2018-11-14T18:34:05-06:00 2017-12-31 350921680 CROWE LLP 225 West Wacker Drive Suite 2600 Chicago IL 606061224 990 2017-01-01 362264414 St Bernard Hospital STBE 7739624100 326 WEST 64TH STREET CHICAGO IL 60621 Charles Holland Jr President/CEO 2018-11-14 true NICOLE BENCIK P00756195 3128997000 2017 2019-02-21 02:37:17Z CHARLES A HOLLAND JR 326 WEST 64TH STREET CHICAGO IL 60621 88933699 false X WWW.STBH.ORG X 1904 IL St. Bernard Hospital (SBH) aspires to live the healing mission of Christ within the South Side community of Chicago. During 2017 SBH provided $3.5 million in charity care at cost under its charity care policy. 14 13 1024 15 0 0 1044357 1533159 89060706 85333455 3175048 20227 741636 1921680 94021747 88808521 0 0 0 0 54478456 53509518 0 0 71741 41617111 50483641 96095567 103993159 -2073820 -15184638 105074632 100040327 44139737 48837499 60934895 51202828 X A 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) false false 69984047 63241623 ST. BERNARD HOSPITAL OFFERS A FULL CONTINUUM OF INPATIENT SERVICES INCLUDING MEDICAL SURGICAL SERVICES, ICU, TELEMETRY, OBSTETRICS, NURSERY, NEONATOLOGY, MEDICAL DETOX, AND INPATIENT MENTAL HEALTH SERVICES. DURING 2017 ST. BERNARD HOSPITAL PROVIDED 32,497 INPATIENT DAYS OF SERVICE TO 6,854 PATIENTS. IN ADDITION, THE HOSPITAL HAD 766 NEWBORN DELIVERIES AS WELL AS 1,875 MENTAL HEALTH ADMISSIONS. 15797473 14275508 DURING 2017 EMERGENCY ROOM SERVICES WERE PROVIDED TO 36,486 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. 8262967 7466894 DURING 2017 ST. BERNARD HOSPITAL PROVIDED A FULL RANGE OF OUTPATIENT DIAGNOSTIC TREATMENT TO 73,409 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 5,604 PATIENTS IN 2017. THE HOSPITAL ALSO OPERATES A MOBILE MEDICAL UNIT PROGRAM, WHICH WAS OPENED IN 2003, IT TREATED 2,318 PATIENTS TO PROVIDE IMMUNIZATIONS AND SCHOOL PHYSICALS TO THE CHILDREN IN ENGLEWOOD AND OTHER NEIGHBORHOODS ON THE SOUTH SIDE OF CHICAGO. 1637261 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. 1637261 94044487 true true false true false false false false false true true false false false true true false true false false false false false false true false true true false false true false false false false false false false false false false false false false true true false false false true 90 0 true 1024 true false false false false false true true true false false false X 14 13 false false false false true true true true true false false false true true true true true false false true false X Robert Springer 7739624210 326 West 64th Street Chicago IL 60621 CHARLES HOLLAND JR PRESIDENT/CEO 40.0 2.0 X X 369337 0 26915 GREGORY WHITEHEAD CHAIRMAN 1.0 2.0 X X 0 0 0 MARIA M ASHLEY DDS VICE CHAIRMAN 1.0 1.0 X X 0 0 0 SR MARY POKORNY OP TREASURER 1.0 2.0 X X 0 0 0 HENERY WIGGINS MD SECRETARY 1.0 1.0 X X 0 0 0 SR ELIZABETH VAN STRATEN RHSJ TRUSTEE 1.0 2.0 X 0 0 0 NATAKA MOORE PSYD TRUSTEE 1.0 1.0 X 0 0 0 JIMI ORANGE MPA TRUSTEE 1.0 1.0 X 0 0 0 OLALEKAN SOWADE MD CHIEF OF STAFF 1.0 1.0 X 0 0 0 MICHAEL C CLEAVENGER TRUSTEE 1.0 1.0 X 0 0 0 PATRICIA MERRYWEATHER-ARGES TRUSTEE 1.0 1.0 X 0 0 0 RAJ KHURANA MD MEDICAL STAFF REPRESENTATIVE 1.0 1.0 X 0 0 0 DARIA TERRELL MD MEDICAL STAFF PRESIDENT 1.0 1.0 X 0 0 0 LEON JACKSON TRUSTEE 1.0 1.0 X 0 0 0 ASHUTOSH GUPTA TRUSTEE-THRU FEBRUARY 2017 1.0 1.0 X 0 0 0 SR JOANNE DELEHANTY TRUSTEE-THRU FEBRUARY 2017 1.0 1.0 X 0 0 0 EVELYN JONES VP OF NURSING 40.0 0.0 X 175953 0 16355 DIAHANN SINCLAIR VP ORGANIZATIONAL & COMM DEVELOPMENT 40.0 0.0 X 118803 0 9656 ROLAND ABELLERA CHIEF OPERATIONS OFFICER 40.0 0.0 X 228824 0 28700 JAMES PORTER CFO 40.0 0.0 X 244314 0 18350 DANNY ROLLINS VP ANCILLARY & SUPPORT SERVICES 40.0 0.0 X 151341 0 10483 ROBERT SPRINGER DIRECTOR OF FINANCE 40.0 0.0 X 170693 0 932 SATISH BHATT DIRECTOR OF PHARMACY 40.0 0.0 X 151968 0 24373 EDNA RETIRADO REGISTERED NURSE 36.0 0.0 X 138135 0 20615 HELIO ZAPATA HOUSE PHYSICIAN 40.0 0.0 X 137704 0 6873 PEARL WILLIAMS MANAGER OF PHARMACY 40.0 0.0 X 127352 0 9851 2014424 0 173103 50 false true false SOUTH YALE EMERGENCY PHYSICIANS 326 WEST 64TH ST CHICAGO IL 60621 ER PHYSICIAN FEES 3307802 SODEXO 4880 PAYSPHERE CIRCLE CHICAGO IL 60674 FOOD SERVICES MANAGEMENT 1196735 HOSPITAL SERVICES GROUPLLC 326 WEST 64TH STREET CHICAGO IL 60621 HOUSE PHYSICIAN COVERAGE 856086 COMPREHENSIVE CONSULTING INC 209 S MAIN ST MOUNT PROSPECT IL 60056 MENTAL HEALTH MANAGEMENT SERVICES 758005 MELISSA PENAS MD 1841 S CALUMET AVE UNIT 2207 CHICAGO IL 60616 ANESTHESIA PHYSICIAN 638164 22 X 260732 1272427 1533159 INPATIENT REVENUE 621110 63241623 63241623 OUTPATIENT REVENUE 621400 7466894 7466894 EMERGENCY REVENUE 621400 14275508 14275508 RENTAL REVENUE 621300 349430 349430 0 0 0 0 85333455 18255 18255 0 0 1822 150 1822 150 1972 1972 76650 125178 -48528 -48528 FHN PAYMENTS 900099 147566 147566 CAFETERIA 722210 533232 533232 SISTERS MAINT & MED RECS 900099 65378 65378 1224032 1222453 0 1579 1970208 88808521 86621286 0 654076 X 1390906 1390906 40711770 36362412 4349358 696203 654476 41727 7590543 6786906 803637 3120096 2808086 312010 31775 31775 147000 147000 155000 155000 50822 50822 15835088 14638353 1196735 0 41777 41777 246234 246234 470292 352719 117573 3568956 2825563 743393 10394 4307 6087 536 536 70569 56455 14114 5273247 5273247 6496816 6306401 190415 Patient Supp. & Drugs 9066600 9066600 State Assessment 8415359 8415359 603176 493603 37832 71741 103993159 94044487 9876931 71741 3537043 3671294 7083516 7396463 280000 530000 18742751 18305061 0 0 0 1089854 1201064 930322 961182 143753707 85007556 62790364 58746151 8425267 7819409 0 0 2195515 1409703 105074632 100040327 11490221 10436748 0 2292051 2202751 30357465 36198000 44139737 48837499 X 53851379 43806365 5794711 6107658 1288805 1288805 60934895 51202828 105074632 100040327 X -15184638 5452571 X false true X true false X false false false false false false true 155000 false false 155000 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY AT THE STATE LEVEL LOBBYING WAS DONE TO EDUCATE LEGISLATORS AND GOVERNMENT OFFICIALS REGARDING ISSUES RELATING TO SAFETY NET HOSPITALS AND THE MEDICAID PROGRAM. AT THE FEDERAL LEVEL LOBBYING WAS DONE TO IMPACT LEGISLATION ON IMMIGRATION FOR NURSING PERSONNEL. Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY AT THE STATE LEVEL LOBBYING WAS DONE TO EDUCATE LEGISLATORS AND GOVERNMENT OFFICIALS REGARDING ISSUES RELATING TO SAFETY NET HOSPITALS AND THE MEDICAID PROGRAM. AT THE FEDERAL LEVEL LOBBYING WAS DONE TO IMPACT LEGISLATION ON IMMIGRATION FOR NURSING PERSONNEL. 1934199 273395 4071 2203523 1835888 102018 0 0 3707 1934199 1828343 0 11016 0 0 3471 1835888 1717723 0 114332 0 0 3712 1828343 1507814 0 213058 0 0 3149 1717723 0.0 0.72 0.28 false false 6773667 6773667 84136082 45871912 38264170 547429 547429 52278018 39135644 13142374 18511 18511 58746151 EST LIAB - SELF INSURANCE PROGRAM 20423299 FIN 47 LIABILITY 496252 EST PAYABLES - THIRD PARTY REIMB. 2254161 DEFERRED COMPENSATION LIABILITIES 1024288 LOAN PAYABLE TO RELATED PARTY 12000000 36198000 X Schedule D, Part V, Line 4 Intended uses of endowment funds The intended uses of the endowment funds are to help fund hospital outpatient services and children and adult outreach programs to better serve the community. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The Corporations (St. Bernard Hospital & Affiliates) follow the provisions of ASC Subtopic 740-10, Income Taxes - Overall. ASC Subtopic 740-10 clarifies the accounting for uncertainty in tax positions and also provides guidance on when the tax positions are recognized in an entity's financial statements and how the values of these positions are determined. As of December 31, 2017 and 2016 the Corporations do not have a liability for unrecognized tax benefits. 2017 GALA 337382 260732 76650 73127 52051 0 0 337382 260732 76650 73127 52051 125178 -48528 Schedule G, Part II, Line 2(a) THE 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. $260,732 OF CHARITABLE CONTRIBUTIONS WERE COLLECTED (SCHEDULE G, PART II, LINE 2), FOR A TRUE NET INCOME OF $212,204 COLLECTED AT THIS EVENT. true true X true X true X 600 true true false true true 11915548 8415359 3500189 0.0337 0 0.0 0 0.0 0 0 11915548 8415359 3500189 0.0337 5796140 1552305 4243835 0.0408 701806 194810 506996 0.0049 9941937 2388048 7553889 0.0726 0 0.0 62802 62802 0.0006 0 0 16502685 4135163 12367522 0.1189 0 0 28418233 12550522 15867711 0.1526 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 3509266 0 19638004 24941326 -5303322 X true true PARTNERS IN HEALTH PROVIDE HEALTH CARE SERVICES TO MEDICAID PATIENTS 0.5 0.0 0.5 1 1 St Bernard Hospital 326 West 64th Street Chicago IL 60621 www.STBH.ORG Illinois Dept of Public Health 0002303 X X X X X St Bernard Hospital 1 false false true X X X X X X X X 15 true false false true X https://www.stbh.org/wp-content/uploads/2016/01/2015-PRC-MCHC-CHNA-Report-St-Bernard-Hospital-and-He X true 15 false true false true X 200.0 600.0 true true X X X true X SEE STMT X SEE STMT X SEE STMT X X X X X X true X false X X X true X false false Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY ARE IDENTIFIED AND PRIORITIZED THROUGH THE CHNA. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - St. Bernard Hospital. The community health needs assessment was conducted on behalf of St. Bernard Hospital and Health Care Center as part of a larger project sponsored by the Metropolitan Chicago Healthcare Council (MCHC) by Professional Research Consultants, Inc. (PRC), taking into account input from persons representing the community. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - St. Bernard Hospital. Please see the attached Implementation Strategy for more information on how the Hospital is addressing the significant needs addressed in its most recently conducted CHNA. 0 Schedule H, Part V, Section B, Line 16a FAP AVAILABLE WEBSITE https://www.stbh.org/wp-content/uploads/2017/11/Financial-Assistance-Policy.pdf Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE https://www.stbh.org/wp-content/uploads/2011/09/charity_appl_2014.pdf Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE https://www.stbh.org/wp-content/uploads/2017/11/Plain-Language-Financial-Assistance-Statement.pdf Schedule H, Part V, Section B, Line 20a Explanation St. Bernard Hospital does not engage in any Extraordinary Collection Actions. Schedule H, Part I, Line 7g Subsidized Health Services The organization did not include, as subsidized health services, any costs attributable to a physician clinic. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance A cost-to-charge ratio was used for all of the figures reported in the table. The cost-to-charge 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 amount The Hospital uses historical bad debt percentages by payer type to estimate bad debt expense. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote Reference the financial statements footnote provided on page 7 Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE ENTIRE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. CARING FOR MEDICARE PATIENTS FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN. Ratio of Cost to charge to total charges by Payer. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance Of the more than 80,000 patients seen annually at St. Bernard Hospital, 77% of them receive Medicaid as coverage for their health care services. Another 12% are on Medicare; 6% have commercial insurance, and 5% of our patients are self-pay patients. Our patient mix necessitates that a fundamental component of St. Bernard Hospital's community benefit strategy is the provision of charity care to those who cannot afford to pay for their care. The Hospital performs normal accepted Collection procedures on legitimate balances owed to the Hospital. Hospital Patient Access staff assist uninsured or under insured patients in applying for any governmental assistance programs they may qualify for. Uninsured patients with incomes less than 200% of the federal poverty level are eligible for a 100% charity care discount. There are no further collection activities once a patient balance has been designated as a charity write off consistent with the Financial Assistance Policy. In addition, patients with incomes between 200% and 600% of the federal poverty guidelines are eligible for an automatic 50% discount with the remaining balance discounted on a sliding scale. Schedule H, Part V, Section B, Line 16a FAP website - St. Bernard Hospital: Line 16a URL: SEE STMT; Schedule H, Part V, Section B, Line 16b FAP Application website - St. Bernard Hospital: Line 16b URL: SEE STMT; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - St. Bernard Hospital: Line 16c URL: SEE STMT; Schedule H, Part VI, Line 2 Needs assessment The hospital periodically commissions the community needs assessment to provide information to the healthcare needs of the community. The latest community needs assessment was done in 2015. The hospital also participates in community building and community healthcare advocacy groups to help identify needs and coordinate efforts to provide quality healthcare services to the community. The hospital participates in local health fairs and operates a mobile medical van that goes to schools providing immunizations and school physicals. From its work the van identified that there was a lack of dental services for children. The hospital has opened a dental clinic geared towards pediatric patients to fill that need. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Signs are posted in the waiting areas of the hospital as well as the hospital website announcing the availability of charity care. Hospital Patient Access staff assist uninsured or underinsured patients in applying for any governmental assistance programs they may qualify for as well as the hospital's charity care program. Hospital bills to patients also have information on applying for financial assistance. Schedule H, Part VI, Line 4 Community information The urban communities surrounding the Hospital from which the Hospital draws most of its patients are some of the poorest communities on the South Side of Chicago. Within the last 30 years, they have continued to lose population and have seen housing abandonment and commercial disinvestment grow. High rates of unemployment have had a disastrous effect on the social fabric necessary to maintain a stable community. People who have choices often leave and move to neighborhoods with greater amenities, leaving behind those with fewer options. Drugs and violent crime are rampant while 35% of the population lives below the federal poverty guidelines. 77% of the patients the hospital serves are on Medicaid, while 5% 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 health St. 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 $6.8 million in charity care in 2017, 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 report IL X false false X X X X X false false false false false false false false false CHARLES HOLLAND JR PRESIDENT/CEO 365773 0 0 0 3564 0 18375 0 8540 0 396252 0 0 0 EVELYN JONES VP OF NURSING 174258 0 0 0 1695 0 8800 0 7555 0 192308 0 0 0 ROLAND ABELLERA CHIEF OPERATIONS OFFICER 228004 0 0 0 820 0 11575 0 17125 0 257524 0 0 0 JAMES PORTER CFO 243429 0 0 0 885 0 1141 0 17209 0 262664 0 0 0 DANNY ROLLINS VP ANCILLARY & SUPPORT SERVICES 150415 0 0 0 926 0 3059 0 7424 0 161824 0 0 0 ROBERT SPRINGER DIRECTOR OF FINANCE 170139 0 0 0 554 0 0 0 932 0 171625 0 0 0 SATISH BHATT DIRECTOR OF PHARMACY 150359 0 0 0 1609 0 7674 0 16699 0 176341 0 0 0 EDNA RETIRADO REGISTERED NURSE 137927 0 0 0 208 0 3984 0 16631 0 158750 0 0 0 Schedule J, Part I, Line 1a Housing allowance or residence for personal use SR. ELIZABETH VAN STRATEN RESIDES IN A PROPERTY OWNED BY THE ORGANIZATION AND PAYS RENT OF $1,000 PER MONTH. Schedule J, Part I, Line 1b Written policy regarding payment or reimbursement of expenses THE BOARD OF TRUSTEES DETERMINES THE PROVISION OF THIS BENEFIT. 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 2017. Form 990, Part III, Line 4d Description of other program services (Expenses $ including grants of $)(Revenue $ 1,637,261) THE ORGANIZATION RECEIVES OTHER PROGRAM SERVICE REVENUE RELATED TO ANESTHESIA, DENTAL AND ORTHO SERVICES, THE RENTAL OF SPACE FOR ITS PHYSICIANS, AS WELL AS OTHER REVENUE FROM MAINTENANCE AND MEDICAL RECORDS. Form 990, Part VI, Line 15b PROCESS USED TO ESTABLISH COMPENSATION FOR OTHER OFFICERS/KEY EMPLOYEES THE SALARIES OF THE POSITIONS OF CHIEF OPERATIONS OFFICER, CHIEF FINANCIAL OFFICER, VP NURSING SERVICES, VP ANCILLARY & SUPPORT SERVICES, AND VP OF ORGANIZATIONAL & COMMUNITY DEVELOPMENT ARE REVIEWED AND APPROVED BY THE PRESIDENT/CEO ON AN ANNUAL BASIS. COMPENSATION SURVEYS FROM METROPOLITAN CHICAGO HEALTHCARE COUNCIL, HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION, AND MODERN HEALTHCARE AS WELL AS THE FORM 990S OF OTHER ORGANIZATIONS ARE USED TO ESTABLISH THE REASONABLENESS OF COMPENSATION FOR EACH POSITION AS WELL AS EMPLOYEE PERFORMANCE. SUBSTANTIATION DOCUMENTING THIS PROCESS IS MAINTAINED BY THE PRESIDENT/CEO AND SHARED WITH THE BOARD CHAIRMAN. WRITTEN RESULTS ARE PROVIDED TO THE HOSPITAL FINANCE COMMITTEE FOR IMPLEMENTATION. THE PROCESS FOR DETERMINING COMPENSATION FOR THE ABOVE MENTIONED INDIVIDUALS WAS LAST UNDERTAKEN IN 2016 FOR THE CALENDAR YEAR 2017 COMPENSATION. Form 990, Part VI, Line 15a PROCESS USED TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL The compensation committee, which consists of independent members of the board, met to establish and approve the compensation of the CEO under a 3-year contract, during 2015. Comparability data was used and all decisions related to establishing the compensation were contemporaneously documented. Form 990, Part VI, Line 1a Delegate broad authority to a committee THE GOVERNING DOCUMENTS OF ST. BERNARD HOSPITAL DELEGATE BROAD AUTHORITY TO AN EXECUTIVE COMMITTEE. PER SECTION 19 OF THE BY-LAWS, THE EXECUTIVE COMMITTEE MAY EXERCISE THE FULL POWERS OF THE BOARD IN ALL MATTERS OF ADMINISTRATE URGENCY. ADDITIONALLY, THE COMMITTEE SHALL REVIEW, ANALYZE AND ADVISE OR MAKE RECOMMENDATIONS TO THE BOARD OF TRUSTEES ON ANY OTHER MATTER AS MAY BE DIRECTED BY THE BOARD. THE EXECUTIVE COMMITTEE IS COMPRISED OF THE CHAIRPERSON OF THE BOARD, THE VICE CHAIRPERSON OF THE BOARD, TWO TRUSTEES, ONE OF WHOM SHALL BE APPOINTED BY THE CORPORATE MEMBER (ST. BERNARD HEALTH NETWORK), AND THE CHAIRPERSON OF THE FINANCE COMMITTEE. ADDITIONALLY, THE PRESIDENT-CHIEF EXECUTIVE OFFICER SHALL SERVE ON THE EXECUTIVE COMMITTEE AS AN EX-OFFICIO MEMBER. Form 990, Part VI, Line 6 Classes of members or stockholders ST. BERNARD HEALTH NETWORK, A RELATED TAX-EXEMPT, IS THE SOLE CORPORATE MEMBER OF ST. BERNARD HOSPITAL. ST BERNARD HOSPITAL & AFFILIATES INCLUDES THE HOSPITAL AND ST BERNARD HOUSING DEVELOPMENT CORPORATION ON THE AUDITED FINANCIAL STATEMENTS. FOR PURPOSES OF THE 990 BOTH THE HOSPITAL & HOUSING DEVELOPMENT CORPORATION FILE SEPARATE RETURNS. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body As the sole corporate member of St. Bernard Hospital, St. Bernard Health Network has the right to appoint members of the governing body of St. Bernard Hospital. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders As the sole corporate member of St. Bernard Hospital, St. Bernard Health Network has the right to approve or ratify significant decisions of St. Bernard Hospital's governing body. Such rights include, but are not limited to, approving budgets, approving the selection of the hospital's auditors, and approving members of the governing body of St. Bernard Hospital. Form 990, Part VI, Line 11b Review of form 990 by governing body Due to the timing of the Organization's governing body meeting schedule The Finance Committee of the governing body reviews the form 990 in detail, and reports to the full governing body at a Board meeting. During the board meeting any questions or discussions related to the form 990 are addressed. Form 990, Part VI, Line 12c Conflict of interest policy Written conflict of interest statements are required to be completed and signed by each member of the governing body, officers, and key employees on an annual basis. The Corporate Board officers monitor any conflicts and prohibit any governing body member from participating in any deliberation or decision where the member may have a conflict of interest. Corporate officers, including the CEO and Chief Compliance Officer, monitor any conflict of interest issues with officers, key employees, and management. Form 990, Part VI, Line 19 Required documents available to the public The organization's financial statements, governing documents, and conflict of interest policies are not required disclosures pursuant to Internal Revenue Code (IRC) Section 6104. These documents are not available to the public at this time. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Other Revenue - Total Revenue: 1224032, Related or Exempt Function Revenue: 1222453, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 1579; Form 990, Part IX, Line 11g Other Fees Physician Fees - Total Expense: 8727878, Program Service Expense: 8727878, Management and General Expenses: , Fundraising Expenses: ; Ambulance fees - Total Expense: 85410, Program Service Expense: 85410, Management and General Expenses: , Fundraising Expenses: ; Collection fees - Total Expense: 14762, Program Service Expense: , Management and General Expenses: 14762, Fundraising Expenses: ; Billing fees - Total Expense: 290314, Program Service Expense: , Management and General Expenses: 290314, Fundraising Expenses: ; Contract labor & purch services - Total Expense: 4168543, Program Service Expense: 4168543, Management and General Expenses: , Fundraising Expenses: ; Dialysis & Detox Unit Management - Total Expense: 1656522, Program Service Expense: 1656522, Management and General Expenses: , Fundraising Expenses: ; Dietary Management - Total Expense: 891659, Program Service Expense: , Management and General Expenses: 891659, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFER OF BENEFICIAL INTEREST IN LAND TRUST - -547429; CASH TRANSFER FROM LE ROYER FOUNDATION - 6000000; ST BERNARD HEALTH NETWORK 326 WEST 64TH ST CHICAGO IL 60621 201903584 HEALTHCARE IL 501(c)(3) Type II NA false LE ROYER FOUNDATION 326 WEST 64TH ST CHICAGO IL 60621 300135130 SUPPORT SBH IL 501(c)(3) Type I SBHN false ST BERNARD HOUSING DEVELOPMENT CORP 326 WEST 64TH ST CHICAGO IL 60621 364322147 HOUSING DEVELOPMENT IL 501(c)(3) Type II SBH true FOUNDATION FOR EMERGENCY SERVICES 326 WEST 64TH STREET CHICAGO IL 60621 364330129 MEDICAL BILLING IL SBH C Corporation true FOUNDATION FOR OUTREACH SERVICES 326 WEST 64TH STREET CHICAGO IL 60621 364333745 MEDICAL BILLING IL SBH C Corporation true false false true false true false false false false false false false false true true false false true false