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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DIAHANN SINCLAIR</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>16652</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL RICHARDSON</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>13528</OtherCompensationAmt>
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        <PersonNm>ROBERT SPRINGER</PersonNm>
        <TitleTxt>CFO (THRU AUGUST 2024)</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROLAND ABELLERA</PersonNm>
        <TitleTxt>CHIEF OPERATIONS OFFICIER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>YOLANDA PENNY</PersonNm>
        <TitleTxt>CHIEF NURSING OFFICER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ABIGAIL STERN</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ALICE GAPIO</PersonNm>
        <TitleTxt>REGISTERED NURSE</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>EDNA RETIRADO</PersonNm>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>35171</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOSE MARLOWE GUJIL</PersonNm>
        <TitleTxt>REGISTERED NURSE</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>201765</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12018</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARIJOY MENDOZA</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <TotalReportableCompFromOrgAmt>2570848</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>251631</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>144</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AMERGIS HEALTHCARE STAFFING</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>13877 COLLECTIONS CENTER DRIVE</AddressLine1Txt>
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            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60693</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ALLIANCE HEALTH STAFFING</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
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          </USAddress>
        </ContractorAddress>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SOUTH YALE EMERGENCY PHYSICIANS</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>IL</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SPARC WELLNESS</BusinessNameLine1Txt>
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        </ContractorName>
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          <USAddress>
            <AddressLine1Txt>2325 S MICHIGAN</AddressLine1Txt>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SODEXO</BusinessNameLine1Txt>
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          <USAddress>
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            <ZIPCd>60674</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <FundraisingAmt>235353</FundraisingAmt>
      <GovernmentGrantsAmt>5251870</GovernmentGrantsAmt>
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      <TotalContributionsAmt>15256573</TotalContributionsAmt>
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        <BusinessCd>621110</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>50059923</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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      <OtherRevenueMiscGrp>
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        <ProgramServicesAmt>8834122</ProgramServicesAmt>
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        <EOYAmt>55270612</EOYAmt>
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        <ExplanationTxt>Facility , 1 - St. Bernard Hospital. To provide oversight of the CHNA process, St. Bernard Hospital convened a CHNA Advisory Committee comprising nine individuals that represented a blend of various areas of the hospital's clinical staff. The CHNA Advisory Committee received the recommendations that came out of the work with the focus groups. The focus groups were a blend of internal and external parties. The focus groups were vital, to ensure that the final CHNA product, reflected the needs that the Hospital and community leaders uncovered during their regular operations. The 2 focus groups were constituted to provide input on the service area broken down into 2 demographics, residents younger than 50 year and those 50 years and older. Focus Groups members were stakeholders who function in STBH's service area. The focus groups included a total of 22 community stakeholders. The various groups were selected and recruited with the goal of achieving a diverse cross-section of the community, including representation of seniors, community leaders, and hospital patients. While no group this size can represent the experience or perspectives of the whole community, the participants reflected a broad array of sectors, ages, and lived experiences. In addition to residents, participants had the following affiliations: Greater Englewood Chamber of Commerce Imagine Englewood If... Grow Greater Chicago Bright Point Family Center Growing Home Prince of Peace Church Englewood Senior Community Health Advocate Gift from God Ministry (community Nurse and local pastor) Center for Better Aging STBH Patient Family Advisory Council STBH staff and patients</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6b Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - St. Bernard Hospital. St. Bernard Hospital worked with Sinai Urban Health Institute (SUHI) a nationally recognized community research center that works in partnership with community organizations to identify and address health inequities to develop the 2024 CHNA. SUHI is the community research arm of Sinai Health System, located on the West Side of Chicago. The team that worked on the St. Bernard Hospital CHNA included Rebecca Metrick, Melissa Gutierrez-Kapheim, Madison Offstein and Alyn Dougherety.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - St. Bernard Hospital. Excerpts from the Community Benefits Reports that describes how St. Bernard Hospital is responding the to identified community health needs identified by the 2024 CHNA Mental Health, Behavioral Health and Substance Abuse The clinical team capitalizes on every opportunity to educated the public about the services offered by the Hospital and increase awareness of Mental and Behavioral Health. During 2024, the team visited a number of community events talking about this health condition and connecting it to the real-life situations that residents experience daily. They also educated mothers at the Hospital's annual community baby shower about postpartum depression and options for treatment. The Hospital recently expanded its mental health care services to include outpatient trauma-informed mental health care including individual therapy, telehealth, family therapy, and more. In support of substance abuse, the hospital provides space at no cost to the substance abuse support group every Saturday so that the members can continue on their path to a clean lifestyle with support from former addicts. Heart Disease St. Bernard operates a cardiology clinic in our ACC to address the needs of patients with these conditions discharged from the Hospital and referred by their primary care physician. Through a partnership with Rush University Medical Center, St. Bernard is able to transfer patients with stroke symptoms from the emergency room directly to them. Respiratory Disease (Lung Disease and Smoking) St. Bernard continued working with the Respiratory Health Association to reduce tobacco use on the South Side of Chicago. During 2019 St. Bernard Hospital focused on educating staff, physicians and guests about the dangers of smoking and became a Tobacco Free Campus on January 1, 2020. Smoking Cessation classes were offered to patients and staff members who were interested in quitting smoking. In the Emergency Room we conduct emergency asthma care and education. While treating the patient we take time to educate the patient and caregiver of triggers, proper uses of aids and good practices to help to manage the condition. The patient is then referred to a higher level of care for follow up or to their Primary Care Physician or a hospital clinic to establish a medical home. Older Adult Health Center for Better Aging: The Center for Better Aging is a collaborative lead by St. Bernard Hospital. Supported by State of Illinois funding the program aims to provide comprehensive care for older adults, on Chicago's South Side with a health equity mandate. The clinic which opened in the hospital's ACC in July 2024, provides medical and wellness services designed for persons 50 years and older. Patients of this clinic will enjoy access to primary care, urgent care, geriatric-certified ER (GEDA), diagnostic and pharmacy services all located on the St. Bernard Hospital campus. The program will also conduct in home wellness visits and have continuous community outreach. The CBA brings together medical experts, physicians specializing in geriatric care and advanced diagnostic equipment to enhance well being through predictive, preventative, personalized and participatory care. Preventive Care Services &amp; Access In August 2022, St. Bernard Hospital opened a Family Practice Clinic. The clinic was created to provide a place for patients, discharged from the Emergency Room to visit for follow up care, if they have no primary care physician or would like to establish a medical home. This clinic operates as a traditional family practice clinic that services patients within our community who need primary care. Patients may be referred from the Emergency Room or the Immediate Care Clinic. The number of patients seen in this clinic continues to grow. Also see Ambulatory Care Center above Interpersonal Violence The Hospital cannot directly impact interpersonal violence. But St. Bernard Hospital is a founding member of Teamwork Englewood, a community organization that focuses on safety and promotion of healthy lifestyles in the community. One of the organization's main focus it to engage young men in positive activities as an alternative to the gangs that are actively recruiting them. In addition, St. Bernard Hospital has participated several events focused on violence prevention with the 7th District of the Chicago Police Department, like National Night Out. Physical Environment The Hospital has a team that maintains the grounds of the Hospital and extends that care to adjoining properties. The Hospital does not have the resources to take this effort beyond its immediate surroundings. However, the Hospital continues to support community-based organizations that focus on the physical environment of the Englewood community.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 20a Explanation</FormAndLineReferenceDesc>
        <ExplanationTxt>St. Bernard Hospital does not engage in any Extraordinary Collection Actions.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 9 Current Year CHNA</FormAndLineReferenceDesc>
        <ExplanationTxt>The Community Health Needs Assessment (CHNA) was completed and approved by the Hospital Board of directors on November 15, 2021. The Implementation strategy was developed by members of the Hospital staff and the CHNA Advisory Committee and was completed and approved by the Hospital Board of Directors on February 21, 2022. Please refer to the current Implementation Strategy for more information on how the Hospital is addressing the significant needs addressed in its most recently conducted CHNA. https://www.stbh.org/patients/community-health-needs-assessment/</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>The Hospital uses historical bad debt percentages by payer type to estimate bad debt expense.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>Reference the financial statements footnote provided on page 12.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>Of the nearly 82,000 patients seen annually at St. Bernard Hospital, approximately 66% of them receive Medicaid as coverage for their health care services. Another 13% are on Medicare; 13% receive charity care for which no bill is generated, and 8% 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>- St. Bernard Hospital: Line 16a URL: https://www.stbh.org/patients/financial-services/;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>- St. Bernard Hospital: Line 16b URL: https://www.stbh.org/patients/financial-services/;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>- St. Bernard Hospital: Line 16c URL: https://www.stbh.org/patients/financial-services/;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>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 2024. 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>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. 66% of the patients the hospital serves are on Medicaid, 13% Medicare, while 8% are self-pay, and 13% qualify for charity care, mostly with no payment source. The area is a federally designated underserved area. The hospital serves over 750,000 patients in its primary and secondary service areas. There are no other hospitals in its primary service area, but there are three other hospitals located in its secondary service area.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>St. Bernard Hospital is a 174-bed Catholic community hospital founded in 1904 by the Religious Hospitallers of St. Joseph under the sponsorship of Catholic Health International. The Sisters of the Religious Hospitallers' enduring commitment to the hospital and the Englewood community for one hundred and twenty years epitomizes St. Bernard's mission: to care for the sick and promote the health of South Side Chicago residents, while sustaining values of respect, dignity, caring and compassion for all persons. The hospital operates 174 licensed beds including medical/surgical, intensive care, emergency medicine and inpatient mental health. The Englewood community, although challenged by the impacts of economic hardship, the community looks to St. Bernard Hospital as an institutional anchor. It is the community's single largest employer, employing nearly 800 people. Over 30% 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. The Hospital maintains an open medical staff of approximately 165 physicians and credentialed staff and extends medical staff privileges to all qualified physicians in its community for all specialties. St. Bernard is a catalyst for community development, creating affordable housing for first time home buyers and the only newly constructed healthcare center in over 30 years. Beyond engaging development, itself, the hospital participates in conversations, planning meetings about development in the larger community, because it has an interest in the success of any development coming to the neighborhood. As the community's major health care facility, the hospital provides services ranging from emergency medicine to mental health and substance abuse recovery. In keeping with modern demands, St. Bernard is proud to provide state-of-the-art technological capabilities that greatly enhance the hospital's high quality of care and promote patient safety. Of the more than nearly 82,000 patients seen at St. Bernard Hospital last year, close to 79% receive Medicaid or Medicare as coverage for their health care. The hospital provided more than $8.0 million in charity care charges in 2024, or 7% of total hospital revenue. Community outreach addresses unmet health care needs of children through childhood physical and immunization service delivered by the 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, Psychiatric medical students, 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.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 7 State filing of community benefit report</FormAndLineReferenceDesc>
        <ExplanationTxt>IL</ExplanationTxt>
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        <PersonNm>ALICE GAPIO</PersonNm>
        <TitleTxt>REGISTERED NURSE</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSE MARLOWE GUJIL</PersonNm>
        <TitleTxt>REGISTERED NURSE</TitleTxt>
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    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="24020961" softwareVersionNum="2024v5.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 1 ORGANIZATION'S MISSION (CONTINUED)</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS MISSION CALLS SBH TO CARE FOR THE SICK AND PROMOTE THE HEALTH OF THE RESIDENTS IN THE COMMUNITY WHILE WITNESSING THE CHRISTIAN VALUES OF RESPECT, DIGNITY, CARE AND COMPASSION FOR ALL PERSONS. IN ALL MATTERS, ST. BERNARD HOSPITAL WILL SHOW A SPECIAL SENSITIVITY TO THE CULTURE OF THE PEOPLE IT SERVES AND THE SPECIAL NEEDS OF THE POOR AND POWERLESS. ST. BERNARD HOSPITAL IS LOCATED IN THE CHICAGO SOUTHSIDE COMMUNITY OF ENGLEWOOD, A PREDOMINANTLY AFRICAN AMERICAN COMMUNITY AREA THAT HAS SUFFERED THE CUMULATIVE EFFECTS OF POVERTY AND URBAN BLIGHT FOR DECADES. THE HOSPITAL OPERATES 174 LICENSED BEDS INCLUDING MEDICAL/SURGICAL, INTENSIVE CARE AND INPATIENT MENTAL HEALTH, AS WELL AS EMERGENCY MEDICINE AND OUTPATIENT DIAGNOSTIC SERVICES. $5.9 MILLION IN FORGONE CHARGES AT COST UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS PROVIDED TO PATIENTS SERVED BY THE HOSPITAL IN 2024.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a-4c Description of program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ including grants of $)(Revenue $ 5,105,863) 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b PROCESS USED TO ESTABLISH COMPENSATION FOR OTHER OFFICERS/KEY EMPLOYEES</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SALARIES OF THE POSITIONS OF CHIEF OPERATIONS OFFICER, CHIEF FINANCIAL OFFICER, CHIEF CLINICAL QUALITY &amp; PATIENT SAFETY OFFICER, CHIEF NURSING OFFICER, AND CHIEF HOSPITAL SUPPORT &amp; COMMUNITY ENGAGEMENT OFFICER 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 2023 FOR THE CALENDAR YEAR 2024 COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a PROCESS USED TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL</FormAndLineReferenceDesc>
        <ExplanationTxt>The compensation committee, which consists of independent members of the board, meets to establish and approve the compensation of the CEO under a 3-year contract. This process last occurred during 2021 for the new 3-year contract effective in 2022. Comparability data was used and all decisions related to establishing the compensation were contemporaneously documented.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 1a Delegate broad authority to a committee</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. BERNARD HEALTH NETWORK, A RELATED TAX-EXEMPT, IS THE SOLE CORPORATE MEMBER OF ST. BERNARD HOSPITAL. ST BERNARD HOSPITAL &amp; AFFILIATES INCLUDES THE HOSPITAL AND ST BERNARD HOUSING DEVELOPMENT CORPORATION ON THE AUDITED FINANCIAL STATEMENTS. FOR PURPOSES OF THE 990 BOTH THE HOSPITAL &amp; HOUSING DEVELOPMENT CORPORATION FILE SEPARATE RETURNS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>Prior to filing, Management conducts a thorough review of Form 990 and any questions are directed to the Hospital CFO for resolution. Also prior to filing, a link to the final draft Form 990 is e-mailed to each Board member and any questions are directed to the Hospital CFO for resolution.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 11d Other Miscellaneous Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>- Total Revenue: 4851724, Related or Exempt Function Revenue: 4851724, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>Physician Fees - Total Expense: 13539522, Program Service Expense: 13539522, Management and General Expenses: , Fundraising Expenses: ; Ambulance fees - Total Expense: 60990, Program Service Expense: 60990, Management and General Expenses: , Fundraising Expenses: ; Collection fees - Total Expense: 4501, Program Service Expense: , Management and General Expenses: 4501, Fundraising Expenses: ; Billing fees - Total Expense: 304703, Program Service Expense: , Management and General Expenses: 304703, Fundraising Expenses: ; Contract labor &amp; purch services - Total Expense: 18449230, Program Service Expense: 18449230, Management and General Expenses: , Fundraising Expenses: ; Dialysis - Total Expense: 615303, Program Service Expense: 615303, Management and General Expenses: , Fundraising Expenses: ; Dietary Management - Total Expense: 1148742, Program Service Expense: , Management and General Expenses: 1148742, Fundraising Expenses: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>TRANSFER FROM AFFILATE - 14317517; OTHER TRANSFER OF ASSETS - 1881533; Total - 16199050;</ExplanationTxt>
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          <BusinessNameLine1Txt>FOUNDATION FOR EMERGENCY SERVICES</BusinessNameLine1Txt>
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          <AddressLine1Txt>326 WEST 64TH STREET</AddressLine1Txt>
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          <BusinessNameLine1Txt>St Bernard Hospital</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>LE ROYER FOUNDATION</BusinessNameLine1Txt>
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        <PrimaryActivitiesTxt>SUPPORT SBH</PrimaryActivitiesTxt>
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        <PrimaryActivitiesTxt>HOUSING DEVELOPMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
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