2023-07-13T10:13:13-05:00 2022-09-30 FORVIS LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2021-10-01 710853900 ST BERNARDS HEALTHCARE INC % BENJAMIN BARYLSKE STBE 8702074100 225 EAST WASHINGTON JONESBORO AR 72401 BENJAMIN BARYLSKE CFO 8702074100 2023-06-26 true BENJAMIN BARYLSKE 000000000 AMBER SHERRILL P00748683 5013721040 3 2021 2023-04-26 12:10:37Z CHRIS BARBER 225 EAST WASHINGTON JONESBORO AR 72401 30247088 false 0928 X WWW.STBERNARDS.INFO X 1997 AR TO ESTABLISH A CONTINUUM OF CARE TO PROVIDE CHRIST-LIKE HEALING TO THE COMMUNITY THROUGH EDUCATION, TREATMENT, AND HEALTH SERVICES. 14 14 153 14 3271734 0 0 0 24439864 29427873 20765 23313 178460 795902 24639089 30247088 500 15250 0 0 13668529 15513838 0 0 0 10970060 14718000 24639089 30247088 0 335856047 371767756 12578784 15847112 323277263 355920644 X TO PROVIDE CHRIST-LIKE HEALING TO THE COMMUNITY THROUGH EDUCATION, TREATMENT AND HEALTH SERVICES. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. false false 24699505 15250 26156139 ST. BERNARDS HEALTHCARE, INC. PROVIDES MANAGEMENT AND FINANCIAL SERVICES FOR ENTITIES WITHIN ITS SYSTEM. ST. BERNARDS HEALTHCARE INC. ALSO COORDINATES CURRENT AND PLANNED HEALTH RELATED ACTIVITIES. IN THE COMMUNITY, ST. BERNARDS HEALTHCARE INC. IS OPERATED FOR THE BENEFIT OF AND TO CARRY OUT THE PURPOSE OF ST BERNARDS MEDICAL CENTER. 24699505 true false false true false false false false false false true false true false true false false true false false false false false false false false false true false true false false false false false false false false false false false false false true true true false false true 365 0 true 153 true true true false false false false false false false false false false false X 14 14 false false false false true true true true true false false false true true true true true true true true true AR X BENJAMIN BARYLSKE 8702074100 225 EAST WASHINGTON JONESBORO AR 72401 X CHRIS BARBER PRESIDENT/CEO 40.0 9.0 X 804053 0 41949 KEVIN HODGES VICE-PRESIDENT 40.0 4.0 X 337819 0 17949 BENJAMIN BARYLSKE CFO 40.0 8.0 X 314317 0 29914 JOHN LIEBLONG VICE-PRESIDENT 40.0 1.0 X 276837 0 33970 MATT PARKER VICE-PRESIDENT 40.0 1.0 X 272710 0 12547 MICHAEL CALDWELL SVP - REGIONAL SERVICES 40.0 1.0 X 250588 0 17989 LORI SMITH VP - HUMAN RESOURCES 40.0 1.0 X 230171 0 18699 GARY SPARKS VICE-PRESIDENT 40.0 1.0 X 209418 0 180 BARRY LEDBETTER MEMBER 1.0 0.0 X 0 0 0 BRAD EDWARDS MEMBER 1.0 1.0 X 0 0 0 CHARLES FRIERSON MEMBER 1.0 1.0 X 0 0 0 DR BEN OWENS MEMBER 1.0 0.0 X 0 0 0 GUY PATTESON MEMBER 1.0 2.0 X 0 0 0 HL WIGGINS MEMBER 1.0 0.0 X 0 0 0 JULIENNE PENTER MEMBER 1.0 0.0 X 0 0 0 MOTHER LAURA CATHCART CHAIRPERSON THROUGH 1/1/2022 1.0 3.0 X X 0 0 0 NEIL CROWSON MEMBER 1.0 2.0 X 0 0 0 RICK ROREX CONVENER 1.0 0.0 X X 0 0 0 ROBERT JONES MEMBER 1.0 0.0 X 0 0 0 SISTER ANN MARIE FERRICHER MEMBER 1.0 0.0 X 0 0 0 SISTER MARY BETH HACKLEY SECRETARY 1.0 1.0 X X 0 0 0 SISTER THERESE MARIE KINTZLEY VICE CHAIRPERSON 1.0 1.0 X X 0 0 0 MOTHER MARY CLARE BEZNER CHAIRPERSON STARTING 1/1/2022 1.0 3.0 X X 0 0 0 SISTER CECILIA NGUYEN MEMBER 1.0 1.0 X 0 0 0 SISTER GLOREA KNAGGS MEMBER 1.0 1.0 X 0 0 0 SISTER MARIA CHRISTI CAVANAUGH MEMBER 1.0 1.0 X 0 0 0 2695913 0 173197 29 false true false CREDIT BUREAU OF JONESBORO 109 EAST JACKSON PO BOX 1305 JONESBORO AR 72403 COLLECTION 1050463 MEDICAL ADVOCACY SERVICES FOR HEALT 518 S MAGNOLIA AVE THIRD FLOOR ORLANDO FL 32801 COLLECTION 595737 PRESIDIO NETWORKED SOLUTION PO BOX 822169 PHILADELPHIA PA 191822169 COMPUTER 625710 MEDICAL INFORMATION TECHNOLOGY INC PO BOX 74569 CHICAGO IL 60696 SOFTWARE 2591877 THE SEIDEN GROUP INC 112 MADISON AVE 9TH FLOOR NEW YORK NY 10016 ADVERTISING 370975 20 0 MANAGEMENT FEES 561000 29306305 26034571 3271734 PAIN CENTER, LLC INCOME 621610 121568 121568 29427873 23313 23313 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ACCRUED PTO RELIEF 900099 605181 605181 REBATES 900099 190721 190721 795902 30247088 26156139 3271734 819215 15250 15250 0 0 0 1568951 1568951 0 11603044 9992451 1610593 56323 48505 7818 1427769 1229584 198185 857751 738688 119063 460685 396738 63947 62754 54043 8711 473338 407635 65703 0 0 0 132020 113695 18325 0 1664856 1433761 231095 3426736 2951078 475658 5716038 4922607 793431 0 142206 122467 19739 54895 47275 7620 0 61306 52796 8510 0 0 1302609 1121797 180812 458639 394976 63663 EQUIPMENT EXPENSE 361820 311597 50223 DUES & MEMBERSHIPS 168823 145389 23434 MEDPAY 63736 54889 8847 DIETARY SUPPLIES & FOOD 15224 13111 2113 152315 131173 21142 30247088 24699505 5547583 0 38067 45600 12070818 20255096 0 0 19711 65726 0 0 0 0 0 0 0 0 2113347 2251728 22985190 13090388 6535270 9894802 0 0 0 0 311986673 337135607 0 0 3092161 2119197 335856047 371767756 2568399 3643414 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10010385 12203698 12578784 15847112 X 323277263 355920644 0 0 323277263 355920644 335856047 371767756 X 0 32643381 X false true X true false X X 1 ST BERNARDS MEDICAL CENTER 710290019 3 true 0 24684255 1 0 24684255 false false false false false true false false false false false false false false false false SCHEDULE A, PART IV, SECTION A, LINE 1 ST. BERNARDS MEDICAL CENTER (SBMC) HAS A COMMON EXEMPT PURPOSE AND A HISTORIC AND CONTINUING RELATIONSHIP WITH ST. BERNARDS HEALTHCARE (SBHC). SBHC IS THE SOLE MEMBER OF SBMC. SBHC PROVIDES MANAGEMENT AND FINANCIAL SERVICES FOR SBMC. IN THE COMMUNITY, SBHC IS OPERATED FOR THE BENEFIT OF AND TO CARRY OUT THE PURPOSE OF ST. BERNARDS MEDICAL CENTER. SCHEDULE A, PART IV, SECTION A, LINE 6 THE ORGANIZATION PROVIDED OTHER SUPPORT TO THE FOLLOWING ORGANIZATIONS: - KIWANIS CLUB OF JONESBORO IN THE AMOUNT OF $250 AS A FUNDRAISING DONATIONS - DOWNTOWN JONESBORO ALLIANCE IN THE AMOUNT OF $15,000. THESE CONTRIBUTIONS SUPPORT ST. BERNARDS MEDICAL CENTER AND THE COMMUNITY IT SERVES. SCHEDULE A, PART IV, SECTION C, LINE 1 ST. BERNARDS HEALTHCARE HAS SEVEN BOARD MEMBERS SERVING AS BOARD MEMBERS OF THE SUPPORTED ORGANIZATION, ST. BERNARDS HOSPITAL. ST. BERNARDS HEALTHCARE'S PRESIDENT/CEO AND CFO ARE THE PRESIDENT/CEO AND CFO OF ST. BERNARDS HOSPITAL. false false false false false false false false true 450 450 false FORM 990, SCHEDULE C, PART II-B, LINE 1I THIS AMOUNT IS A PERCENTAGE OF DUES PAID TO VARIOUS PROFESSIONAL ASSOCIATIONS ALLOCABLE TO LOBBYING EXPENSES. 18886 18886 86707 17819 68888 21487709 13053683 8434026 1391888 1391888 9894802 INVESTMENT IN SUBSIDIARIES 337135607 F 337135607 0 DEFERRED COMPENSATION 636452 DUE TO AFFILIATES 11567246 12203698 30056367 30056367 190721 190721 30247088 30056367 30056367 190721 190721 30247088 FORM 990, SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NO IDENTIFIED ANY MATERIAL TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. FORM 990, SCHEDULE D, PART XI, LINE 4B REVENUE INCLUDED AS EXPENSE PER AUDIT: $190,721 FORM 990, SCHEDULE D, PART XII, LINE 4B REVENUE INCLUDED AS EXPENSE PER AUDIT: $190,721 true DOWNTOWN JONESBORO ALLIANCE 407 UNION ST JONESBORO AR 72401 460975096 501(C)(3) 15000 0 N/A N/A GENERAL SUPPORT 1 0 FORM 990, SCHEDULE I, PART I, LINE 2 GRANT RECIPIENTS ARE REQUIRED TO ACKNOWLEDGE PRIOR TO THE ISSUANCE OF GRANT FUNDS THAT THE GRANT WILL BE USED IN ACCORDANCE WITH THE STATED PURPOSE OF THE GRANT APPLICATION AND ANY UNUSED FUNDS RELATED TO THE SPECIFIC PURPOSE OF THE GRANTS WILL BE RETURNED TO THE ORGANIZATION. THE ORGANIZATION MONITORS AND REVIEWS THE FINANCIAL DATA OF RECIPIENTS TO ENSURE THAT THE GRANTED FUNDS ARE BEING USED PROPERLY. X false true X X X X false true false false false false false false false BENJAMIN BARYLSKE CFO 308274 0 250 0 5793 0 13965 0 15949 0 344231 0 0 0 CHRIS BARBER PRESIDENT/CEO 754860 0 250 0 48943 0 26000 0 15949 0 846002 0 0 0 KEVIN HODGES VICE-PRESIDENT 327813 0 250 0 9756 0 0 0 17949 0 355768 0 0 0 GARY SPARKS VICE-PRESIDENT 204763 0 250 0 4405 0 0 0 180 0 209598 0 0 0 MATT PARKER VICE-PRESIDENT 266193 0 250 0 6267 0 0 0 12547 0 285257 0 0 0 MICHAEL CALDWELL SVP - REGIONAL SERVICES 241407 0 250 0 8931 0 0 0 17989 0 268577 0 0 0 LORI SMITH VP - HUMAN RESOURCES 223697 0 250 0 6224 0 0 0 18699 0 248870 0 0 0 JOHN LIEBLONG VICE-PRESIDENT 270750 0 250 0 5837 0 15321 0 18649 0 310807 0 0 0 SCHEDULE J, PART I, LINE 1A CHRIS BARBER - GROSS-UPS OF $65 GROUP TERM LIFE, $214 FOR PERSONAL USE OF COMPANY OWNED CAR AND $296 FOR TUITION, $108 FOR COVID VACCINE BONUS BENJAMIN BARYLSKE - GROSS-UPS OF $19 FOR GROUP TERM LIFE, $138 FOR COVID VACCINE BONUS JOHN LIEBLONG - GROSS-UPS OF $21 FOR GROUP TERM LIFE, $138 FOR COVID VACCINE BONUS KEVIN HODGES - GROSS-UPS OF $86 FOR GROUP TERM LIFE, $109 FOR COVID VACCINE BONUS MATT PARKER - GROSS-UPS OF $51 FOR GROUP TERM LIFE, $138 FOR COVID VACCINE BONUS; $21 FOR SERVICE AWARD GIFT CARD MICHAEL D CALDWELL - GROSS-UPS OF $90, COVID VACCINE BONUS $138 LORI SMITH - GROSS-UPS OF $29 FOR GROUP TERM LIFE, $4 FOR SERVICE AWARD GIFT CARD, $138 FOR COVID VACCINE BONUS GARY SPARKS - GROSS-UPS OF $62 FOR GROUP TERM LIFE, $2 FOR GIFT CARD, $138 FOR COVID VACCINE BONUS FORM 990, SCHEDULE J, PART I, LINE 1B ALL REIMBURSEMENTS MUST BE APPROVED BY THE EMPLOYEE'S ONE UP. FORM 990, SCHEDULE J, PART I, LINE 4B CHRIS BARBER RECEIVED $19,500 IN CONTRIBUTIONS TO A 457(F) PLAN. FORM 990, SCHEDULE J, PART II, COLUMN D THE INCREASE OF THE ACTUARIAL VALUE OF THE DEFINED BENEFIT PENSION PLAN IS NOT CALCULATED ON AN INDIVIDUAL 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 AUTOMATICALLY CHANGE THE COMPENSATION REPORTED. WE WILL WORK WITH OUR ACTUARY TO DETERMINE THE ANNUAL INCREASE IN FUTURE PERIODS. FORM 990, PART III, LINE 1 SINCE 1900, ST BERNARDS HAS SERVED AS OUR COMMUNITY'S TRUSTED PROVIDER OF COMPREHENSIVE, COMPASSIONATE HEALTHCARE. WITH OUR DEDICATED AN 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 2022, $14,247,639 WAS SPENT FOR COMMUNITY BENEFIT. 254,934 PERSONS WERE SERVED THROUGH HEALTH SCREENINGS, DONATIONS, EDUCATIONAL CLASSES, AND VOLUNTEER EFFORTS. FORM 990, PART VI, SECTION B, LINES 6, 7A & 7B OLIVETAN BENEDICTINE SISTERS, INC IS THE SOLE MEMBER OF ST. BERNARDS HEALTHCARE, INC. THE DIRECTORS OF THE CORPORATION SHALL AT ALL TIMES INCLUDE SEVEN MEMBERS OF THE SOLE MEMBER. OF THESE SEVEN MEMBERS ONE SHALL BE THE PRIORESS OF HOLY ANGELS CONVENT AND ONE SHALL BE THE MEMBER SERVING AS BUSINESS MANAGER OF THE MEMBER. THE MEMBER MUST APPROVE ANY TRANSACTION OVER $1 MILLION. THE DIOCESE OF LITTLE ROCK MUST APPROVE ANY TRANSACTION OVER $5 MILLION. THE MEMBER ALSO RESERVES POWER OV ANY VARIANCE WITH CONGREGATIONAL POLICY, PHILOSOPHY, OR ETHICS. ANY AMENDMENT, ALTERATION, OR REPEAL OF THE BYLAWS MUST BE APPROVED BY THE MEMBER. THE MEMBER ALSO RESERVES POWER TO REMOVE ANY MEMBER OF THE GOVERNING BOARD IF IN THE SOLE DISCRETION OF THE MEMBER THE GOVERNING BOARD MEMBER ACTS AT VARIANCE WITH CONGREGATIONAL POLICY, PHILOSOPHY, OR THE ETHICS OF THE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B THE 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. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS 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. FORM 990, PART VI, SECTION B, LINES 15A & 15B THE CHAIRPERSON OF THE BOARD OF DIRECTORS SELECTS PERSONS 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 A COMPENSATION CONSULTING FIRM ON AN EVERY OTHER YEAR BASIS FOR USE IN DETERMINING THE APPROPRIATE SALARY RANGES FOR MANAGEMENT. THE COMPENSATION COMMITTEE PRESENTS THE INFORMATION TO THE BOARD FOR APPROVAL. THE MOST RECENT REVIEW WAS CONDUCTED IN 2020. FORM 990, PART VI, SECTION B, LINE 16B ALL OPERATING AGREEMENTS OR JOINT VENTURE ARRANGEMENTS CONTAIN A CLAUSE THAT SAFEGUARDS THE ORGANIZATION'S EXEMPT STATUS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9 TRANSFER FROM AFFILIATES $32,643,381 ST BERNARDS HOSPITAL INC (SBHI) 225 EAST WASHINGTON JONESBORO AR 72401 710290019 MEDICAL CARE AR 501 (C) (3) 3 SBHCI true ST BERNARDS VILLAGE INC 225 EAST WASHINGTON JONESBORO AR 72401 710805203 HOUSING AR 501 (C) (3) 10 SBHCI true BENEDICTINE MANOR I 225 EAST WASHINGTON JONESBORO AR 72401 208030553 HOUSING AR 501 (C) (3) 10 VILLAGE true BENEDICTINE MANOR II 225 EAST WASHINGTON JONESBORO AR 72401 208030603 HOUSING AR 501 (C) (3) 10 VILLAGE true ST BERNARDS COMM HOSPITAL 310 S FALLS BLVD WYNNE AR 72396 710835247 MEDICAL CARE AR 501 (C) (3) 3 SBHCI true JONESBORO REAL ESTATE HOLDINGS INC 225 EAST WASHINGTON JONESBORO AR 72401 710835010 REAL ESTATE AR 501 (C) (2) N/A SBHCI true TOTAL LIFE HEALTHCARE 700 EAST WASHINGTON AVE JONESBORO AR 72401 260262745 HEALTHCARE AR 501 (C) (3) 10 SBHCI true OLIVETAN BENEDICTINE SISTERS INC PO DRAWER 130 JONESBORO AR 72403 710654621 CONVENT AR 501 (C) (3) N/A NA false ST BERNARDS DEVELOPMENT FOUNDATION 400 EAST STREET JONESBORO AR 72401 710563245 SUPPORT AR 501 (C) (3) 7 OBS true MATTHEWS MEDICAL MILE PO BOX 9320 JONESBORO AR 72403 273865388 ADVERTISING AR 501 (C) (3) 10 SBHCI true AUX TO ST BERNARDS MEDICAL CENTER 225 EAST WASHINGTON JONESBORO AR 72401 710493824 FUNDRAISING AR 501 (C) (3) 12A SBHI true FIVE RIVERS MEDICAL CENTER INC 2801 MEDICAL CENTER DR POCAHONTAS AR 72455 273970823 HEALTHCARE AR 501 (C) (3) 3 SBHCI true PET CENTER LLC PO BOX 13267 MAUMELLE AR 72113 710876911 P.E.T. 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