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ST BERNARD HOSPITAL: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
ST BERNARD HOSPITAL (EIN 36-2264414)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-14
IRS object ID
201733189349311613
Schema version
2016v3.0
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)
Return2017-11-14T17:05:00-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350921680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1225 West Wacker Drive Suite 2600AddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP606061224ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

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
Signature2017-11-09SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJohn WoodhullPreparerPersonNm
PTINP01305268PTIN
Phone3128997000PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

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$94,175,860GrossReceiptsAmt
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 2016 SBH provided $3.1 million in charity care at cost under its charity care policy.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee1042TotalEmployeeCnt
Total Volunteers13TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,686,264PYContributionsGrantsAmt
CY Contributions Grants$1,044,357CYContributionsGrantsAmt
PY Program Service Revenue$88,368,242PYProgramServiceRevenueAmt
CY Program Service Revenue$89,060,706CYProgramServiceRevenueAmt
PY Investment Income$523,785PYInvestmentIncomeAmt
CY Investment Income$3,175,048CYInvestmentIncomeAmt
PY Other Revenue$3,602,946PYOtherRevenueAmt
CY Other Revenue$741,636CYOtherRevenueAmt
PY Total Revenue$94,181,237PYTotalRevenueAmt
CY Total Revenue$94,021,747CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$53,778,951PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$54,478,456CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$23,649CYTotalFundraisingExpenseAmt
PY Other Expenses$47,923,060PYOtherExpensesAmt
CY Other Expenses$41,617,111CYOtherExpensesAmt
PY Total Expenses$101,702,011PYTotalExpensesAmt
CY Total Expenses$96,095,567CYTotalExpensesAmt
PY Revenues Less Expenses-$7,520,774PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,073,820CYRevenuesLessExpensesAmt
Total Assets BOY$101,845,135TotalAssetsBOYAmt
Total Assets EOY$105,074,632TotalAssetsEOYAmt
Total Liabilities BOY$38,836,420TotalLiabilitiesBOYAmt
Total Liabilities EOY$44,139,737TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$63,008,715NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$60,934,895NetAssetsOrFundBalancesEOYAmt
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$63,610,776ExpenseAmt
Revenue$66,436,251RevenueAmt
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 2016 ST. BERNARD HOSPITAL PROVIDED 34,752 INPATIENT DAYS OF SERVICE TO 7,216 PATIENTS. IN ADDITION, THE HOSPITAL HAD 727 NEWBORN DELIVERIES AS WELL AS 1,732 MENTAL HEALTH ADMISSIONS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$14,670,388ExpenseAmt
Revenue$15,322,020RevenueAmt
DescDURING 2016 EMERGENCY ROOM SERVICES WERE PROVIDED TO 39,765 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$6,746,495ExpenseAmt
Revenue$7,046,162RevenueAmt
DescDURING 2016 ST. BERNARD HOSPITAL PROVIDED A FULL RANGE OF OUTPATIENT DIAGNOSTIC TREATMENT TO 73,911 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 4,855 PATIENTS IN 2016. THE HOSPITAL ALSO OPERATES A MOBILE MEDICAL UNIT PROGRAM, WHICH WAS OPENED IN 2003, IT TREATED 1,997 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$1,565,165RevenueAmt
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$1,565,165TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$85,027,659TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
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 With Officer EntfalseBusinessRlnWithOfficerEntInd
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 Document86IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1042EmployeeCnt
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
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 CEOYes (true)CompensationProcessCEOInd
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 Line1James PorterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7739624073PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
CHARLES HOLLAND JR
PRESIDENT & CEO40.02.0Yes (X)Yes (X)$369,413$0$25,586
GREGORY WHITEHEAD
CHAIRMAN OF THE BOARD1.02.0Yes (X)Yes (X)$0$0$0
LEON JACKSON
VICE CHAIRMAN OF THE BOARD1.01.0Yes (X)Yes (X)$0$0$0
SR MARY POKORNY OP
TREASURER1.02.0Yes (X)Yes (X)$0$0$0
HENRY WIGGINS MD
SECRETARY1.01.0Yes (X)Yes (X)$0$0$0
SR ELIZABETH VAN STRATEN RHSJ
TRUSTEE1.02.0Yes (X)$0$0$0
MARIA ASHLEY DDS
TRUSTEE1.01.0Yes (X)$0$0$0
SR JOANNE DELEHANTY OP
TRUSTEE1.01.0Yes (X)$0$0$0
ASHUTOSH GUPTA MD
MEDICAL STAFF REPRESENTATIVE1.01.0Yes (X)$0$0$0
NATAKA MOORE PSYD
TRUSTEE1.01.0Yes (X)$0$0$0
DARIA TERRELL MD
MEDICAL STAFF PRESIDENT1.01.0Yes (X)$0$0$0
OLALEKAN SOWADE MD
CHIEF OF STAFF1.01.0Yes (X)$0$0$0
DR JEAN MUSCADIN
MEDICAL STAFF PRESIDENT THRU MARCH 20161.00.0Yes (X)$0$0$0
DARRELL HUBBARD
TRUSTEE THRU MARCH 20161.00.0Yes (X)$0$0$0
JAMES PORTER
CHIEF FINANCIAL OFFICER40.00.0Yes (X)$241,045$0$15,841
ROLAND ABELLERA
CHIEF OPERATIONS OFFICER40.00.0Yes (X)$229,846$0$27,355
RONALD CAMPBELL
VP CASE MGMT COORD CARE40.00.0Yes (X)$192,419$0$25,183
EVELYN JONES
VP NURSING SERVICES40.00.0Yes (X)$176,127$0$15,567
DANNY ROLLINS
VP ANCILLARY & SUPPORT40.00.0Yes (X)$151,923$0$10,028
DIAHANN SINCLAIR
VP ORGANIZATIONAL & COMM DEV40.02.0Yes (X)$119,088$0$8,823
VIPUL SINGHAL
DIRECTOR OF DENTISTRY40.00.0$245,926$0$23,296Yes (X)
ROBERT SPRINGER
DIRECTOR OF FINANCE40.00.0$165,545$0$904Yes (X)
SATISH BHATT
DIRECTOR OF PHARMACY40.00.0$152,359$0$22,872Yes (X)
REGINA MATHEWS
NURSE PRACTITIONER40.00.0$132,168$0$6,812Yes (X)
PEARL WILLIAMS
MANAGER OF PHARMACY40.00.0$128,523$0$9,025Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,304,382TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$191,292TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K41IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
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/ZIPCdServicesServicesDescCompensationCompensationAmt
SOUTH YALE EMERGENCY PHYSICIANS
326 WEST 64TH STCHICAGOIL60621ER PHYSICIAN FEES$3,368,534
SODEXO
4880 PAYSPHERE CIRCLECHICAGOIL60674FOOD SERVICES MANAGEMENT$1,178,683
HOSPITAL SERVICES GROUPLLC
326 WEST 64TH STREETCHICAGOIL60621HOUSE PHYSICIAN COVERAGE$888,909
COMPREHENSIVE CONSULTING INC
209 S MAIN STMOUNT PROSPECTIL60056MENTAL HEALTH MANAGEMENT SERVICES$758,006
FRESENIUS MANAGEMENT SERVICES
16343 COLLECTION CENTER DRCHICAGOIL60693DIALYSIS SERVICES$641,783
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K23CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Fundraising$403,413FundraisingAmt
All Other Contributions$640,944AllOtherContributionsAmt
Total Contributions$1,044,357TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
INPATIENT REVENUE621110$66,436,251$66,436,251
OUTPATIENT REVENUE621400$7,046,162$7,046,162
EMERGENCY REVENUE621400$15,322,020$15,322,020
RENTAL REVENUE621300$256,273$256,273

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$89,060,706TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$118,737TotalRevenueColumnAmt
Exclusion$118,737ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$3,055,561SecuritiesAmt
Other$750OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$3,055,561SecuritiesAmt
Other$750OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,056,311TotalRevenueColumnAmt
Exclusion$3,056,311ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$87,500FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$403,413ContriRptFundraisingEventAmt
Fundraising Direct Expenses$154,113FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$66,613TotalRevenueColumnAmt
Exclusion-$66,613ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
FHN PAYMENTS900099-$1,078,184-$1,078,184
CAFETERIA722210$571,483$571,483
SISTERS MAINT & MED RECS900099$56,548$56,548

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,258,402TotalRevenueColumnAmt
Related Or Exempt Func Income$1,252,344RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$6,058ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$808,249OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$94,021,747TotalRevenueColumnAmt
Related Or Exempt Func Income$90,369,598RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,607,792ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,598,136TotalAmt
Management And General$1,598,136ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$42,527,599TotalAmt
Program Services$37,955,212ProgramServicesAmt
Management And General$4,572,387ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$719,310TotalAmt
Program Services$670,758ProgramServicesAmt
Management And General$48,552ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,390,804TotalAmt
Program Services$5,523,810ProgramServicesAmt
Management And General$866,994ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,242,607TotalAmt
Program Services$2,918,346ProgramServicesAmt
Management And General$324,261ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$2,578,472TotalAmt
Program Services$1,399,789ProgramServicesAmt
Management And General$1,178,683ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$133,427TotalAmt
Management And General$133,427ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$169,700TotalAmt
Management And General$169,700ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$242,500TotalAmt
Management And General$242,500ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$40,528TotalAmt
Management And General$40,528ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$12,126,621TotalAmt
Program Services$11,826,790ProgramServicesAmt
Management And General$299,831ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$91,177TotalAmt
Management And General$91,177ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$307,827TotalAmt
Management And General$307,827ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$449,120TotalAmt
Program Services$336,840ProgramServicesAmt
Management And General$112,280ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,618,092TotalAmt
Program Services$2,866,642ProgramServicesAmt
Management And General$751,450ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$19,581TotalAmt
Program Services$4,075ProgramServicesAmt
Management And General$15,506ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$4,170TotalAmt
Management And General$4,170ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$89,963TotalAmt
Program Services$71,970ProgramServicesAmt
Management And General$17,993ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,833,880TotalAmt
Program Services$4,833,880ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total-$687,656TotalAmt
Program Services-$915,905ProgramServicesAmt
Management And General$228,249ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Patient Supp. & Drugs$9,544,409$9,544,409
State Assessment$7,643,261$7,643,261

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$412,039TotalAmt
Program Services$347,782ProgramServicesAmt
Management And General$40,608ManagementAndGeneralAmt
Fundraising$23,649FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$96,095,567TotalAmt
Program Services$85,027,659ProgramServicesAmt
Management And General$11,044,259ManagementAndGeneralAmt
Fundraising$23,649FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,999,354BOYAmt
EOY$3,537,043EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$8,113,135BOYAmt
EOY$7,083,516EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$560,000BOYAmt
EOY$280,000EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$18,349,161BOYAmt
EOY$18,742,751EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,531,524BOYAmt
EOY$1,089,854EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,047,886BOYAmt
EOY$930,322EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$142,548,304LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$79,757,940LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$54,571,278BOYAmt
EOY$62,790,364EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$12,295,605BOYAmt
EOY$8,425,267EOYAmt

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$377,192BOYAmt
EOY$2,195,515EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$101,845,135BOYAmt
EOY$105,074,632EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$12,095,532BOYAmt
EOY$11,490,221EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$3,792,051BOYAmt
EOY$2,292,051EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$22,948,837BOYAmt
EOY$30,357,465EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$38,836,420BOYAmt
EOY$44,139,737EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$54,895,580BOYAmt
EOY$53,851,379EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,824,330BOYAmt
EOY$5,794,711EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,288,805BOYAmt
EOY$1,288,805EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$63,008,715BOYAmt
EOY$60,934,895EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$101,845,135BOYAmt
EOY$105,074,632EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$2,073,820ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
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$242,500DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$242,500TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYAT 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 ACTIVITYAT 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 D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,717,723BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$114,332InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$3,712AdministrativeExpensesAmt
End Year Balance$1,828,343EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,507,814BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$213,058InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$3,149AdministrativeExpensesAmt
End Year Balance$1,717,723EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,364,939BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$145,616InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$2,741AdministrativeExpensesAmt
End Year Balance$1,507,814EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.0BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.72PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.28TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,759,063OtherCostOrOtherBasisAmt
Book Value$6,759,063BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$83,953,002OtherCostOrOtherBasisAmt
Depreciation$43,317,282DepreciationAmt
Book Value$40,635,720BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$547,429OtherCostOrOtherBasisAmt
Book Value$547,429BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$51,232,415OtherCostOrOtherBasisAmt
Depreciation$36,440,658DepreciationAmt
Book Value$14,791,757BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$56,395OtherCostOrOtherBasisAmt
Book Value$56,395BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$62,790,364TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
EST LIAB - SELF INSURANCE PROGRAM$16,623,339
FIN 47 LIABILITY$477,771
EST PAYABLES - THIRD PARTY REIMB.$0
DEFERRED COMPENSATION LIABILITIES$1,256,355
LOAN PAYABLE TO RELATED PARTY$12,000,000
FieldValueIRS element (for citing)
Total Liability$30,357,465TotalLiabilityAmt
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, 2016 and 2015 the Corporations do not have a liability for unrecognized tax benefits.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event12016 GALAEvent1Nm
Gross Receipts Event1$490,913GrossReceiptsEvent1Amt
Charitable Contri Event1$403,413CharitableContriEvent1Amt
Gross Revenue Event1$87,500GrossRevenueEvent1Amt
Food And Beverage Event1$94,040FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$60,073OtherDirectExpensesEvent1Amt
Gross Revenue Event2$0GrossRevenueEvent2Amt
Gross Revenue Other Events$0GrossRevenueOtherEventsAmt
Gross Receipts Total$490,913GrossReceiptsTotalAmt
Charitable Contributions Tot$403,413CharitableContributionsTotAmt
Gross Revenue Total Events$87,500GrossRevenueTotalEventsAmt
Food And Beverage Total Events$94,040FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$60,073OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$154,113DirectExpenseSummaryEventsAmt
Net Income Summary-$66,613NetIncomeSummaryAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule G, Part II, Line 2(a)FormAndLineReferenceDesc
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. $403,413 OF CHARITABLE CONTRIBUTIONS WERE COLLECTED (SCHEDULE G, PART II, LINE 2), FOR A TRUE NET INCOME OF $336,800 COLLECTED AT THIS EVENT.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
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 BudgetfalseExpensesExceedBudgetInd
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$10,741,624TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,643,261DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,098,363NetCommunityBenefitExpnsAmt
Total Expense0.0322TotalExpensePct

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$10,741,624TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,643,261DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,098,363NetCommunityBenefitExpnsAmt
Total Expense0.0322TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,859,051TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$449,385DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,409,666NetCommunityBenefitExpnsAmt
Total Expense0.0459TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$473,230TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$203,710DirectOffsettingRevenueAmt
Net Community Benefit Expns$269,520NetCommunityBenefitExpnsAmt
Total Expense0.0028TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,906,811TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,716,177DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,190,634NetCommunityBenefitExpnsAmt
Total Expense0.0644TotalExpensePct

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$60,859TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$60,859NetCommunityBenefitExpnsAmt
Total Expense0.0006TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$14,299,951TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,369,272DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,930,679NetCommunityBenefitExpnsAmt
Total Expense0.1137TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$25,041,575TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,012,533DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,029,042NetCommunityBenefitExpnsAmt
Total Expense0.1460TotalExpensePct

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$2,272,300BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$20,679,751ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$23,856,724CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$3,176,973MedicareSurplusOrShortfallAmt

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 (2 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
PARTNERS IN HEALTH
PROVIDE HEALTH CARE SERVICES TO MEDICAID PATIENTS0.50.00.5
BETTER HEALTH NETWORK ACE LLC
PROVIDE HEALTH CARE SERVICES TO MEDICAID BENEFICIARIES0.210.00.0
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
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttps://www.stbh.org/wp-content/uploads/2016/01/2015-PRC-MCHC-CHNA-Report-St-Bernard-Hospital-and-HeOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsitefalseStrategyPostedWebsiteInd
Strategy AttachedYes (true)StrategyAttachedInd
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 URLSEE STMTFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE STMTFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE STMTFAPSummaryOnWebsiteURLTxt
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 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
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd
FieldValueIRS element (for citing)
Facility0FacilityNum

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 16a FAP AVAILABLE WEBSITEhttps://www.stbh.org/wp-content/uploads/2017/11/Financial-Assistance-Policy.pdf
Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITEhttps://www.stbh.org/wp-content/uploads/2011/09/charity_appl_2014.pdf
Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITEhttps://www.stbh.org/wp-content/uploads/2017/11/Plain-Language-Financial-Assistance-Statement.pdf
Schedule H, Part I, Line 7g Subsidized Health ServicesThe 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 assistanceA 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 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 footnotePatients' accounts receivable are reduced by an allowance for uncollectible accounts. In evaluating the collectability of patients' accounts receivable, the Hospital analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for uncollectible accounts and provision for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for uncollectible accounts. For receivables associated with services provided to patients who have third party coverage, the Hospital analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts, if necessary. For receivables associated with patient responsibility (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the patients are screened against the Hospital charity care policy and uninsured discount policy. For any remaining patient responsibility balance, the Hospital records a provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated) and the amounts actually collected after all reasonable efforts have been exhausted is charged off against the allowance for uncollectible accounts.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsRatio 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 80,000 patients seen annually at St. Bernard Hospital, 66% of them receive Medicaid as coverage for their health care services. Another 9% are on Medicare; and 25% 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 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 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. In 2010 the Hospital opened a Women's Wellness Clinic to provide free healthcare services to uninsured women of child bearing age.
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. 66% of the patients the hospital serves are on Medicaid, while 25% 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 75% receive Medicaid or Medicare as coverage for their health care. The hospital provided more than $10.7 million in charity care in 2016, or 6.4% 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)
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Written Policy Ref T And E ExpnssfalseWrittenPolicyRefTAndEExpnssInd
Substantiation RequiredfalseSubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
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 PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 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$365,849$0$0$0$3,564$0$17,836$0$7,750$0$394,999$0$0$0
JAMES PORTER
CHIEF FINANCIAL OFFICER$240,160$0$0$0$885$0$0$0$15,841$0$256,886$0$0$0
ROLAND ABELLERA
CHIEF OPERATIONS OFFICER$229,025$0$0$0$821$0$11,575$0$15,780$0$257,201$0$0$0
RONALD CAMPBELL
VP CASE MGMT COORD CARE$190,323$0$0$0$2,096$0$9,615$0$15,568$0$217,602$0$0$0
EVELYN JONES
VP NURSING SERVICES$174,544$0$0$0$1,583$0$8,800$0$6,767$0$191,694$0$0$0
DANNY ROLLINS
VP ANCILLARY & SUPPORT$150,997$0$0$0$926$0$3,056$0$6,972$0$161,951$0$0$0
VIPUL SINGHAL
DIRECTOR OF DENTISTRY$245,566$0$0$0$360$0$7,425$0$15,871$0$269,222$0$0$0
ROBERT SPRINGER
DIRECTOR OF FINANCE$165,000$0$0$0$545$0$0$0$904$0$166,449$0$0$0
SATISH BHATT
DIRECTOR OF PHARMACY$148,006$0$0$0$4,353$0$7,536$0$15,336$0$175,231$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1a Housing allowance or residence for personal useSR. 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 expensesTHE BOARD OF TRUSTEES DETERMINES THE PROVISION OF THIS BENEFIT.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 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. $3.1 MILLION IN FORGONE CHARGES AT COST UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS PROVIDED TO PATIENTS SERVED BY THE HOSPITAL IN 2016.
Form 990, Part III, Line 4d Description of other program services(Expenses $ including grants of $)(Revenue $ 1,565,165) 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 CASE MANAGEMENT & COORDINATION OF CARE, 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 2015 FOR THE CALENDAR YEAR 2016 COMPENSATION.
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 bodyA full copy of the Form 990 is provided to all members of the governing body before it is filed with the IRS. The Finance Committee of the independent 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 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 15a Process to establish compensation of top management officialThe compensation committee, which consists of independent members of the board, meets to establish and approve the compensation of the CEO.
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 Revenue- Total Revenue: 1258402, Related or Exempt Function Revenue: 1252344, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 6058;
Form 990, Part IX, Line 11g Other FeesPhysician Fees - Total Expense: 8465325, Program Service Expense: 8465325, Management and General Expenses: , Fundraising Expenses: ; Ambulance fees - Total Expense: 97345, Program Service Expense: 97345, Management and General Expenses: , Fundraising Expenses: ; Collection fees - Total Expense: 3207, Program Service Expense: , Management and General Expenses: 3207, Fundraising Expenses: ; Billing fees - Total Expense: 296624, Program Service Expense: , Management and General Expenses: 296624, Fundraising Expenses: ; Contract labor & purch services - Total Expense: 3264120, Program Service Expense: 3264120, Management and General Expenses: , Fundraising Expenses: ;

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 (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtControlled OrganizationControlledOrganizationInd
PARTNERS IN HEALTH INC
326 WEST 64TH STREETCHICAGOIL60621363877089HEALTHCARE SERVILNAC Corporation$455,330$387,410false
FOUNDATION FOR EMERGENCY SERVICES
326 WEST 64TH STREETCHICAGOIL60621364330129MEDICAL BILLINGILSBHC CorporationYes (true)
FOUNDATION FOR OUTREACH SERVICES
326 WEST 64TH STREETCHICAGOIL60621364333745MEDICAL BILLINGILSBHC CorporationYes (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 OrgfalseTransferFromOtherOrgInd