE, THE ORGANIZATION DOES NOT HAVE A PROCESS FOR DETERMINING COMPENSATION OF OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION. |
| Form 990, Part VI, Line 6 7A & 7B | ST. BERNARDS HEALTHCARE, INC. IS THE SOLE MEMBER OF ST. BERNARDS COMMUNITY HOSPITAL CORPORATION. THE DIRECTORS OF THE CORPORATION SHALL BE ELECTED ANNUALLY BY THE MEMBER FOR A ONE-YEAR TERM. THE MEMBER RESERVES THE RIGHT TO REMOVE ANY DIRECTOR WITHOUT CAUSE. THE MEMBER MUST APPROVE ANY TRANSACTION OVER $1 MILLION. THE DIOCESE OF LITTLE ROCK MUST APPROVE ANY TRANSACTION OVER $5 MILLION. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | THE FORM 990 IS REVIEWED BY THE FOLLOWING PERSONS OR GROUPS PRIOR TO FILING: ADMINISTRATOR OF CROSSRIDGE COMMUNITY HOSPITAL., CORPORATE CONTROLLER OF ST. BERNARDS HEALTHCARE, INC., AND CORPORATE VICE PRESIDENT OF FINANCE OF ST. BERNARDS HEALTHCARE, INC. |
| Form 990, Part VI, Line 12c Conflict of interest policy | DIRECTORS AND ABOVE ANNUALLY SUBMIT A WRITTEN STATEMENT DISCLOSING ANY POTENTIAL CONFLICTS OF INTEREST. MANAGEMENT INVESTIGATES ANY POTENTIAL CONFLICTS AND TAKES APPROPRIATE ACTION DEPENDING ON THE NATURE OF THE CONFLICT. LEGAL COUNSEL ALSO REVIEWS ANY POTENTIAL CONFLICTS OF INTEREST AND ADVISES MANAGEMENT. |
| Form 990, Part VI, Line 19 Required documents available to the public | THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. |
| Form 990, Part VII, Section A | THE ORGANIZATION REIMBURSED A RELATED ORGANIZATOIN FOR THE COMPENSATION REPORTED IN PART VII. THE RELATED ORGANIZATION FILED 188 W-2S ON THE ORGANIZATION'S BEHALF. |
| Form 990, Part VIII, Line 11d Other Miscellaneous Revenue | - Total Revenue: 13549, Related or Exempt Function Revenue: 0, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 13549; |
| Form 990, Part IX, Line 11g Other Fees | PHYSICIAN SERVICES - Total Expense: 2031643, Program Service Expense: 1200625, Management and General Expenses: 831018, Fundraising Expenses: 0; PURCHASED SERVICES - Total Expense: 156613, Program Service Expense: 92552, Management and General Expenses: 64061, Fundraising Expenses: 0; CONTRACT LABOR - Total Expense: 172690, Program Service Expense: 102053, Management and General Expenses: 70637, Fundraising Expenses: 0; BILLING - Total Expense: 40353, Program Service Expense: 23847, Management and General Expenses: 16506, Fundraising Expenses: 0; THERAPY - Total Expense: 4880, Program Service Expense: 2884, Management and General Expenses: 1996, Fundraising Expenses: 0; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Public Charity StatusPublicCharityStatusTxt |
|---|---|---|---|---|---|---|---|---|---|---|
| OLIVETAN BENEDICTINE SISTERS INC | ||||||||||
| PO DRAWER 130 | JONESBORO | AR | 72403 | 710654621 | CONVENT | AR | 501(c)(3) | NA | false | |
| ST BERNARDS HOSPITAL INC (SBHI) | ||||||||||
| 225 EAST WASHINGTON | JONESBORO | AR | 72401 | 710290019 | HEALTHCARE | AR | 501(c)(3) | SBHCI | Yes (true) | 3 |
| ST BERNARDS HEALTHCARE INC (SBHCI) | ||||||||||
| 225 EAST WASHINGTON | JONESBORO | AR | 72401 | 710853900 | SUPPORT | AR | 501(c)(3) | OBS | false | Type I |
| ST BERNARDS VILLAGE INC | ||||||||||
| 225 EAST WASHINGTON | JONESBORO | AR | 72401 | 710805203 | HOUSING | AR | 501(c)(3) | SBHCI | Yes (true) | 10 |
| BENEDICTINE MANOR I | ||||||||||
| 225 EAST WASHINGTON | JONESBORO | AR | 72401 | 208030553 | HOUSING | AR | 501(c)(3) | VILLAGE | Yes (true) | 10 |
| BENEDICTINE MANOR II | ||||||||||
| 225 EAST WASHINGTON | JONESBORO | AR | 72401 | 208030603 | HOUSING | AR | 501(c)(3) | VILLAGE | Yes (true) | 10 |
| CROSS COUNTY HOSPITAL FOUNDATION | ||||||||||
| PO BOX 590 | WYNNE | AR | 72396 | 710676613 | HEALTHCARE | AR | 501(c)(3) | CRCH | Yes (true) | Type I |
| JONESBORO REAL ESTATE HOLDINGS INC | ||||||||||
| 225 EAST WASHINGTON | JONESBORO | AR | 72401 | 710835010 | REAL ESTATE | AR | 501(c)(2) | SBHCI | Yes (true) | |
| TOTAL LIFE HEALTHCARE | ||||||||||
| 700 EAST WASHINGTON AVE | JONESBORO | AR | 72401 | 260262745 | HEALTHCARE | AR | 501(c)(3) | SBHCI | Yes (true) | 10 |
| ST BERNARDS DEVELOPMENT FOUNDATION | ||||||||||
| 400 EAST STREET | JONESBORO | AR | 72401 | 710563245 | SUPPORT | AR | 501(c)(3) | OBS | false | 7 |
| MATTHEWS MEDICAL MILE | ||||||||||
| PO BOX 9320 | JONESBORO | AR | 72403 | 273865388 | ADVERTISING | AR | 501(c)(3) | SBHCI | Yes (true) | 10 |
| AUX TO ST BERNARDS MEDICAL CENTER | ||||||||||
| 225 EAST WASHINGTON | JONESBORO | AR | 72401 | 710493824 | FUNDRAISING | AR | 501(c)(3) | SBHCI | Yes (true) | Type I |
| FIVE RIVERS MEDICAL CENTER INC | ||||||||||
| 2801 MEDICAL CENTER DR | POCAHONTAS | AR | 72455 | 273970823 | HEALTHCARE | AR | 501(c)(3) | SBHCI | Yes (true) | 3 |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| PET CENTER LLC | |||||||||
| PO BOX 13267 | MAUMELLE | AR | 72118 | 710876911 | P.E.T. SCANNING | AR | NA | false | false |
| OUTPATIENT SRGRY CTR | |||||||||
| 1100 E MATTHEWS | JONESBORO | AR | 72401 | 743052826 | HEALTHCARE | AR | NA | false | false |
| PAIN CENTER LLC | |||||||||
| 505 E MATTHEWS STE 103 | Jonesboro | AR | 72401 | 331048492 | PAIN MANAGEMENT | AR | NA | false | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (17 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| REGIONAL HEALTHCARE HOLDINGS INC | |||||||||
| PO BOX 9320 | JONESBORO | AR | 72403 | 731650896 | HOLDING COMPANY | AR | NA | C Corporation | Yes (true) |
| HEART SURGERY ASSOCIATES | |||||||||
| BOX 9320 | JONESBORO | AR | 72403 | 200120406 | HEALTHCARE | AR | NA | C Corporation | Yes (true) |
| JONESBORO ANESTHESIA INC | |||||||||
| 221 HUGHES STE C | JONESBORO | AR | 72401 | 020644209 | ANESTHESIOLOGY | AR | NA | C Corporation | Yes (true) |
| DOCTORS HEALTH GROUP | |||||||||
| PO BOX 9320 | JONESBORO | AR | 72403 | 710788355 | HEALTHCARE | AR | NA | C Corporation | Yes (true) |
| JONESBORO NEUROSURGERY CLINIC | |||||||||
| PO BOX 9320 | JONESBORO | AR | 72403 | 205938180 | NEUROSURGERY | AR | NA | C Corporation | Yes (true) |
| REGIONAL HEALTHCARE SERVICES | |||||||||
| PO BOX 9320 | JONESBORO | AR | 72403 | 710780305 | HEALTHCARE | AR | NA | C Corporation | Yes (true) |
| SURGICAL ASSOCIATES OF JONESBORO | |||||||||
| PO BOX 9320 | JONESBORO | AR | 72403 | 263827817 | HEALTHCARE | AR | NA | C Corporation | Yes (true) |
| HEALTHCARE MEDICAL GROUP INC | |||||||||
| PO BOX 9320 | JONESBORO | AR | 72403 | 710792539 | HEALTHCARE | AR | NA | C Corporation | Yes (true) |
| THE HEARTCARE CENTER | |||||||||
| 225 EAST JACKSON | JONESBORO | AR | 72401 | 202061837 | HEALTHCARE | AR | NA | C Corporation | Yes (true) |
| JONESBORO PLASTIC SURGERY | |||||||||
| 800 S MAIN STREET | JONESBORO | AR | 72401 | 271450995 | PLASTIC SURGERY | AR | NA | C Corporation | Yes (true) |
| OB-GYN ASSOC OF JONESBORO | |||||||||
| 800 S MAIN STREET | JONESBORO | AR | 72401 | 272717909 | OB-GYN | AR | NA | C Corporation | Yes (true) |
| CARDIOLOGY ASSOCIATES OF JONESBORO | |||||||||
| 800 S MAIN STREET | JONESBORO | AR | 72401 | 273757274 | CARDIOLOGY | AR | NA | C Corporation | Yes (true) |
| ST BERNARDS CLINICS INC | |||||||||
| 800 S MAIN STREET | JONESBORO | AR | 72401 | 273722124 | HEALTHCARE | AR | NA | C Corporation | Yes (true) |
| CANCER CARE ASSOCIATES INC | |||||||||
| 800 S MAIN STREET | JONESBORO | AR | 72401 | 800864692 | HEALTHCARE | AR | NA | C Corporation | Yes (true) |
| ST BERNARDS ORTHOPEDIC ASSOCIATES INC | |||||||||
| 800 S MAIN STREET | JONESBORO | AR | 72401 | 462738617 | HEALTHCARE | AR | NA | C Corporation | Yes (true) |
| ST BERNARDS UROLOGY ASSOCIATES INC | |||||||||
| 800 S MAIN STREET | JONESBORO | AR | 72401 | 464039608 | HEALTHCARE | AR | NA | C Corporation | Yes (true) |
| ST BERNARDS PHYSICIAN CLINICS INC | |||||||||
| 800 S MAIN ST | JONESBORO | AR | 72401 | 871439061 | HEALTHCARE | AR | NA | C Corporation | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |