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ST BERNARD HOSPITAL: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
ST BERNARD HOSPITAL (EIN 36-2264414)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-12
IRS object ID
202033179349306838
Schema version
2019v5.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2020-11-12T15:00:41-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350921680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11455 Pennsylvania Avenue NW Suite 7AddressLine1Txt
Address Line200AddressLine2Txt
CityWashingtonCityNm
State AbbreviationDCStateAbbreviationCd
ZIP200041008ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN362264414EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1St Bernard HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTBEBusinessNameControlTxt
Phone7739624100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1326 WEST 64TH STREETAddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60621ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCharles Holland JrPersonNm
Person TitlePresident/CEOPersonTitleTxt
Signature2020-11-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonROBERT WILLIAMSPreparerPersonNm
PTINP01345960PTIN
Phone2026245555PhoneNum
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1CHARLES A HOLLAND JRBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1326 WEST 64TH STREETAddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60621ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$100,928,165GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.STBH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1904FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionSt. Bernard Hospital (SBH) aspires to live the healing mission of Christ within the South Side community of Chicago. During 2019 SBH provided $3.6 million in charity care at cost under its charity care policy.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee1013TotalEmployeeCnt
Total Volunteers13TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,218,979PYContributionsGrantsAmt
CY Contributions Grants$2,840,657CYContributionsGrantsAmt
PY Program Service Revenue$87,784,400PYProgramServiceRevenueAmt
CY Program Service Revenue$92,613,039CYProgramServiceRevenueAmt
PY Investment Income$78,630PYInvestmentIncomeAmt
CY Investment Income$303,019CYInvestmentIncomeAmt
PY Other Revenue$2,452,636PYOtherRevenueAmt
CY Other Revenue$5,048,524CYOtherRevenueAmt
PY Total Revenue$92,534,645PYTotalRevenueAmt
CY Total Revenue$100,805,239CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$54,728,075PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$55,268,284CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$99,895CYTotalFundraisingExpenseAmt
PY Other Expenses$43,302,381PYOtherExpensesAmt
CY Other Expenses$46,448,848CYOtherExpensesAmt
PY Total Expenses$98,030,456PYTotalExpensesAmt
CY Total Expenses$101,717,132CYTotalExpensesAmt
PY Revenues Less Expenses-$5,495,811PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$911,893CYRevenuesLessExpensesAmt
Total Assets BOY$95,764,201TotalAssetsBOYAmt
Total Assets EOY$95,154,903TotalAssetsEOYAmt
Total Liabilities BOY$44,057,184TotalLiabilitiesBOYAmt
Total Liabilities EOY$39,859,779TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$51,707,017NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$55,295,124NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionA Catholic facility sponsored by the Religious Hospitallers of Saint Joseph, since 1904, St. Bernard Hospital (SBH) aspires to live the Healing Mission of Christ within the South Side Community of Chicago. (Continued on Schedule O)MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$57,360,212ExpenseAmt
Revenue$56,170,352RevenueAmt
DescST. 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 2019 ST. BERNARD HOSPITAL PROVIDED 32,066 INPATIENT DAYS OF SERVICE TO 6,273 PATIENTS. IN ADDITION, THE HOSPITAL HAD 575 NEWBORN DELIVERIES AS WELL AS 2,231 MENTAL HEALTH ADMISSIONS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$22,004,554ExpenseAmt
Revenue$21,548,099RevenueAmt
DescDURING 2019 EMERGENCY ROOM SERVICES WERE PROVIDED TO 39,996 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.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$14,896,420ExpenseAmt
Revenue$14,587,414RevenueAmt
DescDURING 2019 ST. BERNARD HOSPITAL PROVIDED A FULL RANGE OF OUTPATIENT DIAGNOSTIC TREATMENT TO 73,442 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 2,108 PATIENTS IN 2019. THE HOSPITAL ALSO OPERATES A MOBILE MEDICAL UNIT PROGRAM, WHICH WAS OPENED IN 2003, IT TREATED 3,927 PATIENTS TO PROVIDE IMMUNIZATIONS AND SCHOOL PHYSICALS TO THE CHILDREN IN ENGLEWOOD AND OTHER NEIGHBORHOODS ON THE SOUTH SIDE OF CHICAGO.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Revenue$4,533,038RevenueAmt
DescTHE 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.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Revenue$4,533,038TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$94,261,186TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document99IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee1013EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedurefalseWrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Robert SpringerBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7739624210PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1326 West 64th StreetAddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP60621ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CHARLES HOLLAND JR
PRESIDENT/CEO40.02.0Yes (X)Yes (X)$729,538$0$22,928
GREGORY WHITEHEAD
CHAIRPERSON THRU FEB 20191.02.0Yes (X)Yes (X)$0$0$0
MARIA M ASHLEY DDS
VICE CHAIRPERSON THRU FEB 20191.01.0Yes (X)Yes (X)$0$0$0
MD HENRY WIGGINS
SECRETARY1.01.0Yes (X)Yes (X)$0$0$0
MD OLALEKAN SOWADE
VICE CHAIRPERSON & TREASURER MAR-DEC1.01.0Yes (X)Yes (X)$0$0$0
SR MARY POKORNY OP
TREASURER THRU FEB - ACTING CHAIRPERSON MAR-DEC1.02.0Yes (X)Yes (X)$0$0$0
GEORGE DENGLER DO
TRUSTEE1.01.0Yes (X)$0$0$0
JIMI ORANGE MPA
TRUSTEE1.01.0Yes (X)$0$0$0
MD RAJ KHURANA
TRUSTEE1.01.0Yes (X)$0$0$0
MICHAEL CLEAVENGER
TRUSTEE1.01.0Yes (X)$0$0$0
NATAKA MOORE PSYD
TRUSTEE1.01.0Yes (X)$0$0$0
PATRICIA MERRYWEATHER-ARGES
TRUSTEE1.01.0Yes (X)$0$0$0
SR ELIZABETH VAN STRATEN RHSJ
TRUSTEE1.02.0Yes (X)$0$0$0
SR JOANNE DELEHANTY
TRUSTEE - APPOINTED APRIL 20191.01.0Yes (X)$0$0$0
DIAHANN SINCLAIR
VP ORGANIZATIONAL & COMM DEVELOPMENT40.00Yes (X)$165,370$0$9,821
EVELYN JONES
VP OF NURSING40.00Yes (X)$303,427$0$14,863
ROBERT SPRINGER
CFO40.00Yes (X)$235,575$0$3,395
ROLAND ABELLERA
CHIEF OPERATIONS OFFICER40.00Yes (X)$365,105$0$26,933
ABIGAIL STERN
ASSOCIATE DENTIST40.00$160,263$0$879Yes (X)
EDNA RETIRADO
Registered Nurse36.00$159,130$0$19,038Yes (X)
JOSE MARLOWE GUJIL
Registered Nurse36.00$154,746$0$8,500Yes (X)
MARY JOYCE GOMEZ
DIRECTOR OF DENTAL CLINIC SERVICES40.00$223,126$0$7,579Yes (X)
SATISH BHATT
DIRECTOR OF PHARMACY40.00$267,950$0$22,739Yes (X)
KIRKOR KARACHORLU
FORMER DIRECTOR OF LAB/ PATHOLOGY0.00$195,750$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,959,980TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$136,675TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K60IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
SOUTH YALE EMERGENCY PHYSICIANS
326 WEST 64TH STCHICAGOIL60621ER PHYSICIAN FEES$3,214,535
SODEXO
4880 PAYSPHERE CIRCLECHICAGOIL60674FOOD SERVICES MANAGEMENT$1,134,390
HOSPITAL SERVICES GROUPLLC
326 WEST 64TH STREETCHICAGOIL60621HOUSE PHYSICIAN COVERAGE$829,920
MELISSA PENAS MD
1841 S CALUMET AVECHICAGOIL60616ANESTHESIA PHYSICIAN$640,500UNIT 2207
SHUOMIN ZHU
1823 HARVARD RDFLOSSMORIL60422ANESTHESIA PHYSICIAN$566,450
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K21CntrctRcvdGreaterThan100KCnt
Fundraising$139,150FundraisingAmt
All Other Contributions$2,701,507AllOtherContributionsAmt
Total Contributions$2,840,657TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
INPATIENT REVENUE621110$56,170,352$56,170,352
OUTPATIENT REVENUE621400$14,587,414$14,587,414
EMERGENCY REVENUE621400$21,548,099$21,548,099
RENTAL REVENUE621300$307,174$307,174

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$92,613,039TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$114,695TotalRevenueColumnAmt
Exclusion$114,695ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$125,245SecuritiesAmt
Other$63,079OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$125,245SecuritiesAmt
Other$63,079OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$188,324TotalRevenueColumnAmt
Exclusion$188,324ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$69,030FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$139,150ContriRptFundraisingEventAmt
Fundraising Direct Expenses$122,926FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$53,896TotalRevenueColumnAmt
Exclusion-$53,896ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PIH PAYMENTS900099$355,275$355,275
CAFETERIA722514$521,281$521,281
MEDICAL RECORDS900099$23,466$23,466

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,202,398TotalRevenueColumnAmt
Related Or Exempt Func Income$4,202,398RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$5,102,420OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$100,805,239TotalRevenueColumnAmt
Related Or Exempt Func Income$96,838,903RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,125,679ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,447,785TotalAmt
Management And General$1,447,785ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$43,341,625TotalAmt
Program Services$41,991,704ProgramServicesAmt
Management And General$1,257,015ManagementAndGeneralAmt
Fundraising$92,906FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$470,872TotalAmt
Program Services$447,328ProgramServicesAmt
Management And General$23,544ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,726,252TotalAmt
Program Services$5,986,364ProgramServicesAmt
Management And General$739,888ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,281,750TotalAmt
Program Services$3,105,683ProgramServicesAmt
Management And General$169,352ManagementAndGeneralAmt
Fundraising$6,715FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$591,940TotalAmt
Management And General$591,940ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$113,000TotalAmt
Management And General$113,000ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$175,000TotalAmt
Management And General$175,000ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$52,247TotalAmt
Management And General$52,247ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$18,293,555TotalAmt
Program Services$17,167,773ProgramServicesAmt
Management And General$1,125,782ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$85,225TotalAmt
Management And General$85,225ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$324,807TotalAmt
Management And General$324,533ManagementAndGeneralAmt
Fundraising$274FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$480,884TotalAmt
Program Services$360,663ProgramServicesAmt
Management And General$120,221ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,944,482TotalAmt
Program Services$3,155,586ProgramServicesAmt
Management And General$788,896ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$9,399TotalAmt
Program Services$3,945ProgramServicesAmt
Management And General$5,454ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$966TotalAmt
Management And General$966ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$89,654TotalAmt
Program Services$71,723ProgramServicesAmt
Management And General$17,931ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,179,520TotalAmt
Program Services$5,179,520ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,013,761TotalAmt
Program Services$746,349ProgramServicesAmt
Management And General$267,412ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Patient Supp. & Drugs$8,955,520$8,955,520
State Assessment$6,412,494$6,412,494

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$726,394TotalAmt
Program Services$676,534ProgramServicesAmt
Management And General$49,860ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$101,717,132TotalAmt
Program Services$94,261,186ProgramServicesAmt
Management And General$7,356,051ManagementAndGeneralAmt
Fundraising$99,895FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$9,023,319BOYAmt
EOY$8,466,013EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$7,615,453BOYAmt
EOY$5,969,027EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$880,000BOYAmt
EOY$407,700EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$10,850,647BOYAmt
EOY$13,614,467EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$957,729BOYAmt
EOY$1,102,934EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$896,047BOYAmt
EOY$1,126,666EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$152,395,606LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$94,986,389LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$57,112,641BOYAmt
EOY$57,409,217EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$7,585,908BOYAmt
EOY$6,987,434EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$842,457BOYAmt
EOY$71,445EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$95,764,201BOYAmt
EOY$95,154,903EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$9,753,114BOYAmt
EOY$10,997,380EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,113,450BOYAmt
EOY$2,024,149EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$32,190,620BOYAmt
EOY$26,838,250EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$44,057,184BOYAmt
EOY$39,859,779EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$44,091,564BOYAmt
EOY$49,326,097EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,615,453BOYAmt
EOY$5,969,027EOYAmt

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$51,707,017BOYAmt
EOY$55,295,124EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$95,764,201BOYAmt
EOY$95,154,903EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$911,893ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$4,500,000OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$180,000DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$180,000TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationAT 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 IMPACT LEGISLATION ON IMMIGRATION FOR NURSING PERSONNEL.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,135,700BeginningYearBalanceAmt
Investment Earnings Or Losses$417,032InvestmentEarningsOrLossesAmt
Administrative Expenses$4,692AdministrativeExpensesAmt
End Year Balance$2,548,040EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,203,523BeginningYearBalanceAmt
Investment Earnings Or Losses-$63,434InvestmentEarningsOrLossesAmt
Administrative Expenses$4,389AdministrativeExpensesAmt
End Year Balance$2,135,700EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,934,199BeginningYearBalanceAmt
Investment Earnings Or Losses$273,395InvestmentEarningsOrLossesAmt
Administrative Expenses$4,071AdministrativeExpensesAmt
End Year Balance$2,203,523EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,835,888BeginningYearBalanceAmt
Investment Earnings Or Losses$102,018InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$3,707AdministrativeExpensesAmt
End Year Balance$1,934,199EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,828,343BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$11,016InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$3,471AdministrativeExpensesAmt
End Year Balance$1,835,888EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.0BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.6PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.4TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,842,022OtherCostOrOtherBasisAmt
Book Value$6,842,022BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$86,941,793OtherCostOrOtherBasisAmt
Depreciation$50,554,738DepreciationAmt
Book Value$36,387,055BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$56,256,363OtherCostOrOtherBasisAmt
Depreciation$44,431,651DepreciationAmt
Book Value$11,824,712BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,355,428OtherCostOrOtherBasisAmt
Book Value$2,355,428BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$57,409,217TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
EST LIAB - SELF INSURANCE PROGRAM$14,343,467
FIN 47 LIABILITY$494,783
EST PAYABLES - THIRD PARTY REIMB.
DEFERRED COMPENSATION LIABILITIES
Due To Related Organization$12,000,000
FieldValueIRS element (for citing)
Total Liability$26,838,250TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment fundsThe 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) footnoteThe 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, 2019 and 2018 the Corporations do not have a liability for unrecognized tax benefits.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event12019 GALAEvent1Nm
Gross Receipts Event1$208,180GrossReceiptsEvent1Amt
Charitable Contri Event1$139,150CharitableContriEvent1Amt
Gross Revenue Event1$69,030GrossRevenueEvent1Amt
Food And Beverage Event1$78,553FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$44,373OtherDirectExpensesEvent1Amt
Gross Revenue Event2$0GrossRevenueEvent2Amt
Gross Revenue Other Events$0GrossRevenueOtherEventsAmt
Gross Receipts Total$208,180GrossReceiptsTotalAmt
Charitable Contributions Tot$139,150CharitableContributionsTotAmt
Gross Revenue Total Events$69,030GrossRevenueTotalEventsAmt
Food And Beverage Total Events$78,553FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$44,373OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$122,926DirectExpenseSummaryEventsAmt
Net Income Summary-$53,896NetIncomeSummaryAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule G, Part II, Line 2(a) Fundraising Net IncomeFormAndLineReferenceDesc
ExplanationTHE MECHANICS OF SCHEDULE G REQUIRE THAT WE REMOVE CHARITABLE CONTRIBUTIONS COLLECTED AT THE SPECIAL EVENT IN ORDER TO DETERMINE INCOME OR LOSS ON THE EVENT. $139,150 OF CHARITABLE CONTRIBUTIONS WERE COLLECTED (SCHEDULE G, PART II, LINE 2), FOR A TRUE NET INCOME OF $85,254 COLLECTED AT THIS EVENT.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other600DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,935,245TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,412,494DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,522,751NetCommunityBenefitExpnsAmt
Total Expense0.0346TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$9,935,245TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,412,494DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,522,751NetCommunityBenefitExpnsAmt
Total Expense0.0346TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,828,727TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,405,080DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,423,647NetCommunityBenefitExpnsAmt
Total Expense0.0337TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$709,396TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$186,728DirectOffsettingRevenueAmt
Net Community Benefit Expns$522,668NetCommunityBenefitExpnsAmt
Total Expense0.0051TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,287,315TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,762,255DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,525,060NetCommunityBenefitExpnsAmt
Total Expense0.0740TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$68,844TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$68,844NetCommunityBenefitExpnsAmt
Total Expense0.0007TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$17,894,282TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,354,063DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,540,219NetCommunityBenefitExpnsAmt
Total Expense0.1135TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$27,829,527TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,766,557DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,062,970NetCommunityBenefitExpnsAmt
Total Expense0.1481TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$4,053,554BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$20,457,815ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$22,612,022CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$2,154,207MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line1PARTNERS IN HEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesPROVIDE HEALTH CARE SERVICES TO MEDICAID PATIENTSPrimaryActivitiesTxt
Org Profit Or Ownership0.5OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership0.0OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership0.5PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1St Bernard HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1326 West 64th StreetAddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP60621ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.STBH.ORGWebsiteAddressTxt
State LicenseIllinois Dept of Public Health 0002303StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Emergency Room OtherYes (X)EmergencyRoomOtherInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1St Bernard HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttps://rjgm1127reo287weg3e4awb3-wpengine.netdna-ssl.com/wp-content/uploads/St.-Bernard-Hospital-201OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttps://rjgm1127reo287weg3e4awb3-wpengine.netdna-ssl.com/wp-content/uploads/2018-CHNA-ImplementationStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care600.0FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://www.stbh.org/patients/financial-services/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps://www.stbh.org/patients/financial-services/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://www.stbh.org/patients/financial-services/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3ETHE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY ARE IDENTIFIED AND PRIORITIZED THROUGH THE CHNA.
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 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 18 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: * Chicago Department of Public Health (Yaa Simpson, Epidemiologist) * Englewood Health and Wellness Task Force * Federation of Block Clubs * Greater Englewood Chamber of Commerce * Heartland Alliance * Heartland Alliance Health, Englewood Health Center * Howard Brown Health Clinic * I Grow Chicago * Imagine Englewood If... * Metropolitan Family Services * STBH staff and patients * Voices of West Englewood * Youth of Englewood
Schedule H, Part V, Section B, Line 6b Facility , 1Facility , 1 - St. Bernard Hospital. St. Bernard Hospital worked with the Sinai Urban Health Institute (SUHI) to develop this CHNA. SUHI is the nationally-recognized community research arm of Sinai Health System, a safety-net hospital system in Chicago. SUHI is well-known for employing community-driven processes to identify and address health needs in Chicago's most underserved communities. SUHI staff, including CHNA authors, Pamela Roesch, MPH, Charlotte Picard, MPH, Myles Castro, MPH, and Kristin Monnard, MPH, provided public health expertise in data collection, analysis, and interpretation.
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 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 2019 Report provides details related to the Hospital's response to identified needs, especially the top priority needs.
FieldValueIRS element (for citing)
Facility0FacilityNum

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 20a ExplanationSt. Bernard Hospital does not engage in any Extraordinary Collection Actions.
Schedule H, Part V, Section B, Line 9 Current Year CHNAThe Community Health Needs Assessment (CHNA) was completed and approved by the Hospital Board of directors on November 19, 2018. 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 18, 2019. 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://rjgm1127reo287weg3e4awb3-wpengine.netdna-ssl.com/wp-content/uploads/St.-Bernard-Hospital-2018-CHNA_Report.pdf
Schedule H, Part I, Line 7g Subsidized Health ServicesSt. Bernard Hospital did not include as subsidized health services any costs attributable to a physician clinic on Line 7g.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceA COST-TO-CHARGE RATIO WAS USED FOR ALL OF THE FIGURES REPORTED IN THE TABLE. THE COST-TOCHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountThe 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 footnoteReference the financial statements footnote provided on page 7
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsTHE 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 assistanceOf the more than 75,000 patients seen annually at St. Bernard Hospital, approximately 73% of them receive Medicaid as coverage for their health care services. Another 10% are on Medicare; 10% have commercial insurance, and 7% 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 assessmentThe 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 2018. 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 assistanceSigns 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 informationThe 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. 73% of the patients the hospital serves are on Medicaid, while 7% are self-pay, 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 healthSt. Bernard Hospital is a 210-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 210 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 more than 900 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 168 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 80,000 patients seen at St. Bernard Hospital each year, close to 90% receive Medicaid or Medicare as coverage for their health care. The hospital provided more than $9.4 million in charity care in 2018, or 8.3% 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 reportIL

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CHARLES HOLLAND JR
PRESIDENT/CEO$382,880$0$20,000$0$326,658$0$14,481$0$8,447$0$752,466$0$0$0
ROLAND ABELLERA
CHIEF OPERATIONS OFFICER$235,904$0$20,000$0$109,201$0$9,956$0$16,977$0$392,038$0$0$0
EVELYN JONES
VP OF NURSING$172,169$0$20,000$0$111,258$0$7,440$0$7,423$0$318,290$0$0$0
ROBERT SPRINGER
CFO$214,178$0$20,000$0$1,397$0$2,096$0$1,299$0$238,970$0$0$0
DIAHANN SINCLAIR
VP ORGANIZATIONAL & COMM DEVELOPMENT$121,747$0$20,000$0$23,623$0$2,688$0$7,133$0$175,191$0$0$0
KIRKOR KARACHORLU
FORMER DIRECTOR OF LAB/ PATHOLOGY$0$0$0$0$195,750$0$0$0$0$0$195,750$0$0$0
SATISH BHATT
DIRECTOR OF PHARMACY$154,391$0$0$0$113,559$0$6,309$0$16,430$0$290,689$0$0$0
MARY JOYCE GOMEZ
DIRECTOR OF DENTAL CLINIC SERVICES$222,333$0$0$0$793$0$0$0$7,579$0$230,705$0$0$0
EDNA RETIRADO
Registered Nurse$158,911$0$0$0$219$0$2,600$0$16,438$0$178,168$0$0$0
JOSE MARLOWE GUJIL
Registered Nurse$154,640$0$0$0$106$0$1,300$0$7,200$0$163,246$0$0$0
ABIGAIL STERN
ASSOCIATE DENTIST$160,125$0$0$0$138$0$0$0$879$0$161,142$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part II, Column (B)(iii) Other Reportable CompensationCertain individuals participated in a 457(b) deferred compensation program. The program was terminated in 2019 and amounts were paid out in full to eligible participants.
Schedule J, Part I, Line 7 Non-fixed paymentsAt the direction of the Board of Trustees, bonuses were paid to senior management members.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 210 LICENSED BEDS INCLUDING MEDICAL/SURGICAL, OBSTETRICS, PEDIATRICS, INTENSIVE CARE, EMERGENCY MEDICINE, INPATIENT MENTAL HEALTH, AND MEDICAL DETOX SERVICES AS WELL AS OUTPATIENT DIAGNOSTIC SERVICES. $3.5 MILLION IN FORGONE CHARGES AT COST UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS PROVIDED TO PATIENTS SERVED BY THE HOSPITAL IN 2019.
Form 990, Part III, Line 4d Description of other program services(Expenses $ including grants of $)(Revenue $ 4,533,038) 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 EMPLOYEESTHE 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 2018 FOR THE CALENDAR YEAR 2019 COMPENSATION.
Form 990, Part VI, Line 15a PROCESS USED TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIALThe 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 committeeTHE 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 stockholdersST. 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 bodyAs 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 stockholdersAs 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 bodyPrior 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 policyWritten 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 publicThe 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 RevenueOTHER - Total Revenue: 4202398, Related or Exempt Function Revenue: 4202398, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other FeesPhysician Fees - Total Expense: 10742372, Program Service Expense: 10742372, Management and General Expenses: , Fundraising Expenses: ; Ambulance fees - Total Expense: 56271, Program Service Expense: 56271, Management and General Expenses: , Fundraising Expenses: ; Collection fees - Total Expense: 15145, Program Service Expense: , Management and General Expenses: 15145, Fundraising Expenses: ; Billing fees - Total Expense: 291829, Program Service Expense: , Management and General Expenses: 291829, Fundraising Expenses: ; Contract labor & purch services - Total Expense: 5180797, Program Service Expense: 5180797, Management and General Expenses: , Fundraising Expenses: ; Dialysis & Detox Unit Management - Total Expense: 1188333, Program Service Expense: 1188333, Management and General Expenses: , Fundraising Expenses: ; Dietary Management - Total Expense: 818808, Program Service Expense: , Management and General Expenses: 818808, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesCASH TRANSFER FROM LE ROYER FOUNDATION - 4500000;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
ST BERNARD HEALTH NETWORK
326 WEST 64TH STCHICAGOIL60621201903584HEALTHCAREIL501(c)(3)Type IINAfalse
LE ROYER FOUNDATION
326 WEST 64TH STCHICAGOIL60621300135130SUPPORT SBHIL501(c)(3)Type ISBHNfalse
ST BERNARD HOUSING DEVELOPMENT CORP
326 WEST 64TH STCHICAGOIL60621364322147HOUSING DEVELOPMENTIL501(c)(3)Type IISBHYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtControlled OrganizationControlledOrganizationInd
FOUNDATION FOR EMERGENCY SERVICES
326 WEST 64TH STREETCHICAGOIL60621364330129MEDICAL BILLINGILSBHC Corporation$0$0Yes (true)
FOUNDATION FOR OUTREACH SERVICES
326 WEST 64TH STREETCHICAGOIL60621364333745MEDICAL BILLINGILSBHC Corporation$0$0Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd