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ST BERNARDS HOSPITAL INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ST BERNARDS HOSPITAL INC (EIN 71-0290019)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-05-01
IRS object ID
201221229349301102
Schema version
2010v3.7
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)
Timestamp2012-05-01T15:45:43-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

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 Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN710290019EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST BERNARDS HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTBENameControl
Phone8709724100Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameHARRY HUTCHISONName
TitleCFOTitle
Date Signed2012-04-26DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBILL MAGEEName
Phone5013721040Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts277781450GrossReceipts
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 Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees2476TotalNbrEmployees
Total Nbr Volunteers400TotalNbrVolunteers
Total Gross UBI3137292TotalGrossUBI
Contributions Grants Prior Year1962103ContributionsGrantsPriorYear
Contributions Grants Current Year928732ContributionsGrantsCurrentYear
Program Service Revenue Prior Year249958565ProgramServiceRevenuePriorYear
Program Service Revenue CY254204773ProgramServiceRevenueCY
Investment Income Prior Year1133912InvestmentIncomePriorYear
Investment Income Current Year1810111InvestmentIncomeCurrentYear
Other Revenue Prior Year6642785OtherRevenuePriorYear
Other Revenue Current Year7535864OtherRevenueCurrentYear
Total Revenue Prior Year259697365TotalRevenuePriorYear
Total Revenue Current Year264479480TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1107072GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1148828GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year93820515SalariesEtcPriorYear
Salaries Etc Current Year98524901SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year151130125OtherExpensePriorYear
Other Expenses Current Year157005513OtherExpensesCurrentYear
Total Expenses Prior Year246057712TotalExpensesPriorYear
Total Expenses Current Year256679242TotalExpensesCurrentYear
Revenues Less Expenses Prior Year13639653RevenuesLessExpensesPriorYear
Revenues Less Expenses CY7800238RevenuesLessExpensesCY
Total Assets BOY190422811TotalAssetsBOY
Total Assets EOY190229864TotalAssetsEOY
Total Liabilities BOY54924535TotalLiabilitiesBOY
Total Liabilities EOY57260308TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY135498276NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY132969556NetAssetsOrFundBalancesEOY
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
Expense179675469Expense
Grants1148828Grants
Revenue252987814Revenue
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 2010, $27,028,516 WAS SPENT FOR COMMUNITY BENEFIT AND 324,571 PERSONS WERE SERVED THROUGH HEALTH SCREENINGS, DONATIONS, EDUCATIONAL CLASSES, AND VOLUNTEER EFFORTS.Description
Total Program Service Expense179675469TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
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 BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccounttrueEscrowAccount
On Behalf Of IssuertrueOnBehalfOfIssuer
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 ContributionsfalseDeductibleNonCashContributions
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 Employees2476NumberOfEmployees
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 Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
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 CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
SISTER LILLIAN MARIE REITER
CHAIRPERSON1.0XX000
SISTER EILEEN SCHNEIDER OSB
VICE CHAIRPERSON1.0X000
SISTER MONICA SWIRCZYNSKI OSB
SECRETARY1.0XX000
SISTER HENRIETTA HOCKLE OSB
MEMBER1.0X000
WARREN SHULL
MEMBER1.0X000
STEVE COX
MEMBER1.0X000
OH CLOPTON MD
MEMBER1.0X000
NIEL CROWSON
MEMBER1.0X000
JOHN FREEMAN
MEMBER1.0X000
GL LIEBLONG
CONVENER1.0XX000
MARK DUCKWORTH
MEMBER1.0X000
SISTER LISA O'CONNELL OSB
MEMBER1.0X000
GUY PATTESON
CHAIRPERSON ADVISORY BOARD1.0XX000
MICHAEL GIVENS
ADMINISTRATOR40.0X17291208351
HARRY HUTCHISON
CFO1.0X02159427534
BRENDA MILLION
VP CHIEF NURSING OFFICER40.017200107370X
THOMAS MULLIGAN
MEDICAL DIRECTOR SR HEALTH40.02652820180X
DAVID L PYLE
VP OF MEDICAL AFFAIRS40.024051808351X
BENJAMIN SHAW
HOSPITALIST40.032135807990X
DON HOWARD
INTENSIVIST40.031598506495X
GINA MCNEW
HOSPITALIST40.02091430180X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1697199TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs215942TotalReportableCompFrmRltdOrgs
Total Other Compensation46451TotalOtherCompensation
Number Individuals GT100 K22NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServicesCompensationCompensation
THERAPY PROVIDERS OF ARK LLC
PHYSICAL THERAPY6416482
EMCARE INC
PHYSICIANS SERVICES2794275
CLOPTON CLINIC
PHYSICIANS SERVICES968284
PHILIPS MEDICAL SYSTEMS
EQUIP MAINTENANCE3076452
NABHOLZ CLIENT SERVICE
CONSTRUCTION1878207
FieldValueIRS element (for citing)
Number Of Contractors GT100 K56NumberOfContractorsGT100K
Related Organizations738100RelatedOrganizations
All Other Contributions190632AllOtherContributions
Total Contributions928732TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
PATIENT REVENUE6211102388769652388769650$0
MEDICAID ASSESSMENT FEE62111011697303116973030$0
SENIOR HEALTH SERVICES621110121695912169590$0
REFERENCE LAB621500241354602413546$0
FieldValueIRS element (for citing)
Total Program Service Revenue254204773TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1503947TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,503,947ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities13608134Securities
Other0Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities13290054Securities
Other11916Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities318080Securities
Other-11916Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column306164TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$306,164ExclusionAmount

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 ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
CAFETERIA/GUEST MEALS900099125781400$1,257,814
PURCHASE DISCOUNTS90009966787100$667,871
All Other Misc Revenue90009954565160723746$4,732,770

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column153663TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Exclusion$153,663ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue7535864TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column264479480TotalRevenueColumn
Related Or Exempt Function Income251791227RelatedOrExemptFunctionIncome
Unrelated Business Revenue3137292UnrelatedBusinessRevenue
Exclusion$8,622,229ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1139078Total
Program Services1139078ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total9750Total
Program Services9750ProgramServices

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)
Total390078Total
Program Services0ProgramServices
Management And General390078ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total77848303Total
Program Services42001667ProgramServices
Management And General35846636ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total5046333Total
Program Services2722659ProgramServices
Management And General2323674ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total9301291Total
Program Services5018346ProgramServices
Management And General4282945ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total5938896Total
Program Services3204226ProgramServices
Management And General2734670ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1596160Total
Program Services861180ProgramServices
Management And General734980ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total136105Total
Program Services73433ProgramServices
Management And General62672ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total177629Total
Program Services95837ProgramServices
Management And General81792ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total26917Total
Program Services14523ProgramServices
Management And General12394ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total79352Total
Program Services42813ProgramServices
Management And General36539ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total27139941Total
Program Services14642872ProgramServices
Management And General12497069ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total347913Total
Program Services187710ProgramServices
Management And General160203ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3718852Total
Program Services2006440ProgramServices
Management And General1712412ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1185333Total
Program Services639525ProgramServices
Management And General545808ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4026192Total
Program Services2172260ProgramServices
Management And General1853932ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total684111Total
Program Services369100ProgramServices
Management And General315011ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total77118Total
Program Services41608ProgramServices
Management And General35510ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total132728Total
Program Services71611ProgramServices
Management And General61117ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total12193878Total
Program Services6578990ProgramServices
Management And General5614888ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total1404070Total
Program Services757541ProgramServices
Management And General646529ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
BAD DEBT EXPENSE345337123453371200
MEDICAL SUPPLIES519458895194588900
EQUIPMENT RENT6297364339763128997330
DIETARY SUPPLIES & FOOD3168897170972214591750
MEDICAID ASSESSMENT TAX2278426227842600

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total5854926Total
Program Services3158920ProgramServices
Management And General2696006ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total256679242Total
Program Services179675469ProgramServices
Management And General77003773ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY740112BOY
EOY856882EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY29480545BOY
EOY28250843EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY25832125BOY
EOY20971777EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4312344BOY
EOY4434800EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1690582BOY
EOY2025732EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis211455753LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec118797629LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY87840046BOY
EOY92658124EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY37083255BOY
EOY36997327EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3443802BOY
EOY4034379EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY190422811BOY
EOY190229864EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY15661888BOY
EOY15524190EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY9700000BOY
EOY7445000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY29562647BOY
EOY34291118EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY54924535BOY
EOY57260308EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY133495386BOY
EOY131441857EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2002890BOY
EOY1527699EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY135498276BOY
EOY132969556EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY190422811BOY
EOY190229864EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses7800238ReconcilationRevenueExpenses
Reconcilation Other Changes-10328958ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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$6,000DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$39,233OtherActivitiesAmount
Total Lobbying Expenditures IIB45233TotalLobbyingExpendituresIIB
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 $39,233Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis91000007OtherCostOrOtherBasis
Depreciation53066141Depreciation
Book Value37933866BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2949612OtherCostOrOtherBasis
Depreciation1750927Depreciation
Book Value1198685BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis99849005OtherCostOrOtherBasis
Depreciation63980561Depreciation
Book Value35868444BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis13346961OtherCostOrOtherBasis
Book Value13346961BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings92658124TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATES$31,333
ASSET RETIREMENT OBLIGATION$381,621
EST 3RD PARTY SETTLEMENTS$4,973,230
PENSION LIABILITY$28,107,704
OTHER LIABILITIES$797,230
FieldValueIRS element (for citing)
Total Of Amounts34291118TotalOfAmounts
Total Revenue264479480TotalRevenue
Total Expenses256679242TotalExpenses
Excess Or Deficit For Year7800238ExcessOrDeficitForYear
Net Unrealized GL On Investments-1344580NetUnrealizedGLOnInvestments
Other-$8,984,379OtherAmount
Total Adjustments-10328959TotalAdjustments
Excess Or Deficit Per FS-2528721ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt229336064TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments118192NetUnrealizedGainsInvestments
Revenue Not Rptd F990118192RevenueNotRptdF990
Revenue Subtotal229217872RevenueSubtotal
Other Revenues Not Included35261608OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt35261608RevenueNotRptdOnFinStmt
Total Revenue Per Form990264479480TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt222145530TotExpensesEtcAuditedFinclStmt
Expenses Subtotal222145530ExpensesSubtotal
Other Expenses Not Included34533712OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt34533712ExpensesNotRptdOnFinStmt
Total Expenses Per Form990256679242TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
OTHER CHANGES IN NET ASSETSFORM 990, SCHEDULE D, PAGE 4, PART XI, LINE 8CHANGE IN PENSION LIABILITY $(2,483,159) TRANSFER TO AFFILIATE $(5,993,133) CHANGE IN INTEREST IN NET ASSETS OF ST. BERNARDS DEVELOPMENT FOUNDATION, INC. $ (475,191) PET CENTER, LLC INCOME VS. BOOK INCOME $ (24,160) AR MEDICAL CYCLOTRON INCOME VS. BOOK INCOME $ (8,736)
OTHER REVENUE ON RETURN NOT ON BOOKSFORM 990, SCHEDULE D, PART XII, LINE 4BPET CENTER, LLC LOSS VS. BOOK LOSS $ 24,160 AR MEDICAL CYCLOTRON INCOME VS. BOOK INCOME $ 8,736 CONTRIBUTIONS RECORDED TO NET ASSETS $ 695,000 PROVISION FOR UNCOLLECTIBLE ACCOUNTS $ 34,533,712
OTHER EXPENSES ON RETURN NOT ON BOOKSFORM 990, SCHEDULE D, PART XIII, LINE 4BPROVISION FOR UNCOLLECTIBLE ACCOUNTS $ 34,533,712

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 Served40205PersonsServed
Total Community Benefit Expense10781681TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense10781681NetCommunityBenefitExpense
Percent Of Total Expense0.04850PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served32462PersonsServed
Total Community Benefit Expense28555158TotalCommunityBenefitExpense
Direct Offsetting Revenue14271512DirectOffsettingRevenue
Net Community Benefit Expense14283646NetCommunityBenefitExpense
Percent Of Total Expense0.06430PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served72667PersonsServed
Total Community Benefit Expense39336839TotalCommunityBenefitExpense
Direct Offsetting Revenue14271512DirectOffsettingRevenue
Net Community Benefit Expense25065327NetCommunityBenefitExpense
Percent Of Total Expense0.11280PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs27NumberOfActivitiesOrPrograms
Persons Served135422PersonsServed
Total Community Benefit Expense314018TotalCommunityBenefitExpense
Direct Offsetting Revenue12237DirectOffsettingRevenue
Net Community Benefit Expense301781NetCommunityBenefitExpense
Percent Of Total Expense0.00140PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms
Persons Served1758PersonsServed
Total Community Benefit Expense37340TotalCommunityBenefitExpense
Direct Offsetting Revenue900DirectOffsettingRevenue
Net Community Benefit Expense36440NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms
Persons Served114724PersonsServed
Total Community Benefit Expense1636968TotalCommunityBenefitExpense
Direct Offsetting Revenue12000DirectOffsettingRevenue
Net Community Benefit Expense1624968NetCommunityBenefitExpense
Percent Of Total Expense0.00730PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs35NumberOfActivitiesOrPrograms
Persons Served251904PersonsServed
Total Community Benefit Expense1988326TotalCommunityBenefitExpense
Direct Offsetting Revenue25137DirectOffsettingRevenue
Net Community Benefit Expense1963189NetCommunityBenefitExpense
Percent Of Total Expense0.00880PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs35NumberOfActivitiesOrPrograms
Persons Served324571PersonsServed
Total Community Benefit Expense41325165TotalCommunityBenefitExpense
Direct Offsetting Revenue14296649DirectOffsettingRevenue
Net Community Benefit Expense27028516NetCommunityBenefitExpense
Percent Of Total Expense0.12160PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served508PersonsServed
Total Community Building Expense8496TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense8496NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served400PersonsServed
Total Community Building Expense149TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense149NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served908PersonsServed
Total Community Building Expense8645TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense8645NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$17,681,261BadDebtExpenseAmount
Amount Attributable To1768126AmountAttributableTo
Amount Reimbursed By Medicare96932739AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare83627498CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall13305241MedicareSurplusOrShortfall

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 E JACKSON AVEJONESBOROAR72401XXXXXXFAST TRACK ER
ST BERNARDS MEDICAL CENTER TCF
2225 E JACKSON AVEJONESBOROAR72401XSKILLED NURSING
ST BERNARDS MED CTR BEHAVIORAL HEALTH
32712 E JOHNSONJONESBOROAR72401XADULT PSYCH

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

Hospital Facility NumberHospitalFacilityNumberEligibility 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 NonpaymentActionsOnNonpaymentPermit Report To Credit AgencyPermitReportToCreditAgencyPermit Other ActionsPermitOtherActionsCollection ActivitiesCollectionActivitiesReport To Credit AgencyReportToCreditAgencyOther ActionsOtherActionsNotify Upon AdmissionNotifyUponAdmissionNotify Before DischargeNotifyBeforeDischargeNotified All PatientsNotifiedAllPatientsDocumented DeterminationDocumentedDeterminationOther Actions TakenOtherActionsTakenNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyAverage Negotiated RatesAverageNegotiatedRatesAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossCharges
ST BERNARDS MEDICAL CENTER
1truetrue100true300.trueXXXXXXtruetrueXXXXXXXtrueXXtrueXXXXXXXtrueXfalsefalse
ST BERNARDS MEDICAL CENTER TCF
2truetrue100true300.trueXXXXXXtruetrueXXXXXXXtrueXXtrueXXXXXXXtrueXfalsefalse
ST BERNARDS MED CTR BEHAVIORAL HEALTH
3truetrue100true300.trueXXXXXXtruetrueXXXXXXXtrueXXtrueXXXXXXXtrueXfalsefalse

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities36NumberOfOtherFacilities

Other Facilities OtherFacilities (36 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
ST BERNARD'S IMAGING CENTER
1144 EAST MATTHEWSJONESBOROAR72401IMAGING CENTER
REFERENCE LAB
303 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
PYSICAL 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 MATTHEWSJONESBOROAR72401TESTING FACILITY
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 - MONETTE
504 S WILLIAMSMONETTEAR72447SENIOR CARE
SENIOR LIFE CENTER - CARAWAY
305 N NEW YORK AVECARAWAYAR72419SENIOR 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
BARIATRIC WEIGHT LOSS SURGERY CLINIC
505 EAST MATTHEWS SUITE 105JONESBOROAR72401WEIGHT LOSS CENTER

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PERCENT OF TOTAL EXPENSEPART I, LINE 7, COLUMN FBAD DEBT EXPENSE IN THE AMOUNT OF $34,533,712 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.
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.
NEEDS ASSESSMENTPART VI, LINE 2ST. BERNARDS HEALTHCARE PARTNERS WITH SOUTHWIND HEALTH PARTNERS EVERY TWO YEARS TO CONDUCT A PHYSICIAN NEEDS ASSESSMENT. PHYSICIAN NEEDS ASSESSMENTS ARE ESSENTIAL MANAGEMENT TOOLS THAT HELP ALIGN A HEALTHCARE ORGANIZATION'S PHYSICIAN STRATEGY WITH ITS MISSION AND GOALS. THE PRINCIPAL OBJECTIVES OF A PHYSICIAN NEEDS ASSESSMENT ARE TO FIND SURPLUSES OR DEFICITS OF PHYSICIANS IN A COMMUNITY, DOCUMENT COMMUNITY NEED IF IT EXISTS AND ASSIST HEALTHCARE ORGANIZATIONS IN DETERMINING THEIR ROLES IN ALTERING THE MIX OR SUPPLY OF PHYSICIANS IN A COMMUNITY. BASIC COMPONENTS OF THE ASSESSMENT INCLUDE: I. SERVICE AREA DEFINITION AND DEMOGRAPHICS THE SERVICE AREA DEFINITION IS A BREAKDOWN OF THE ORGANIZATION'S SERVICE AREA BY IDENTIFIABLE BOUNDARIES THAT MAY INCLUDE ZIP CODES OR COUNTY LINES. THE SERVICE AREA FOR SBHC IS COMPRISED OF A PRIMARY SERVICE AREA FROM WHICH A MAJORITY OF THE PATIENT BASE ORIGINATES AND THEN A SECONDARY SERVICE AREA FROM WHICH A SMALLER, BUT SIGNIFICANT, PORTION OF THE PATIENT BASE ORIGINATES. SBMC ALSO HAS A TERTIARY SERVICE AREA INCLUDED IN THE ANALYSES. CRITERIA USED TO DETERMINE WHETHER OR NOT A ZIP CODE OR COUNTY IS INCLUDED IN THE TOTAL SERVICE AREA MAY INCLUDE 1) MARKET SHARE IN THAT AREA MEETS A SPECIFIC TARGET; 2) RESIDENTS WITHIN A COMMUNITY CONTRIBUTE A CERTAIN PERCENTAGE TO OVERALL VISITS/DISCHARGES: AND/OR 3) THE AREA MEETS OTHER REQUIREMENTS DEFINED BY SBHC, SUCH AS BEING WITHIN A CERTAIN DISTANCE OR DRIVING TIME. ONCE THE SERVICE AREA IS DETERMINED, DEMOGRAPHICS OF THE SERVICE AREA ARE STUDIED TO DETERMINE FACTORS OR CHARACTERISTICS THAT WILL AFFECT THE HEALTH CARE RESOURCES NEEDED IN THAT COMMUNITY. THESE FACTORS MAY INCLUDE, BUT ARE NOT LIMITED TO, A LARGE MEDICARE OR MEDICAID POPULATION, OVERALL HEALTHCARE INSURANCE COVERAGE, GEOGRAPHIC BARRIERS, MEDIAN/AVERAGE HOUSEHOLD INCOME, HEALTHCARE UTILIZATION, PAYER MIX, MANAGED CARE PENETRATION, AND MARKET-SHARE DISTRIBUTION. II. PHYSICIAN DEMOGRAPHICS AFTER ANALYZING COMMUNITY DEMOGRAPHICS, THE PHYSICIAN INFRASTRUCTURE OF THE SERVICE AREA IS ASSESSED. A ROSTER OF EVERY ACTIVE PHYSICIAN IN THE COMMUNITY, DETAILING EACH PHYSICIAN'S SPECIALTY OR SUBSPECIALTY, ADDRESS, AGE, MEDICAL STAFF STATUS AND FULL-TIME EQUIVALENCY (FTE) IN THE COMMUNITY IS DEVELOPED. THIS DETERMINES THE SIZE AND MAKEUP OF THE PHYSICIAN COMMUNITY BY SPECIALTY AND IDENTIFIES WHICH SPECIALTIES/SERVICES ARE AREAS OF STRENGTH AND WHICH AREAS MAY BENEFIT FROM STRATEGIC ACTION INCLUDING RECRUITMENT AND/OR INVESTMENT OF TIME AND RESOURCES. III. PHYSICIAN NEED DETERMINATION ONCE THE SERVICE AREA IS BETTER UNDERSTOOD IN TERMS OF COMMUNITY DEMOGRAPHICS AND PHYSICIAN INFRASTRUCTURE, THE APPROPRIATE SUPPLY AND MIX OF PHYSICIANS IS ASSESSED. SEVERAL DIFFERENT METHODS, INCLUDING SUPPLY-BASED PLANNING, NEED-BASED PLANNING, INTERVIEWING/SURVEYING, DEMAND-BASED PLANNING AND BENCHMARKING ARE USED TO DETERMINE PHYSICIAN NEED. IV. CALCULATION OF PHYSICIAN SURPLUSES AND DEFICITS USING THE CURRENT SUPPLY AND PROJECTED PHYSICIAN NEEDS, PHYSICIAN SURPLUSES AND DEFICITS ARE DETERMINED FOR A COMMUNITY. THE RATIONALE IS THAT THERE SHOULD BE 1.0 FTE PHYSICIAN SUPPLY, OR A COMBINATION OF PART-TIME PHYSICIANS THAT EQUAL A 1.0 FTE, IN THE COMMUNITY FOR EVERY 1.0 FTE PHYSICIANS THAT IS NEEDED. IF NOT, A SURPLUS OR DEFICIT EXISTS. V. RECOMMENDATIONS AND CONCLUSIONS THE SURPLUSES AND DEFICITS THAT ARE CALCULATED IN THE PHYSICIAN NEEDS ASSESSMENT ARE RANKED AND EVALUATED TO DETERMINE RECRUITMENT PRIORITIES FOR SBHC. QUANTITATIVE PLANNING ANALYSIS, MEDICAL STAFF INTERVIEWS/SURVEY RESULTS, MARKET SHARE POTENTIAL AND SERVICE LINE PRIORITY ARE ALL CONSIDERED IN MAKING RECOMMENDATIONS AND SETTING PRIORITIES REGARDING PHYSICIAN NEED. RESULTS IN 2010, THE FOLLOWING SPECIALTIES WERE RECRUITED: PLASTIC SURGERY (1), FAMILY PRACTICE (1), HOSPITALIST (4), NEPHROLOGY (1), INTERVENTIONAL CARDIOLOGY (1), EMERGENCY MEDICINE (4), PSYCHIATRY (1), AND NEUROSURGERY (1). *REFER TO 2010 PHYSICIAN NEEDS ASSESSMENT FOR COMPLETE DETAILS.
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 $51,287. 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, LINE5THE 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.
PERMITTED COLLECTION ACTIONSPART V, LINE 15E & 16ETHE FOLLOWING STATEMENT APPLIES TO ALL THREE LICENSED HOSPITAL FACILITIES LISTED IN PART V, SECTION A. - LIENS FILED ON MOTOR VEHICLE ACCIDENT ACCOUNTS - LIEN ON THE INSURANCE PROCEEDS, NOT THE PATIENT - LIENS ALSO ON ESTATES
ACTIONS PRIOR TO COLLECTIONPART V, LINE 17ETHE 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 21THE 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.

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 GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistancePurpose Of GrantPurposeOfGrant
AHEC - UAMS
223 EAST JACKSONJONESBOROAR72401716046242501(C)(3)10750000N/AN/AGENERAL SUPPORT
AR HOSPITAL EDUCATION & RESEARCH TRUST
419 NATURAL RESOURCES DRLITTLE ROCKAR72205710563245501(C)(3)164030N/AN/AGENERAL SUPPORT
CAREY CONSTRUCTION
317 KENNEMORELEPANTOAR72354273270759N/A100000N/AN/AGENERAL SUPPORT
CITY OF JONESBORO
515 WEST WASHINGTONJONESBOROAR72403716013749N/A123720N/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 Recipients1NumberOfRecipients
Amount Of Cash Grant9750AmountOfCashGrant
Amount Of Non Cash Assistance0AmountOfNonCashAssistance
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 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)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensesfalseWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
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 (8 entries)

Base 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
17164900035200073700179371000
THOMAS MULLIGAN
2635840365013330001800265462000
DAVID L PYLE
238564000195400083510248869000
BENJAMIN SHAW
269000052226013200079900329348000
DON HOWARD
260795055070012000064950322480000
GINA MCNEW
16312804591301020001800209323000
MICHAEL GIVENS
17274000017200083510181263000
HARRY HUTCHISON
02151040008380007534022347600

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
EXPENSE REIMBURSEMENT POLICYFORM 990, SCHEDULE J, PART I, LINE 1BTHE ORGANIZATION IS CONSIDERING IMPLEMENTING A WRITTEN POLICY REGARDING PAYMENT OR REIMBURSEMENT OF THE EXPENSES ON SCHEDULE J, PART I, LINE 1A.
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.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CITY OF JONESBORO AR RHHCF BOARDBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN716013749IssuerEIN
CUSIP Number480261EF9CUSIPNumber
Date Issued2009-07-09DateIssued
Issue Price11925000IssuePrice
Description Of PurposeREFUND 1996 BOND ISSUEDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired4480000AmountRetired
Total Proceeds11932298TotalProceeds
Refunding Escrow11754111RefundingEscrow
Issuance Costs From Proceeds170889IssuanceCostsFromProceeds
Other Spent Proceeds7026OtherSpentProceeds
Year Of Subst Completion2009YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatetrueExceptionToRebate

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
IdentifierLINE 6Identifier
ExplanationON THE PRIOR YEAR SCHEDULE K, WE REPORTED THE ACTUAL BALANCE IN THE EXCROW FUND ON LINE 3. THIS YEAR WE HAVE REPORTED THE TOTAL AMOUNT OF THE REFUNDING AS SHOWN ON FORM 8038.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSFORM 990, PAGE 3, PART III(a)ST. 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, 2011, SBMC PROVIDED $21,057,970 IN CHARITY CARE. THE TOTAL AMOUNT OF QUANTIFIABLE COMMUNITY BENEFITS PROVIDED BY ST. BERNARDS MEDICAL CENTER WAS $27,028,516 IN FISCAL YEAR 2010 THROUGH 324,571 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 2011 SBMC PROVIDED 88,254 PATIENT DAYS OF CARE. 45,310 PATIENT DAYS WERE PROVIDED TO THE ELDERLY WHILE 19,907 WERE PROVIDED TO THE MEDICALLY INDIGENT OR WHO HAD MEDICAID COVERAGE. 51,630 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 CLARK CONSULTING 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 2009, COMPENSATION OF ALL MANAGEMENT PERSONNEL AND ALL OTHER EMPLOYEES OF THE ORGANIZATION WAS REVIEWED BY CLARK CONSULTING.
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 5CHANGE IN PENSION LIABILITY $ (2,483,159) TRANSFER TO AFFILIATE $ (5,993,133) CHANGE IN INTEREST IN NET ASSETS OF ST BERNARDS DEVELOPMENT FOUNDATION, INC. $ (475,191) CHANGE IN UNREALIZED GAINS ON INVESTMENTS $ (1,344,580) PET CENTER, LLC INCOME VS. BOOK INCOME $ (24,160) --------------- $(10,320,223)
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:HARRY HUTCHISON TITLE:CFO HOURS:39

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/BusinessNameLine1
ST BERNARDS HEALTHCARE INC (SBHCI)
225 EAST JACKSONJONESBOROAR72401710853900HEALTHCAREAR501(C)(3)9OBS
OLIVETAN BENEDICTINE SISTERS INC
PO DRAWER 130JONESBOROAR72403710654621CONVENTAR501(C)(3)N/ANA
ST BERNARDS COMM HOSPITAL
310 SOUTH FALLS BLVDWYNNEAR72396710835247HEALTHCAREAR501(C)(3)3SBHCI
ST BERNARDS VILLAGE INC
225 EAST JACKSONJONESBOROAR72401710805203HOUSINGAR501(C)(3)9SBHCI
BENEDICTINE MANOR I
225 EAST JACKSONJONESBOROAR72401208030553HOUSINGAR501(C)(3)7VILLAGE
BENEDICTINE MANOR II
225 EAST JACKSONJONESBOROAR72401208030603HOUSINGAR501(C)(3)7VILLAGE
JONESBORO REAL ESTATE HOLDINGS INC
225 EAST JACKSONJONESBOROAR72401710835010REAL ESTATEAR501(C)(3)11SBHCI
TOTAL LIFE HEALTHCARE
700 EAST WASHINGTON AVEJONESBOROAR72401260262745HEALTHCAREAR501(C)(3)9SBHCI
ST BERNARDS DEVELOPMENT FOUNDATION
400 EAST STREETJONESBOROAR72401710563245SUPPORTAR501(C)(3)7OBS
MATTHEWS MEDICAL MILE
225 EAST JACKSONJONESBOROAR72401273865388ADVERTISINGAR501(C)(3)9SBHCI
AUX TO ST BERNARDS MEDICAL CENTER
225 E JACKSONJONESBOROAR72401710493824FUNDRAISINGAR501(C)(3)11ASBHI

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. SCANSARNARELATED124120308018false$0false0.51000
ALLCARE OF ARKANSAS
225 EAST JACKSONJONESBOROAR72401203315907HEALTHCAREARNANONE00false$0false0.00000
OUTPATNT SRGRY CTR
1100 E MATTHWSJONESBOROAR72401743052826HEALTHCAREARNANONE00false$0false0.00000
PAIN CENTER LLC
505 EAST MATTHEWS STE 103JONESBOROAR72401331048492PAIN MGTARNANONE00false$0false0.00000

Form990 Schedule R Part IV Form990ScheduleRPartIV (14 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
REGIONAL HEALTHCARE HOLDINGS INC
PO BOX 9320JONESBOROAR72403731650896HOLDING COARNAC CORP000.00000
JONESBORO ANESTHESIA INC
221 HUGHES STE CJONESBOROAR72401020644209ANESTHESIOLOGARNAC CORP000.00000
HEART SURGERY ASSOCIATION
PO BOX 9320JONESBOROAR72403200120406HEALTHCAREARNAC CORP000.00000
MID SOUTH NEUROSURGERY
PO BOX 9320JONESBOROAR72403201345149NEUROSURGERYARNAC CORP000.00000
JONESBORO NEUROSURGERY CLINIC
PO BOX 9320JONESBOROAR72403205938180NEUROSURGERYARNAC CORP000.00000
DOCTORS HEALTH GROUP
PO BOX 9320JONESBOROAR72403710788355HEALTHCAREARNAC CORP000.00000
REGIONAL HEALTHCARE SERVICES
PO BOX 9320JONESBOROAR72403710780305HEALTHCAREARNAC CORP000.00000
SURGICAL ASSOCIATES OF JONESBORO
PO BOX 9320JONESBOROAR72403263827817HEALTHCAREARNAC CORP000.00000
HEALTH NET INC
PO BOX 9320JONESBOROAR72403710792538HEALTHCAREARNAC CORP000.00000
THE HEARTCARE CENTER INC
225 EAST JACKSONJONESBOROAR72401202061837HEALTHCAREARNAC CORP000.00000
JONESBORO PLASTIC SURGERY
800 S MAIN STREETJONESBOROAR72401271450995PLASTIC SURGEARNAC CORP000.00000
OB-GYN ASSOC OF JONESBORO
800 S MAIN STREETJONESBOROAR72401272717909OB-GYNARNAC CORP000.00000
CARDIOLOGY ASSOCIATES OF JONESBORO
800 S MAIN STJONESBOROAR72401273757274CARDIOLOGYARNAC CORP000.00000
CLOPTON CLINIC OF JONESBORO INC
800 S MAIN STJONESBOROAR72401273722124HEALTHCAREARNAC CORP000.00000
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
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgtruePurchaseOfAssetsFromOtherOrg
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 (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
ST BERNARDS PET CENTER
K183333
ST BERNARDS PET CENTER
A27300