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ST BERNARDS HOSPITAL INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ST BERNARDS HOSPITAL INC (EIN 71-0290019)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-02-13
IRS object ID
201420449349300842
Schema version
2012v2.3
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)
Timestamp2014-02-13T11:13:44-06:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 3667AddressLine1
CityLITTLE ROCKCity
StateARState
ZIP Code722033667ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN710290019EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST BERNARDS HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% HARRY HUTCHISONInCareOfName
Name ControlSTBENameControl
Phone8709724100Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1225 EAST JACKSONAddressLine1
Address Line2SuiteAddressLine2
CityJONESBOROCity
StateARState
ZIP Code72401ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameHARRY HUTCHISONName
TitleCFOTitle
Phone5013721040Phone
Date Signed2014-02-13DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAMBER SHERRILLName
Phone5013721040Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1ST BERNARDS MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonCHRIS BARBERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1225 E JACKSONAddressLine1
CityJONESBOROCity
StateARState
ZIP Code72401ZIPCode
FieldValueIRS element (for citing)
Gross Receipts312077925GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.STBERNARDS.INFOWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1962YearFormation
State Legal DomicileARStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE CHRIST-LIKE HEALING TO THE COMMUNITY THROUGH EDUCATION, TREATMENT, AND HEALTH SERVICES.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees2330TotalNbrEmployees
Total Nbr Volunteers576TotalNbrVolunteers
Total Gross UBI3539768TotalGrossUBI
Contributions Grants Prior Year1318914ContributionsGrantsPriorYear
Contributions Grants Current Year1126422ContributionsGrantsCurrentYear
Program Service Revenue Prior Year276903136ProgramServiceRevenuePriorYear
Program Service Revenue CY293125587ProgramServiceRevenueCY
Investment Income Prior Year723709InvestmentIncomePriorYear
Investment Income Current Year1555309InvestmentIncomeCurrentYear
Other Revenue Prior Year12737705OtherRevenuePriorYear
Other Revenue Current Year9866699OtherRevenueCurrentYear
Total Revenue Prior Year291683464TotalRevenuePriorYear
Total Revenue Current Year305674017TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1154856GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1236488GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year98559739SalariesEtcPriorYear
Salaries Etc Current Year106003540SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year174345780OtherExpensePriorYear
Other Expenses Current Year179124526OtherExpensesCurrentYear
Total Expenses Prior Year274060375TotalExpensesPriorYear
Total Expenses Current Year286364554TotalExpensesCurrentYear
Revenues Less Expenses Prior Year17623089RevenuesLessExpensesPriorYear
Revenues Less Expenses CY19309463RevenuesLessExpensesCY
Total Assets BOY199999520TotalAssetsBOY
Total Assets EOY202867740TotalAssetsEOY
Total Liabilities BOY59904788TotalLiabilitiesBOY
Total Liabilities EOY59242899TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY140094732NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY143624841NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE CHRIST-LIKE HEALING TO THE COMMUNITY THROUGH EDUCATION, TREATMENT, AND HEALTH SERVICES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense225215227Expense
Grants1236488Grants
Revenue290883937Revenue
DescriptionSINCE 1900, ST BERNARDS HAS SERVED AS OUR COMMUNITY'S TRUSTED PROVIDER OF COMPREHENSIVE, COMPASSIONATE HEALTHCARE. WITH OUR DEDICATED AND EXPERIENCED EMPLOYEES, ADVANCED TECHNOLOGY, AND THE LARGEST MEDICAL STAFF IN THE REGION, ST BERNARDS IS THE MEDICAL CENTER OF CHOICE. TODAY, AS WELL AS IN THE FUTURE, ST BERNARDS WILL CONTINUE TO PUT PATIENTS AND COMMUNITY NEEDS FIRST BY FOCUSING ON QUALITY, SAFETY, COST CONTROL, SERVICE, AND DIVERSITY. DURING FISCAL YEAR 2013, $29,745,459 WAS SPENT FOR COMMUNITY BENEFIT AND 600,120 PERSONS WERE SERVED THROUGH HEALTH SCREENINGS, DONATIONS, EDUCATIONAL CLASSES, AND VOLUNTEER EFFORTS.Description
Total Program Service Expense225215227TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2330NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledARStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonHARRY HUTCHISONNamePerson
Telephone Number8709724100TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1225 E JACKSONAddressLine1
CityJONESBOROCity
StateARState
ZIP Code72401ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per Week RelatedAverageHoursPerWeekRelatedKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
SISTER LILLIAN MARIE REITER
CHAIRPERSON1.0XX000
SISTER EILEEN SCHNEIDER OSB
MEMBER1.0X000
SISTER MONICA SWIRCZYNSKI OSB
SECRETARY1.0XX000
SISTER LISA O'CONNELL OSB
MEMBER1.0XX000
WARREN SHULL
MEMBER1.0X000
STEVE COX
MEMBER1.0X000
OH CLOPTON MD
MEMBER1.0X000
BRIAN HYNEMANN
MEMBER1.0X000
JOHN FREEMAN
MEMBER1.0X000
GUY PATTESON
CONVENER1.0XX000
MARK DUCKWORTH
MEMBER1.0X000
GARY WOODWARD
CHIEF OF STAFF1.0XX000
MICHAEL GIVENS
ADMINISTRATOR40.0X21721108431
HARRY HUTCHISON
CFO1.0X0227336636140.0
CHRIS BARBER
PRESIDENT/CEO1.0X03589962493140.0
BRENDA MILLION
VP CHIEF NURSING OFFICER40.017636106361X
THOMAS MULLIGAN
MEDICAL DIRECTOR SR HEALTH40.02803220180X
DAVID L PYLE
VP OF MEDICAL AFFAIRS40.024838208431X
BENJAMIN SHAW
HOSPITALIST40.032449508431X
DON HOWARD
INTENSIVIST40.042175508431X
PATRICK SAVAGE
HOSPITALIST40.024184104771X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1910367TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs586332TotalReportableCompFrmRltdOrgs
Total Other Compensation76328TotalOtherCompensation
Number Individuals GT100 K48NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
THERAPY PROVIDERS OF ARK LLC
505 EAST MATTHEWS SUITE 205JONESBOROAR72403PHYSICAL THERAPY6336454
EMCARE INC
7032 COLLECTION CENTER DRIVECHICAGOIL60693PHYSICIANS SERVICES2920310
PHILLIPS HEALTHCARE
22100 BOTHELL EVERETT HWYBOTHELLWA98041EQUIP MAINTENANCE1983249
CLOPTON CLINIC OF JONESBORO
300 CARSONJONESBOROAR72401PHYSICIANS SERVICES1035111
TGC LLC
PO BOX 130HIGHLANDMD20777REG CONSULTANT1003054
FieldValueIRS element (for citing)
Number Of Contractors GT100 K66NumberOfContractorsGT100K
Related Organizations1022193RelatedOrganizations
All Other Contributions104229AllOtherContributions
Noncash Contributions86899NoncashContributions
Total Contributions1126422TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT REVENUE621110275096317275096317
MEDICAID ASSESSMENT FEE6211101377738413777384
SENIOR HEALTH SERVICES62111020102362010236
REFERENCE LAB62150022416502241650
FieldValueIRS element (for citing)
Total Program Service Revenue293125587TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1325649TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,325,649ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real406379Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real406379Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column406379TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$406,379ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities6633568Securities
Other0Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities6393214Securities
Other10694Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities240354Securities
Other-10694Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column229660TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$229,660ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
CAFETERIA/GUEST MEALS9000991530375$1,530,375
PURCHASE DISCOUNTS9000991128219$1,128,219
VENDING MACHINE INCOME900099280198$280,198

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column6521528TotalRevenueColumn
Unrelated Business Revenue1298118UnrelatedBusinessRevenue
Exclusion$5,223,410ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue9460320TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column305674017TotalRevenueColumn
Related Or Exempt Function Income290883937RelatedOrExemptFunctionIncome
Unrelated Business Revenue3539768UnrelatedBusinessRevenue
Exclusion$10,123,890ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1208488Total
Program Services1208488ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total28000Total
Program Services28000ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total410257Total
Management And General410257ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total84944740Total
Program Services56857605ProgramServices
Management And General28087135ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total6291511Total
Program Services4211211ProgramServices
Management And General2080300ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total8105925Total
Program Services5425686ProgramServices
Management And General2680239ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6251107Total
Program Services4184167ProgramServices
Management And General2066940ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total726545Total
Program Services486312ProgramServices
Management And General240233ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total303694Total
Program Services203277ProgramServices
Management And General100417ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total169642Total
Program Services113550ProgramServices
Management And General56092ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total29580Total
Program Services19799ProgramServices
Management And General9781ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total161278Total
Program Services107951ProgramServices
Management And General53327ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total31776250Total
Program Services21269374ProgramServices
Management And General10506876ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total241783Total
Program Services161837ProgramServices
Management And General79946ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4507682Total
Program Services3017209ProgramServices
Management And General1490473ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1846726Total
Program Services1236103ProgramServices
Management And General610623ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total5820131Total
Program Services3895694ProgramServices
Management And General1924437ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total905447Total
Program Services606059ProgramServices
Management And General299388ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total81624Total
Program Services54635ProgramServices
Management And General26989ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total135317Total
Program Services90574ProgramServices
Management And General44743ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total12345175Total
Program Services8263220ProgramServices
Management And General4081955ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1502575Total
Program Services1005746ProgramServices
Management And General496829ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES7154198171541981
BAD DEBT EXPENSE2948088929480889
EQUIPMENT RENT647165243317882139864
DIETARY SUPPLIES359870424087861189918

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total7477851Total
Program Services5005286ProgramServices
Management And General2472565ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total286364554Total
Program Services225215227ProgramServices
Management And General61149327ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY962313BOY
EOY1284245EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY42843896BOY
EOY42341960EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY22987495BOY
EOY20522980EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4822285BOY
EOY5150906EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1760168BOY
EOY2076148EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis215992775LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec138632626LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY85416186BOY
EOY77360149EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY37863161BOY
EOY49000316EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3344016BOY
EOY5131036EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY199999520BOY
EOY202867740EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY16761466BOY
EOY19868135EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY4995000BOY
EOY2523415EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY38148322BOY
EOY36851349EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY59904788BOY
EOY59242899EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY138524795BOY
EOY141812150EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1569937BOY
EOY1812691EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY140094732BOY
EOY143624841EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY199999520BOY
EOY202867740EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses19309463ReconcilationRevenueExpenses
Reconcilation Other Changes-15779354ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$8,500DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$21,487OtherActivitiesAmount
Total Lobbying Expenditures IIB29987TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierOTHER ACTIVITIESIdentifier
Return ReferenceFORM 990, SCHEDULE C, PAGE 3, PART II-B, LINE 1IReturnReference
ExplanationPERCENTAGE OF DUES TO VARIOUS PROFESSIONAL ASSOCIATIONS ALLOCABLE TO LOBBYING EXPENSES $21,487Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis4310168OtherCostOrOtherBasis
Book Value4310168BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis102923378OtherCostOrOtherBasis
Depreciation59956231Depreciation
Book Value42967147BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3503265OtherCostOrOtherBasis
Depreciation2126076Depreciation
Book Value1377189BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis104264022OtherCostOrOtherBasis
Depreciation76550319Depreciation
Book Value27713703BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis991942OtherCostOrOtherBasis
Book Value991942BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings77360149TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATES$174,999
ASSET RETIREMENT OBLIGATION$415,146
EST 3RD PARTY SETTLEMENTS$5,225,755
PENSION LIABILITY$31,035,449
FieldValueIRS element (for citing)
Total Of Amounts36851349TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt276335143TotRevenueEtcAuditedFinclStmt
Other Revenues142015OtherRevenues
Revenue Not Rptd F990142015RevenueNotRptdF990
Revenue Subtotal276193128RevenueSubtotal
Other Revenues Not Included29480889OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt29480889RevenueNotRptdOnFinStmt
Total Revenue Per Form990305674017TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt256883665TotExpensesEtcAuditedFinclStmt
Expenses Subtotal256883665ExpensesSubtotal
Other Expenses Not Included29480889OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt29480889ExpensesNotRptdOnFinStmt
Total Expenses Per Form990286364554TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FIN 48 FOOTNOTEFORM 990, SCHEDULE D, PART X, LINE 2MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
REVENUES INCLUDED IN REVENUE PER AUDIT, NOT INCLUDED IN REVENUE PER RETURNFORM 990, SCHEDULE D, PART XI, LINE 2DPET CENTER, LLC INCOME VS. BOOK INCOME $ (109,192) AR MEDICAL CYCLOTRON INCOME VS. BOOK INCOME $ (32,823) ------------ $ (142,015)
EXPENSE INCLUDED IN REVENUES PER AUDIT, INCLUDED IN EXPENSES PER RETURNFORM 990, SCHEDULE D, PART XI, LINE 4BPROVISION FOR UNCOLLECTIBLE ACCOUNTS $29,480,889
EXPENSE INCLUDED IN REVENUES PER AUDIT, INCLUDED IN EXPENSES PER RETURNFORM 990, SCHEDULE D, PART XII, LINE 4BPROVISION FOR UNCOLLECTIBLE ACCOUNTS $29,480,889

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served76682PersonsServed
Total Community Benefit Expense14445638TotalCommunityBenefitExpense
Net Community Benefit Expense14445638NetCommunityBenefitExpense
Percent Of Total Expense0.05620PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served31326PersonsServed
Total Community Benefit Expense28638453TotalCommunityBenefitExpense
Direct Offsetting Revenue15302300DirectOffsettingRevenue
Net Community Benefit Expense13336153NetCommunityBenefitExpense
Percent Of Total Expense0.05190PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served108008PersonsServed
Total Community Benefit Expense43084091TotalCommunityBenefitExpense
Direct Offsetting Revenue15302300DirectOffsettingRevenue
Net Community Benefit Expense27781791NetCommunityBenefitExpense
Percent Of Total Expense0.10810PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs21NumberOfActivitiesOrPrograms
Persons Served375934PersonsServed
Total Community Benefit Expense314126TotalCommunityBenefitExpense
Direct Offsetting Revenue17946DirectOffsettingRevenue
Net Community Benefit Expense296180NetCommunityBenefitExpense
Percent Of Total Expense0.00120PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served252PersonsServed
Total Community Benefit Expense116494TotalCommunityBenefitExpense
Net Community Benefit Expense116494NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served115926PersonsServed
Total Community Benefit Expense1550994TotalCommunityBenefitExpense
Net Community Benefit Expense1550994NetCommunityBenefitExpense
Percent Of Total Expense0.00600PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs29NumberOfActivitiesOrPrograms
Persons Served492112PersonsServed
Total Community Benefit Expense1981614TotalCommunityBenefitExpense
Direct Offsetting Revenue17946DirectOffsettingRevenue
Net Community Benefit Expense1963668NetCommunityBenefitExpense
Percent Of Total Expense0.00770PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs29NumberOfActivitiesOrPrograms
Persons Served600120PersonsServed
Total Community Benefit Expense45065705TotalCommunityBenefitExpense
Direct Offsetting Revenue15320246DirectOffsettingRevenue
Net Community Benefit Expense29745459NetCommunityBenefitExpense
Percent Of Total Expense0.11580PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served162PersonsServed
Total Community Building Expense9916TotalCommunityBuildingExpense
Net Community Building Expense9916NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served162PersonsServed
Total Community Building Expense9916TotalCommunityBuildingExpense
Net Community Building Expense9916NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$29,480,889BadDebtExpenseAmount
Amount Attributable To2948088AmountAttributableTo
Amount Reimbursed By Medicare111923774AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare93089925CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall18833849MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities3NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (3 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalTeaching HospitalTeachingHospitalResearch FacilityResearchFacilityEr24 HoursEr24HoursEr OtherErOtherOtherOther
ST BERNARDS MEDICAL CENTER
1225 EAST JACKSONJONESBOROAR72401XXXXXXFAST TRACK ER
ST BERNARDS MEDICAL CENTER TCF
2225 EAST JACKSONVJONESBOROAR72401XSKILLED NURSING
ST BERNARDS MED CTR BEHAV HEALTH
3225 EAST JACKSONJONESBOROAR72401XADULT PSYCH

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (3 entries)

Hospital Facility NumberHospitalFacilityNumberCHNA ConductedCHNAConductedCommunity DefinitionCommunityDefinitionCommunity DemographicsCommunityDemographicsExisting ResourcesExistingResourcesHow Data ObtainedHowDataObtainedCommunity Health NeedsCommunityHealthNeedsOther Health IssuesOtherHealthIssuesIdentifying ProcessIdentifyingProcessInformation GapsInformationGapsNeeds Assessment ConductedNeedsAssessmentConductedTake Into AccountTakeIntoAccountOther FacilitiesOtherFacilitiesCHNA Widely AvailableCHNAWidelyAvailableOwn WebsiteOwnWebsiteOn RequestOnRequestAdopt Implement StrategyAdoptImplementStrategyAll Needs AddressedAllNeedsAddressedOrganization Incur Excise TaxOrganizationIncurExciseTaxEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedFPG Discount PercentFPGDiscountPercentExplains BasisExplainsBasisIncome LevelIncomeLevelAsset LevelAssetLevelMedical IndigencyMedicalIndigencyInsurance StatusInsuranceStatusUninsured DiscountUninsuredDiscountMedicaid MedicareMedicaidMedicareExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresPosted On WebsitePostedOnWebsiteAttached To InvoicesAttachedToInvoicesPosted In Emergency RoomPostedInEmergencyRoomPosted In Admission OfficePostedInAdmissionOfficeProvided On AdmissionProvidedOnAdmissionAvailable On RequestAvailableOnRequestOther PublicityOtherPublicityActions On NonpaymentActionsOnNonpaymentCollection ActivitiesCollectionActivitiesNotify Upon AdmissionNotifyUponAdmissionNotify Before DischargeNotifyBeforeDischargeNotified All PatientsNotifiedAllPatientsDocumented DeterminationDocumentedDeterminationOther Actions TakenOtherActionsTakenNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyAverage Negotiated RatesAverageNegotiatedRatesAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossCharges
ST BERNARDS MEDICAL CENTER
1trueXXXXXXXX12truefalsetrueXXXfalsefalsetruetrue100true300.trueXXXXXXtruetrueXXXXXXXtruefalseXXXXXtrueXfalsefalse
ST BERNARDS MEDICAL CENTER TCF
2trueXXXXXXXX12truefalsetrueXXXfalsefalsetruetrue100true300.trueXXXXXXtruetrueXXXXXXXtruefalseXXXXXtrueXfalsefalse
ST BERNARDS MED CTR BEHAVIORAL HLTH
3trueXXXXXXXX12truefalsetrueXXXfalsefalsetruetrue100true300.trueXXXXXXtruetrueXXXXXXXtruefalseXXXXXtrueXfalsefalse

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities40NumberOfOtherFacilities

Other Facilities OtherFacilities (40 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
ST BERNARD'S IMAGING CENTER
1144 EAST MATTHEWSJONESBOROAR72401IMAGING CENTER
REFERENCE LAB
300 EAST MATTHEWSJONESBOROAR72401REFERENCE LAB
DIALYSIS
540 EAST WASHINGTONJONESBOROAR72401DIALYSIS
ST BERNARD'S BEHAVIORAL HEALTH UNIT
2712 EAST JOHNSON AVEJONESBOROAR72401BEHAVIORAL HEALTH
PHYSICAL THERAPY
225 EAST JACKSONJONESBOROAR72401PHYSICAL THERAPY
ST BERNARD'S WOUND HEALING CENTER
505 EAST MATTHEWS SUITE 201JONESBOROAR72401WOUND HEALING
ST BERNARD'S HOME HEALTH
1726A MARIE CIRCLEJONESBOROAR72401HOME HEALTH
ST BERNARD'S HOSPICE
1726 MARIE CIRCLEJONESBOROAR72401HOSPICE
ST BERNARDS SENIOR HEALTH CLINIC
303 EAST MATTHEWS SUITE 202JONESBOROAR72401SENIOR HEALTH
PHYSICAL THERAPY SPORTS MEDICINE
1416 EAST MATTHEWSJONESBOROAR72401PHYSICAL THERAPY
DIALYSIS - WYNNE
310 S FALLS BLVDWYNNEAR72396DIALYSIS
FLO & PHIL JONES HOSPICE HOUSE
1148 EAST MATTHEWSJONESBOROAR72401HOSPICE HOUSE
PHYSICAL THERAPY ASUSPORTS MEDICINE
333 STADIUM BLVDJONESBOROAR72401PHYSICAL THERAPY
PHYSICAL THERAPY PARKER ROAD
1001 PARKER ROADJONESBOROAR72401PHYSICAL THERAPY
PHYSICAL THERAPY PARAGOULD
1105 WEST COURTPARAGOULDAR72450PHYSICAL THERAPY
PHYSICAL THERAPY SPEECH THERAPY
225 EAST JACKSONJONESBOROAR72401SPEECH THERAPY
PHYSICAL THERAPY - OCCUPATIONAL
4334 EAST HIGHLAND SUITE CJONESBOROAR72401OCCUPATIONAL THERAPY
PHYSICAL THERAPY TRUMANN
1300 INDUSTRIAL DRTRUMANNAR72472PHYSICAL THERAPY
CENTER FOR WEIGHT LOSS HMR
1416 EAST MATTHEWSJONESBOROAR72401WEIGHT LOSS
PHYSICAL THERAPY INDUSTRIAL REHAB
4334 EAST HIGHLAND SUITE CJONESBOROAR72401PHYSICAL THERAPY
PRE-ADMISSION TESTING
105 EAST MATTHEWSJONESBOROAR72401COUNSELING CENTER
PHYSICAL THERAPY MANILA
600 HWY 18MANILAAR72442PHYSICAL THERAPY
ST BERNARDS BEHAVIORAL COUNSELING CENTE
615A EAST MATTHEWSJONESBOROAR72401COUNSELING CENTER
CARDIAC REHABILITATION
1416 EAST MATTHEWSJONESBOROAR72401CARDIAC REHAB
ST BERNARD'S DAYPLACE
700 EAST WASHINGTONJONESBOROAR72401ADULT DAY CARE
DIABETES MANAGEMENT CENTER
1416 EAST MATTHEWSJONESBOROAR72401DIABETES MANAGEMENT
SENIOR LIFE CENTER - JONESBORO
700 EAST WASHINGTONJONESBOROAR72401SENIOR CARE
SENIOR LIFE CENTER - LAKE CITY
401 WALNUT STLAKE CITYAR72437SENIOR CARE
SENIOR LIFE CENTER - HARRISBURG
300 FAIR GROUND ROADHARRISBURGAR72432SENIOR CARE
SENIOR LIFE CENTER - TRUMANN
351 CAMPBELL STTRUMANNAR72472SENIOR CARE
SENIOR LIFE CENTER - LEPANTO
100 STEVENS SQUARELEPANTOAR72354SENIOR CARE
SENIOR LIFE CENTER - MARKED TREE
212 10TH STMARKED TREEAR72365SENIOR CARE
ST BERNARD'S PET CENTER LLC
PO BOX 13267MAUMELLEAR72113PET SCANNING
WOUND HEALING - PARAGOULD
ONE MEDICAL DRIVE SUITE 201PARAGOULDAR72450WOUND HEALING
SENIOR LIFE CENTER - WEST MEMPHIS
103 SOUTH AVALONWEST MEMPHISAR72301SENIOR CARE
SENIOR LIFE CENTER - MERYER
713 E CANAL STWYNNEAR72396SENIOR CARE
SENIOR LIFE CENTER - FORREST CITY
2550 S WASHINGTONFORREST CITYAR72335SENIOR CARE
SENIOR LIFE CENTER - NEWPORT
947 HOUT CIRCLENEWPORTAR72112SENIOR CARE
SENIOR LIFE CENTER - WOODRUFF CO
303 W CACHE STPATTERSONAR72123SENIOR CARE
SENIOR LIFE CENTER - CARAWAY
305 N NEW YORK AVECARAWAYAR72419SENIOR CARE

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PERCENT OF TOTAL EXPENSEPART I, LINE 7, COLUMN FBAD DEBT EXPENSE IN THE AMOUNT OF $29,480,889 IS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) ("TOTAL FUNCTIONAL EXPENSES"), BUT IS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN.
CHARITY CAREPART I, LINE 7THE AMOUNTS ON LINE 7A AND 7B WERE CALCULATED USING THE COST TO CHARGE RATIO.
BAD DEBT FOOTNOTEPART III, LINE 4BAD DEBT FOOTNOTE TO FINANCIAL STATEMENTS: THE MEDICAL CENTER PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE MEDICAL CENTER BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. SCHEDULE H, PART III, LINE 2 WAS DETERMINED USING THE OVERALL COST TO CHARGE RATIO FOR THE MOST RECENT "AS FILED" MEDICARE COST REPORT. THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 3 WAS DETERMINED BY ANALYZING ACCOUNTS THAT HAVE BEEN DENIED FINANCIAL ASSISTANCE DUE TO A LACK OF DOCUMENTATION. MANY TIMES WE ARE UNABLE TO GET PATIENTS WHO WE THINK WOULD QUALIFY FOR CHARITY TO COMPLETE OUR CHARITY APPLICATION. OFTEN TIMES WE DON'T CLASSIFY SOMEONE AS CHARITY WHO WOULD EASILY QUALIFY IF THEY WOULD JUST COMPLETE THE PAPER WORK. SOMETIMES, DUE TO FAULTY ADDRESSES, WE CANNOT CONTACT THESE PATIENTS TO ATTEMPT TO QUALIFY THEM AS CHARITY. THERE IS A SIGNIFICANT AMOUNT OF BAD DEBT THAT IS, IN REALITY, CHARITY.
COSTING METHODOLOGY OR SOURCE USEDPART III, LINE 8THE AMOUNTS WERE PULLED FROM THE MOST RECENT "AS FILED" MEDICARE COST REPORT. THE ORGANIZATION FOLLOWS CHA COMMUNITY BENEFIT GUIDELINES AND DOES NOT COUNT MEDICARE SHORTFALL AS COMMUNITY BENEFIT.
COLLECTION PRACTICESPART III, LINE 9BACCOUNTS WHICH ARE DEEMED UNCOLLECTIBLE ARE REFERRED TO AN OUTSIDE AGENCY FOR COLLECTING. AN ACCOUNT IS CONSIDERED UNCOLLECTIBLE WHEN THE GUARANTOR HAS HAD SUFFICIENT NOTICE AND TIME TO PAY A BILL OR MAKE ARRANGEMENTS TO PAY A BILL, BUT HAS FAILED TO DO SO. MEDICARE BAD DEBT IS DEFINED ACCORDING TO CENTERS FOR MEDICARE AND MEDICAID SERVICES GUIDELINES.
PATIENT EDUCATIONPART VI, LINE 3ALL REGISTRATION AREAS HAVE OUR FINANCIAL ASSISTANCE NOTICE EITHER ON THE REGISTRATION DESK, ON THE WALL AT REGISTRATION OR IN A DISPLAY CASE IN REGISTRATION. THIS INCLUDES, GENERAL ADMISSIONS, RADIOLOGY, ER (ALSO EVERY ROOM IN THE ER), DIALYSIS, RADIATION ONCOLOGY AND HEARTCARE CENTER, IMAGING CENTER AND WOUND CENTER. UPON REGISTRATION, IF REGISTERED AS A SELF PAY, A FINANCIAL APPLICATION AUTOMATICALLY PRINTS AND IS GIVEN TO THE PATIENT. APPLICATIONS ALONG WITH SBHC ENVELOPES ARE DISPLAYED AT THE DESK FOR ANYONE TO PICK UP. INFORMATION AND TELEPHONE NUMBERS ARE ON THE BACK OF ALL OUR STATEMENTS AND LETTERS THAT GO OUT TO PATIENTS. A THIRD PARTY LOOKS AT ALL INPATIENTS THAT ARE SELF PAY AND CONTACTS THE PATIENT TO SEE IF THEY WOULD BE ELIGIBLE FOR MEDICAID, CHARITY, OR ANY OTHER ASSISTANCE. OUR FINANCIAL ASSISTANCE APPLICATION AND PHONE NUMBER ARE ALSO AVAILABLE ON OUR WEB SITE WWW.STBERNARDS.INFO AND FINANCIAL ASSISTANCE INFORMATION IS PRINTED ON EACH STATEMENT MAILED TO PATIENTS.
COMMUNITY INFORMATIONPART VI, LINE 4ST. BERNARDS HEALTHCARE (SBHC), A NOT-FOR-PROFIT HEALTH SYSTEM, IS GUIDED BY A COMMUNITY-BASED CHARITABLE MISSION. ALTHOUGH THE ORGANIZATION'S FIRST PRIORITY IS TO PROVIDE QUALITY HEALTHCARE, AS A CORPORATE LEADER, SBHC RECOGNIZES THE POSITIVE AND CRITICAL IMPACT OF ITS COMMUNITY HEALTH INITIATIVES FOR THE RESIDENTS OF NORTHEAST ARKANSAS AND SOUTHEAST MISSOURI. THE SERVICE AREA IS DEFINED AS 23 COUNTIES, 17 IN ARKANSAS AND SIX IN MISSOURI. THE COUNTIES HAVE BEEN DIVIDED INTO PRIMARY, SECONDARY AND TERTIARY SERVICES BASED ON ADMISSIONS BY COUNTY. OF THE 23 COUNTIES, 18 COUNTIES ARE HEALTH PROFESSIONAL SHORTAGE AREAS AND 22 COUNTIES INCLUDE MEDICALLY UNDERSERVED AREAS OR MEDICALLY UNDERSERVED POPULATIONS. BASED ON 2000 CENSUS DATA, THE TOTAL SERVICE AREA POPULATION IS ESTIMATED AT 623,552 IN 2007 WITH A FORECASTED POPULATION OF 626,470 BY 2014. THE MEDIAN HOUSEHOLD INCOME FOR THE PRIMARY SERVICE AREA IS $33,701 WHICH IS APPROXIMATELY 86% OF THE ARKANSAS MEDIAN INCOME LEVEL AT $39,079 AND IS 66% OF THE UNITED STATES MEDIAN HOUSEHOLD INCOME AT $49,297. BOTH THE SECONDARY AND TERTIARY SERVICE AREAS FALL BELOW THAT OF THE PRIMARY SERVICE AREA. ST. BERNARDS HEALTHCARE ADDRESSES COMMUNITY HEALTH NEEDS BY IMPLEMENTING HEALTH PROMOTION, PREVENTION INTERVENTION, AND HEALTHCARE SERVICES TO THE UNINSURED, UNDERINSURED, AND UNDERSERVED POPULATIONS IN OUR PRIMARY SERVICE AREAS.
PROMOTION OF COMMUNITY HEALTHPART VI, LINE 5THE HOSPITAL COORDINATES THE ARKANSAS HOSPITAL PREPAREDNESS PROGRAM FOR THE NORTHEAST REGION OF THE STATE. THE PURPOSE IS TO ENHANCE THE CAPACITIES AND CAPABILITIES OF HEALTHCARE SYSTEMS AND FOR EXERCISING AND IMPROVING PREPAREDNESS PLANS FOR ALL-HAZARDS INCLUDING PANDEMIC INFLUENZA. THE COUNTIES WITHIN THE REGION ARE CLAY, CRAIGHEAD, CRITTENDEN, CROSS, GREENE, LAWRENCE, LEE, MISSISSIPPI, MONROE, PHILLIPS, POINSETT, PRAIRIE, RANDOLPH AND ST. FRANCIS COUNTIES. THE REGION PARTICIPATES IN TESTING AND USING THE TANDBERGS VIDEO CONFERENCING SYSTEM. THE REGION WORKS WITH ADH TO COORDINATE AND ENSURE MAINTENANCE OF THE LINE FOR THE TANDBERGS. THE REGION USES EMSYSTEMS EMRESOURCE FOR HOSPITAL BED TRACKING. ST BERNARDS PROVIDES A BIOTERRORISM PREPAREDNESS COORDINATOR WHO SERVES AS A CENTRAL POINT OF CONTACT FOR EMERGENCY PREPAREDNESS ACTIVITIES OF THE ARKANSAS DEPARTMENT OF HEALTH & HUMAN SERVICES. THE HOSPITAL CONDUCTS BIOTERRORISM TRAINING AND EDUCATION ACTIVITIES FOR HOSPITAL STAFF AND OTHER EMERGENCY MEDICAL RESPONDERS. THE HOSPITAL PARTICIPATES IN REGIONAL DRILLS AND TESTING OF HAM & AWIN RADIOS AND THE FACILITY MUST BE 100% NIMS COMPLIANT. THE HOSPITAL COORDINATES WITH LOCAL OEM, EMS, PUBLIC HEALTH, COMMUNITY HEALTH CENTERS, LONG TERM HEALTH CARE, INCLUDING NURSING HOMES, AND OTHERS AS APPROPRIATE.
AFFILIATED HEALTH CARE SYSTEMPART VI, LINE 6SBHC SYSTEM FOCUSES ITS ENERGIES AND RESOURCES ON PARTNERSHIPS THAT HAVE THE GREATEST POTENTIAL FOR A POSITIVE IMPROVEMENT IN THE HEALTH AND QUALITY OF LIFE FOR INDIVIDUALS AND COMMUNITIES. AREAS WHERE CONSIDERABLE ACTIVITY IS EXPENDED INCLUDE: - COMMUNITY HEALTH EDUCATION, PREVENTION, EARLY DETECTION, AND INTERVENTION ACTIVITIES THAT WOULD REDUCE THE INCIDENCE AND SERIOUSNESS OF ILLNESS, THEREBY MINIMIZING THE NEED FOR PREVENTABLE AND EXPENSIVE MEDICAL INTERVENTIONS. - CHRONIC DISEASE MANAGEMENT ACTIVITIES, WHICH, WHEN DONE EFFECTIVELY, MINIMIZE THE NEED FOR MEDICAL INTERVENTIONS. - PROACTIVE HEALTH GRANT PROGRAMS THAT FUND COMMUNITY BASED HEALTH PROGRAMS AND INITIATIVES. - INCREASING ACCESS TO HEALTH COVERAGE FOR ELIGIBLE RESIDENTS IN PROGRAMS SUCH AS AR KIDS FIRST. - INCREASING ACCESS TO HEALTHCARE SERVICES FOR THOSE IN NEED REGARDLESS OF ABILITY TO PAY. - COLLABORATIVE PARTNERSHIPS THAT SUPPORT THE PURPOSE OF INCREASING INDIVIDUAL AND COMMUNITY CAPACITY TO ACHIEVE THE HEALTHY COMMUNITY VISION. - HEALTH RESEARCH, EDUCATION AND TRAINING PROGRAMS. - DONATIONS OF FOOD, SURPLUS EQUIPMENT AND STAFF TIME TO ORGANIZATIONS ADDRESSING THE HEALTH NEEDS OF THE COMMUNITY. - PARTNERSHIPS WHICH MOTIVATE RESIDENTS TO GIVE BACK TO THEIR COMMUNITIES TO MOVE THE COMMUNITY CLOSER TO THE HEALTHY COMMUNITY VISION.
ACTIONS PRIOR TO COLLECTIONPART V, LINE 18THE FOLLOWING STATEMENT APPLIES TO ALL THREE LICENSED HOSPITAL FACILITIES LISTED IN PART V, SECTION A. ATTEMPTS MADE TO CONTACT THE PATIENT PRIOR TO PLACING WITH COLLECTIONS. (PHONE CALLS, STATEMENTS/LETTERS)
GROSS CHARGE TO PATIENTSPART V, LINE 22THE FOLLOWING STATEMENT APPLIES TO ALL THREE LICENSED HOSPITAL FACILITIES LISTED IN PART V, SECTION A. SELF PAY PATIENTS RECEIVE AN AUTOMATIC DISCOUNT. GROSS CHARGES ARE BILLED TO INSURANCE. PATIENT OWES DIEFFERENCE IN ALLOWED AND PAID.
PUBLICIZE THE POLICYPART V, LINE 13GTHE FOLLOWING STATEMENT APPLIES TO ALL THREE LICENSED HOSPITAL FACILITIES LISTED IN PART V, SECTION A. SOCIAL WORKERS PROVIDE THE POLICY TO PATIENTS THEY WORK WITH.
CHNAFORM 990, SCHEDULE H, PART V, LINE 7DUE TO THE TIMING OF THE FINALIZATION OF THE CHNA, THE HOSPITAL HAS NOT YET ADDRESSED ALL NEEDS IDENTIFIED IN THE CHNA, BUT IS WORKING TOWARDS THIS GOAL.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistancePurpose Of GrantPurposeOfGrant
AHEC - UAMS
223 EAST JACKSONJONESBOROAR72401716046242501(C)(3)1050000N/AN/AGENERAL SUPPORT
ARKANSAS HOSPITAL ASSOCIATION
419 NATURAL RES DRLITTLE ROCKAR72205710664952501(C)(3)39618N/AN/AGENERAL SUPPORT
JONESBORO HIGH SCHOOL
2504 ALEXANDER DRIVEJONESBOROAR72401716021029SCHOOL90000N/AN/AGENERAL SUPPORT
ARKANSAS METHODIST
PO BOX 339PARGOULDAR72451710230218501 (C)(3)28870N/AN/AGENERAL SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants3TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantSCHOLARSHIPTypeOfGrant
Number Of Recipients9NumberOfRecipients
Amount Of Cash Grant28000AmountOfCashGrant
Method Of ValuationN/AMethodOfValuation
Description Of Non Cash AssistanceN/ADescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierMONITORING PROCEDURES FOR THE USE OF GRANT FUNDSIdentifier
Return ReferenceFORM 990, SCHEDULE I, PART I, LINE 2ReturnReference
ExplanationTHE ORGANIZATION MAKES ONE TIME GRANTS TO ORGANIZATIONS QUALIFYING AS A CHARITY IN THE U.S. BASED ON APPLICATIONS RECEIVED BY THE ORGANIZATION. GRANTS ARE FOR A SPECIFIC PURPOSE OR USE AND POST GRANT MONITORING IS PERFORMED ON AN AS NEEDED BASIS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
BRENDA MILLION
VP CHIEF NURSING OFFICER176361000000063610182722000
THOMAS MULLIGAN
MEDICAL DIRECTOR SR HEALTH27659703725000001800280502000
DAVID L PYLE
VP OF MEDICAL AFFAIRS248382000000084310256813000
BENJAMIN SHAW
HOSPITALIST324495000000084310332926000
DON HOWARD
INTENSIVIST421755000000084310430186000
MICHAEL GIVENS
ADMINISTRATOR217211000000084310225642000
HARRY HUTCHISON
CFO022733600000006361023369700
PATRICK SAVAGE
HOSPITALIST241841000000047710246612000
CHRIS BARBER
PRESIDENT/CEO030699603450001750001650008431038392700

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DEFINED BENEFIT PENSION PLANFORM 990, SCHEDULE J, PART II, COLUMN DTHE INCREASE OF THE ACTUARIAL VALUE OF THE DEFINED BENEFIT PENSION PLAN IS NOT CALCULATED ON AN INDIVIDUAL EMPLOYEE BASIS BUT RATHER ON THE EMPLOYEE GROUP TAKEN AS A WHOLE. THE INCREASE IN EACH INDIVIDUAL'S BALANCE WOULD HAVE TO BE ESTIMATED USING ASSUMPTIONS UNIQUE TO THAT INDIVIDUAL RATHER THAN THE PLAN AS A WHOLE. THIS INFORMATION IS NOT AVAILABLE AT THIS TIME. HOWEVER, WE BELIEVE THE INCREASE TO EACH INDIVIDUAL'S ACCOUNT WOULD NOT MATERIALLY CHANGE THE COMPENSATION REPORTED. WE WILL WORK WITH OUR ACTUARY TO DETERMINE THE ANNUAL INCREASE IN FUTURE PERIODS.
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANFORM 990, SCHEDULE J, PART I, LINE 4BCHRIS BARBER PARTICIPATED IN A 457(B) PLAN - $17,500 WAS CONTRIBUTED ON HIS BEHALF DURING THE TAX YEAR.

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty
Securities Publicly TradedSecuritiesPubliclyTraded
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable (3 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XPLAY GROUND EQUIPMENT131250FMV
XSATELLITE PHONE115749FMV
XHEALTHWORKS KIDS MUSEUM PROGRAMS/CURRICULUM139900FMV
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSFORM 990, PART III, LINE 4AST. BERNARDS MEDICAL CENTER (SBMC) BEGAN SERVING THE CITIZENS OF NORTHEAST ARKANSAS IN THE YEAR 1900. THROUGH ITS MISSION OF PROVIDING CHRIST-LIKE-HEALING TO THE COMMUNITY THROUGH EDUCATION, TREATMENT, AND HEALTH SERVICES IT IS THE SAFETY NET PROVIDER FOR A 23 COUNTY AREA THAT INCLUDES SOUTHEAST MISSOURI. IN ACCORDANCE WITH ITS STATED MISSION AND VALUES OF PROVIDING CHRIST-LIKE HEALING SBMC IS COMMITTED TO PROVIDING HEALTHCARE SERVICES REGARDLESS OF A PERSON'S ABILITY TO PAY. CHARITY IS A CORE COMPONENT OF THE MISSION OF THE OLIVETAN BENEDICTINE SISTERS AND ITS HEALTHCARE MINISTRY. IN THE FISCAL YEAR WHICH ENDED SEPTEMBER 30, 2013, SBMC PROVIDED $14,445,638 IN CHARITY CARE. THE TOTAL AMOUNT OF QUANTIFIABLE COMMUNITY BENEFITS PROVIDED BY ST. BERNARDS MEDICAL CENTER WAS $29,745,459 IN FISCAL YEAR 2013 THROUGH 600,120 ENCOUNTERS WITH INDIVIDUALS INVOLVING HEALTH SCREENINGS, EDUCATION, DONATIONS, AND VOLUNTEER ACTIVITIES. IN PROVIDING EDUCATION, TREATMENT AND HEALTHCARE SERVICES SBMC BELIEVES FINANCIAL MATTERS ARE SECONDARY TO THE RENDERING OF THESE SERVICES. NO PERSON WHO SEEKS THESE SERVICES WILL BE TURNED AWAY. SBMC PROVIDES DIRECT FINANCIAL ASSISTANCE (CHARITY) USING A SLIDING SCALE BASED UPON INCOME LEVELS OF THE CURRENT FEDERAL INCOME POVERTY GUIDELINES AS ESTABLISHED BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES. PATIENTS WHO HAVE NO INSURANCE WILL RECEIVE A DISCOUNT FROM CHARGES AND SBMC DOES NOT TAKE LEGAL ACTION AGAINST ANY DEBTOR FOR SERVICES PROVIDED THROUGH ITS MISSION. IN FISCAL YEAR 2013 SBMC PROVIDED 76,229 PATIENT DAYS OF CARE. 37,816 PATIENT DAYS WERE PROVIDED TO THE ELDERLY WHILE 8,234 WERE PROVIDED TO THE MEDICALLY INDIGENT OR WHO HAD MEDICAID COVERAGE. 57,974 PATIENTS WERE SEEN IN THE SBMC EMERGENCY ROOM DURING THE SAME TIME PERIOD. TODAY, AS WELL INTO THE FUTURE, SBMC WILL CONTINUE TO PUT PATIENTS AND COMMUNITY NEEDS FIRST BY FOCUSING ON QUALITY, SAFETY, COST CONTROL, SERVICE, AND DIVERSITY.
MEMBER INFORMATIONFORM 990, PART VI, LINES 6, 7a, & 7bST. BERNARDS HEALTHCARE, INC. IS THE SOLE MEMBER OF ST. BERNARDS MEDICAL CENTER. THE MEMBER RESERVES POWER OVER THE FOLLOWING ACTS: A. ANY AGGREGATE BORROWING BY THE CORPORATION OF FUNDS IN EXCESS OF $1 MILLION FOR ANY SINGLE TRANSACTION OR PROJECT. B. ANY PURCHASE, SALE, LEASE, DISPOSITION, EXCHANGE, GIFT PLEDGE, OR MORTGAGE OF REAL ESTATE PROPERTY VALUED IN EXCESS OF $1 MILLION. C. ANY VARIANCE WITH CONGREGATIONL POLICY, PHILOSOPHY, OR ETHICS OF THE MEMBER. D. ANY AMENDMENT, ALTERATION, OR REPEAL OF THE BYLAWS. E. THE POWER OF THE MEMBER TO REMOVE ANY MEMBER OF THE GOVERNING BOARD IF IN THE SOLE DISCRETION OF MEMBER THE GOVERNING BOARD MEMBER ACTS AT VARIANCE WITH CONGREGATIONAL POLICY, PHILOSOPHY, OR THE ETHICS OF THE MEMBER. ALL OF THE DESCRIBED MATTERS SHALL BE SUBJECT TO APPROVAL BY A MAJORITY VOTE OF THE MEMBERS OF THE COUNCIL OF OLIVETAN BENEDICTINE SISTERS, INC.
REVIEW PROCEDURES FOR FORM 990FORM 990, PART VI, LINE 11BTHE FORM 990 IS REVIEWED BY THE FOLLOWING PERSONS OR GROUPS: CONTROLLER OF ST. BERNARDS HEALTHCARE, INC., VICE PRESIDENT OF FINANCE OF ST. BERNARDS HEALTHCARE, INC., PRESIDENT/CEO OF ST. BERNARDS HEALTHCARE, INC., LEGAL COUNSEL, AND THE AUDIT COMMITTEE OF ST. BERNARDS HEALTHCARE, INC. PRIOR TO FILING.
CONFLICT OF INTEREST MONITORING POLICYFORM 990, PART VI, LINE 12CDIRECTORS AND ABOVE ANNUALLY SUBMIT A WRITTEN STATEMENT DISCLOSING ANY POTENTIAL CONFLICTS OF INTEREST. MANAGEMENT INVESTIGATES ANY POTENTIAL CONFLICTS AND TAKES APPROPRIATE ACTION DEPENDING ON THE NATURE OF THE CONFLICT. LEGAL COUNSEL ALSO REVIEWS ANY POTENTIAL CONFLICTS OF INTEREST AND ADVISES MANAGEMENT.
COMPENSATION REVIEW & DETERMINATION PROCEDURESFORM 990, PART VI, LINE 15A & 15BTHE BOARD OF DIRECTORS SELECTS DIRECTORS TO SERVE ON THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE APPROVES THE INITIAL SALARY AND ANY SUBSEQUENT SALARY ADJUSTMENTS OF ALL MANAGEMENT. THE COMPENSATION COMMITTEE OBTAINS AN INDEPENDENT SALARY SURVEY FROM INTEGRATED HEALTHCARE STRATEGIES ON AN ANNUAL BASIS FOR USE IN DETERMINING THE APPROPRIATE SALARY RANGES FOR MANAGEMENT. THE COMPENSATION COMMITTEE PRESENTS THE INFORMATION TO THE BOARD FOR APPROVAL. IN 2013, COMPENSATION OF ALL MANAGEMENT PERSONNEL AND ALL OTHER EMPLOYEES OF THE ORGANIZATION WAS REVIEWED BY INTEGRATED HEALTHCARE STRATEGIES, LLC.
PARTICIPATION IN JOINT VENTURE ARRANGEMENTSFORM 990, PART VI, LINE 16BALL OPERATING AGREEMENTS OF JOINT VENTURE ARRANGEMENTS IN WHICH THE ORGANIZATION PARTICIPATES CONTAIN A CLAUSE THAT SAFEGUARDS THE ORGANIZATION'S EXEMPT STATUS.
AVAILABILITY OF GOVERNING DOCUMENTSFORM 990, PART VI, LINE 19THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 5TRANSFER TO AFFILIATE $(18,350,000) CHANGE IN THE PENSION LIABILITY $2,185,877 CHANGE IN INTEREST IN NET ASSETS OF ST. BERNARDS DEVELOPMENT FOUNDATION, INC. $ 242,754 PET CENTER, LLC INCOME VS. BOOK INCOME $ 109,192 AR MEDICAL CYCLOTRON INCOME VS. BOOK INCOME $ 32,823 ============== $(15,779,354)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (11 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
ST BERNARDS HEALTHCARE INC (SBHCI)
225 EAST JACKSONJONESBOROAR72401710853900SUPPORTAR501 (C) (3)11AOBSfalse
OLIVETAN BENEDICTINE SISTERS INC
PO DRAWER 130JONESBOROAR72403710654621CONVENTAR501 (C) (3)N/ANAfalse
ST BERNARDS COMM HOSPITAL
310 SOUTH FALLS BLVDWYNNEAR72396710835247HEALTHCAREAR501 (C) (3)3SBHCIfalse
ST BERNARDS VILLAGE INC
225 EAST JACKSONJONESBOROAR72401710805203HOUSINGAR501 (C) (3)9SBHCIfalse
BENEDICTINE MANOR I
225 EAST JACKSONJONESBOROAR72401208030553HOUSINGAR501 (C) (3)7VILLAGEfalse
BENEDICTINE MANOR II
225 EAST JACKSONJONESBOROAR72401208030603HOUSINGAR501 (C) (3)7VILLAGEfalse
JONESBORO REAL ESTATE HOLDINGS INC
225 EAST JACKSONJONESBOROAR72401710835010REAL ESTATEAR501 (C) (2)11ASBHCIfalse
TOTAL LIFE HEALTHCARE
700 EAST WASHINGTON AVEJONESBOROAR72401260262745HEALTHCAREAR501 (C) (3)9SBHCIfalse
ST BERNARDS DEVELOPMENT FOUNDATION
400 EAST STREETJONESBOROAR72401710563245SUPPORTAR501 (C) (3)7OBSfalse
MATTHEWS MEDICAL MILE
225 EAST JACKSONJONESBOROAR72401273865388ADVERTISINGAR501 (C) (3)9SBHCIfalse
AUX TO ST BERNARDS MEDICAL CENTER
225 E JACKSONJONESBOROAR72401710493824FUNDRAISINGAR501 (C) (3)11ASBHItrue

Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
PET CENTER LLC
PO BOX 13267MAUMELLEAR72113710876911P.E.T. SCANSARSBHINONE-71921051858false$0false0.51000
ALLCARE OF ARKANSAS
225 EAST JACKSONJONESBOROAR72401203315907HEALTHCAREARNANONE00false$0false
OUTPATNT SRGRY CTR
1100 E MATTHEWSJONESBOROAR72401743052826HEALTHCAREARNANONE00false$0false
PAIN CENTER LLC
505 EAST MATTHEWS STE 103JONESBOROAR72401331048492PAIN MGTARNANONE00false$0false

Form990 Schedule R Part IV Form990ScheduleRPartIV (16 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrg
REGIONAL HEALTHCARE HOLDINGS INC
PO BOX 9320JONESBOROAR72403731650896HOLDING COMPANYARNAC CORP000.00000false
JONESBORO ANESTHESIA INC
221 HUGHES STE CJONESBOROAR72401020644209ANESTHESIOLOGYARNAC CORP000.00000false
HEART SURGERY ASSOCIATION
PO BOX 9320JONESBOROAR72403200120406HEALTHCAREARNAC CORP000.00000false
MID SOUTH NEUROSURGERY
PO BOX 9320JONESBOROAR72403201345149NEUROSURGERYARNAC CORP000.00000false
JONESBORO NEUROSURGERY CLINIC
PO BOX 9320JONESBOROAR72403205938180NEUROSURGERYARNAC CORP000.00000false
DOCTORS HEALTH GROUP
PO BOX 9320JONESBOROAR72403710788355HEALTHCAREARNAC CORP000.00000false
REGIONAL HEALTHCARE SERVICES
PO BOX 9320JONESBOROAR72403710780305HEALTHCAREARNAC CORP000.00000false
SURGICAL ASSOCIATES OF JONESBORO
PO BOX 9320JONESBOROAR72403263827817HEALTHCAREARNAC CORP000.00000false
HEALTH NET INC
PO BOX 9320JONESBOROAR72403710792538HEALTHCAREARNAC CORP000.00000false
THE HEARTCARE CENTER INC
225 EAST JACKSONJONESBOROAR72401202061837HEALTHCAREARNAC CORP000.00000false
JONESBORO PLASTIC SURGERY
800 S MAIN STREETJONESBOROAR72401271450995PLASTIC SURGERYARNAC CORP000.00000false
OB-GYN ASSOC OF JONESBORO
800 S MAIN STREETJONESBOROAR72401272717909OB-GYNARNAC CORP000.00000false
CARDIOLOGY ASSOCIATES OF JONESBORO
800 S MAIN STJONESBOROAR72401273757274CARDIOLOGYARNAC CORP000.00000false
CLOPTON CLINIC OF JONESBORO INC
800 S MAIN STJONESBOROAR72401273722124HEALTHCAREARNAC CORP000.00000false
CANCER CARE ASSOCIATES INC
800 S MAIN STREETJONESBOROAR72401800864692HEALTHCAREARNAC CORP000.00000false
ST BERNARDS ORTHOPEDIC ASSOCIATES INC
800 S MAIN STREETJONESBOROAR72401462738617HEALTHCAREARNAC CORP000.00000false
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationtrueDividendsRelatedOrganization
Sale Of Assets To Other OrgtrueSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
ST BERNARDS PET CENTER
A27300FMV
ST BERNARDS PET CENTER
F102000FMV
ST BERNARDS PET CENTER
L185445FMV