FURP.ORG / PUBLIC DATA EXPLORER

ST BERNARDS HEALTHCARE: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
ST BERNARDS HEALTHCARE (EIN 71-0853900)
Tax period
2020-10-01 to 2021-09-30
Filed
2022-07-11
IRS object ID
202241929349301914
Schema version
2020v4.1
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)
Return2022-07-11T16:06:06-05:00ReturnTs
Tax Period End2021-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FORVIS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 3667AddressLine1Txt
CityLITTLE ROCKCityNm
State AbbreviationARStateAbbreviationCd
ZIP722033667ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN710853900EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST BERNARDS HEALTHCARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% BEN BARYLSKEInCareOfNm
Business Name ControlSTBEBusinessNameControlTxt
Phone8702074100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1225 EAST WASHINGTONAddressLine1Txt
CityJONESBOROCityNm
State AbbreviationARStateAbbreviationCd
ZIP72401ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBENJAMIN BARYLSKEPersonNm
Person TitleCFOPersonTitleTxt
Phone8702074100PhoneNum
Signature2022-06-09SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstBENJAMINPersonFirstNm
Person LastBARYLSKEPersonLastNm
FieldValueIRS element (for citing)
SSN000000000SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAARON HERSHBERGERPreparerPersonNm
PTINP00961884PTIN
Phone5013721040PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCHRIS BARBERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1225 EAST WASHINGTONAddressLine1Txt
CityJONESBOROCityNm
State AbbreviationARStateAbbreviationCd
ZIP72401ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$24,639,089GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.STBERNARDS.INFOWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1997FormationYr
Legal Domicile StateARLegalDomicileStateCd
Activity Or MissionTO ESTABLISH A CONTINUUM OF CARE TO PROVIDE CHRIST-LIKE HEALING TO THE COMMUNITY THROUGH EDUCATION, TREATMENT, AND HEALTH SERVICES.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee150TotalEmployeeCnt
Total Volunteers14TotalVolunteersCnt
Total Gross UBI$2,677,752TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$23,099,115PYProgramServiceRevenueAmt
CY Program Service Revenue$24,439,864CYProgramServiceRevenueAmt
PY Investment Income$65,301PYInvestmentIncomeAmt
CY Investment Income$20,765CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$178,460CYOtherRevenueAmt
PY Total Revenue$23,164,416PYTotalRevenueAmt
CY Total Revenue$24,639,089CYTotalRevenueAmt
PY Grants And Similar Paid$249,727PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$500CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$12,915,968PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$13,668,529CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$9,998,721PYOtherExpensesAmt
CY Other Expenses$10,970,060CYOtherExpensesAmt
PY Total Expenses$23,164,416PYTotalExpensesAmt
CY Total Expenses$24,639,089CYTotalExpensesAmt
CY Revenues Less Expenses$0CYRevenuesLessExpensesAmt
Total Assets BOY$299,959,511TotalAssetsBOYAmt
Total Assets EOY$335,856,047TotalAssetsEOYAmt
Total Liabilities BOY$7,522,396TotalLiabilitiesBOYAmt
Total Liabilities EOY$12,578,784TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$292,437,115NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$323,277,263NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE CHRIST-LIKE HEALING TO THE COMMUNITY THROUGH EDUCATION, TREATMENT AND HEALTH SERVICES. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$19,812,389ExpenseAmt
Grant$500GrantAmt
Revenue$21,762,112RevenueAmt
DescST. 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.Desc
Total Program Service Expenses$19,812,389TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document326IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee150EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldARStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonBEN BARYLSKEPersonNm
Phone8702074100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1225 EAST WASHINGTONAddressLine1Txt
CityJONESBOROCityNm
State AbbreviationARStateAbbreviationCd
ZIP72401ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndKey EmployeeKeyEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
CHRIS BARBER
PRESIDENT/CEO40.09.0Yes (X)$696,403$0$41,703
KEVIN HODGES
VICE-PRESIDENT40.04.0$281,793$0$16,853Yes (X)
BENJAMIN BARYLSKE
CFO40.08.0Yes (X)$261,348$0$28,946
JOHN LIEBLONG
VICE-PRESIDENT40.01.0$257,005$0$31,702Yes (X)
MATT PARKER
VICE-PRESIDENT40.01.0$263,400$0$11,753Yes (X)
MICHAEL CALDWELL
SVP - REGIONAL SERVICES40.01.0$239,494$0$15,693Yes (X)
LORI SMITH
VP - HUMAN RESOURCES40.01.0$216,839$0$17,553Yes (X)
GARY SPARKS
VICE-PRESIDENT40.01.0$220,409$0$180Yes (X)
BARRY LEDBETTER
MEMBER1.00.0$0$0$0Yes (X)
BRAD EDWARDS
MEMBER1.01.0$0$0$0Yes (X)
CHARLES FRIERSON
MEMBER1.01.0$0$0$0Yes (X)
DR BEN OWENS
MEMBER1.00.0$0$0$0Yes (X)
GUY PATTESON
MEMBER1.02.0$0$0$0Yes (X)
HL WIGGINS
MEMBER1.00.0$0$0$0Yes (X)
JULIENNE PENTER
MEMBER1.00.0$0$0$0Yes (X)
MOTHER LAURA CATHCART
CHAIRPERSON1.02.0Yes (X)$0$0$0Yes (X)
NEIL CROWSON
MEMBER1.02.0$0$0$0Yes (X)
RICK ROREX
CONVENER1.00.0Yes (X)$0$0$0Yes (X)
ROBERT JONES
MEMBER1.00.0$0$0$0Yes (X)
SISTER ANN MARIE FERRICHER
MEMBER1.00.0$0$0$0Yes (X)
SISTER MARY BETH HACKLEY
SECRETARY1.01.0Yes (X)$0$0$0Yes (X)
SISTER THERESE MARIE KINTZLEY
VICE CHAIRPERSON1.01.0Yes (X)$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,436,691TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$164,383TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K26IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CREDIT BUREAU OF JONESBORO
109 EAST JACKSON PO BOX 1305JONESBOROAR72403COLLECTION$1,156,906
MEDICAL ADVOCACY SERVICES FOR HEALT
518 S MAGNOLIA AVE THIRD FLOORORLANDOFL32801COLLECTION$792,616
PRESIDIO NETWORKED SOLUTION
PO BOX 822169PHILADELPHIAPA191822169COMPUTER$516,384
BKD LLP
PO BOX 3667LITTLE ROCKAR722033667ACCOUNTING SERVICES$363,440
KEMBERTON HEALTHCARE SERVICES
501 CORPORATE CENTRE DRFRANKLINTN370672659COLLECTION$354,400
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K18CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
MANAGEMENT FEES561000$24,090,558$21,412,806$2,677,752
PAIN CENTER, LLC K-1 INCOME621610$349,306$349,306
FieldValueIRS element (for citing)
Total Program Service Revenue$24,439,864TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$20,765TotalRevenueColumnAmt
Exclusion$20,765ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescREBATESDesc
Business900099BusinessCd
Total Revenue Column$178,460TotalRevenueColumnAmt
Exclusion$178,460ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$178,460OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,639,089TotalRevenueColumnAmt
Related Or Exempt Func Income$21,762,112RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,677,752UnrelatedBusinessRevenueAmt
Exclusion$199,225ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$500TotalAmt
Program Services$500ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,418,517TotalAmt
Management And General$1,418,517ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$10,358,761TotalAmt
Program Services$8,838,328ProgramServicesAmt
Management And General$1,520,433ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$79,341TotalAmt
Program Services$67,696ProgramServicesAmt
Management And General$11,645ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,022,209TotalAmt
Program Services$872,172ProgramServicesAmt
Management And General$150,037ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$789,701TotalAmt
Program Services$673,791ProgramServicesAmt
Management And General$115,910ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$471,357TotalAmt
Program Services$402,172ProgramServicesAmt
Management And General$69,185ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$48,317TotalAmt
Program Services$41,225ProgramServicesAmt
Management And General$7,092ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$369,584TotalAmt
Program Services$315,337ProgramServicesAmt
Management And General$54,247ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$28,471TotalAmt
Program Services$24,292ProgramServicesAmt
Management And General$4,179ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,205,214TotalAmt
Program Services$1,028,316ProgramServicesAmt
Management And General$176,898ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,170,301TotalAmt
Program Services$2,704,972ProgramServicesAmt
Management And General$465,329ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,568,003TotalAmt
Program Services$3,044,301ProgramServicesAmt
Management And General$523,702ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$143,705TotalAmt
Program Services$122,612ProgramServicesAmt
Management And General$21,093ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$52,877TotalAmt
Program Services$45,116ProgramServicesAmt
Management And General$7,761ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$10,586TotalAmt
Program Services$9,032ProgramServicesAmt
Management And General$1,554ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$750,208TotalAmt
Program Services$640,094ProgramServicesAmt
Management And General$110,114ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$388,072TotalAmt
Program Services$331,112ProgramServicesAmt
Management And General$56,960ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
EQUIPMENT EXPENSE$348,905$297,694$51,211
DUES & MEMBERSHIPS$177,945$151,827$26,118
MEDPAY$90,600$77,302$13,298
DIETARY SUPPLIES & FOOD$16,810$14,343$2,467

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$129,105TotalAmt
Program Services$110,155ProgramServicesAmt
Management And General$18,950ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$24,639,089TotalAmt
Program Services$19,812,389ProgramServicesAmt
Management And General$4,826,700ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,879,740BOYAmt
EOY$9,938,948EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,500,219BOYAmt
EOY$2,169,937EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$46,434BOYAmt
EOY$19,711EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

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

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,558,415BOYAmt
EOY$2,113,347EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$18,323,049LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$11,787,779LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,661,827BOYAmt
EOY$6,535,270EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$284,950,573BOYAmt
EOY$311,986,673EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,362,303BOYAmt
EOY$3,092,161EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$299,959,511BOYAmt
EOY$335,856,047EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,312,243BOYAmt
EOY$2,568,399EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,210,153BOYAmt
EOY$10,010,385EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,522,396BOYAmt
EOY$12,578,784EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$292,437,115BOYAmt
EOY$323,277,263EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$292,437,115BOYAmt
EOY$323,277,263EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$299,959,511BOYAmt
EOY$335,856,047EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$0ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$30,840,148OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type2Yes (X)SupportingOrgType2Ind
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ST BERNARDS MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN710290019EIN
Organization Type3OrganizationTypeCd
Governing Document ListedYes (true)GoverningDocumentListedInd
Support$0SupportAmt
Other Support$18,637,599OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$18,637,599OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocfalseListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgYes (true)SupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd
FieldValueIRS element (for citing)
Majority Dir Trst Supported OrgfalseMajorityDirTrstSupportedOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE A, PART IV, SECTION A, LINE 1ST. 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 6THE ORGANIZATION PROVIDED OTHER SUPPORT TO THE FOLLOWING ORGANIZATIONS: - HISPANIC COMMUNITY IN THE AMOUNT OF $500 AS A FUNDRAISING DONATION. THESE CONTRIBUTIONS SUPPORT ST. BERNARDS MEDICAL CENTER AND THE COMMUNITY IT SERVES.
SCHEDULE A, PART IV, SECTION C, LINE 1ST. BERNARDS HEALTHCARE HAS FOUR 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.

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$450OtherActivitiesAmt
Total Lobbying Expenditures$450TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE C, PART II-B, LINE 1IFormAndLineReferenceDesc
ExplanationTHIS AMOUNT IS A PERCENTAGE OF DUES PAID TO VARIOUS PROFESSIONAL ASSOCIATIONS ALLOCABLE TO LOBBYING EXPENSES.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
LandLandGrp

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,886OtherCostOrOtherBasisAmt
Depreciation$18,886DepreciationAmt
Book Value$0BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$86,707OtherCostOrOtherBasisAmt
Depreciation$12,038DepreciationAmt
Book Value$74,669BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,012,314OtherCostOrOtherBasisAmt
Depreciation$11,756,855DepreciationAmt
Book Value$2,255,459BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,205,142OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$4,205,142BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,535,270TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescINVESTMENT IN SUBSIDIARIESDesc
Book Value$311,986,673BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$311,986,673TotalBookValueProgramRltdAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DEFERRED COMPENSATION$663,654
DUE TO AFFILIATES$9,346,731
FieldValueIRS element (for citing)
Total Liability$10,010,385TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$24,460,629TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$24,460,629RevenueSubtotalAmt
Other Revenues Not Included$178,460OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$178,460RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$24,639,089TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$24,460,629TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$24,460,629ExpensesSubtotalAmt
Other Expenses Not Included$178,460OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$178,460ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$24,639,089TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 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 TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
FORM 990, SCHEDULE D, PART XI, LINE 4BREVENUE INCLUDED AS EXPENSE PER AUDIT: $178,460
FORM 990, SCHEDULE D, PART XII, LINE 4BREVENUE INCLUDED AS EXPENSE PER AUDIT: $178,460

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssfalseWrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BENJAMIN BARYLSKE
CFO$255,181$0$0$0$6,167$0$14,093$0$14,853$0$290,294$0$0$0
CHRIS BARBER
PRESIDENT/CEO$660,598$0$0$0$35,805$0$26,000$0$15,703$0$738,106$0$0$0
KEVIN HODGES
VICE-PRESIDENT$273,297$0$0$0$8,496$0$0$0$16,853$0$298,646$0$0$0
GARY SPARKS
VICE-PRESIDENT$204,633$0$7,000$0$8,776$0$0$0$180$0$220,589$0$0$0
MATT PARKER
VICE-PRESIDENT$254,633$0$0$0$8,767$0$0$0$11,753$0$275,153$0$0$0
MICHAEL CALDWELL
SVP - REGIONAL SERVICES$231,880$0$0$0$7,614$0$0$0$15,693$0$255,187$0$0$0
LORI SMITH
VP - HUMAN RESOURCES$211,878$0$0$0$4,961$0$0$0$17,553$0$234,392$0$0$0
JOHN LIEBLONG
VICE-PRESIDENT$251,911$0$0$0$5,094$0$14,149$0$17,553$0$288,707$0$0$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1ACHRIS BARBER - GROSS-UPS OF $58 GROUP TERM LIFE, $222 FOR PERSONAL USE OF COMPANY OWNED CAR. BENJAMIN BARYLSKE - GROSS-UPS OF $42 FOR GROUP TERM LIFE. JOHN LIEBLONG - GROSS-UPS OF $19 FOR GROUP TERM LIFE. KEVIN HODGES - GROSS-UPS OF $86 FOR GROUP TERM LIFE, $25 FOR SERVICE AWARD GIFT CARD. MATT PARKER - GROSS-UPS OF $125 FOR GROUP TERM LIFE. MICHAEL D CALDWELL - GROSS-UPS OF $73 FOR GROUP TERM LIFE. LORI SMITH - GROSS-UPS OF $10 FOR GROUP TERM LIFE. GARY SPARKS - GROSS-UPS OF $155.14 FOR GROUP TERM LIFE, $16.57 FOR SERVICE AWARD GIFT CARD.
FORM 990, SCHEDULE J, PART I, LINE 1BALL REIMBURSEMENTS MUST BE APPROVED BY THE EMPLOYEE'S ONE UP.
FORM 990, SCHEDULE J, PART I, LINE 7GARY SPARKS RECEIVED $7,000 IN BONUS COMPENSATION IN LIEU OF AN ANNUAL INCREASE.
FORM 990, SCHEDULE J, PART I, LINE 4BCHRIS BARBER RECEIVED $19,500 IN CONTRIBUTIONS TO A 457(F) PLAN.
FORM 990, SCHEDULE J, PART II, COLUMN DTHE 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.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 1SINCE 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 2021, $15,161,153 WAS SPENT FOR COMMUNITY BENEFIT. 251,397 PERSONS WERE SERVED THROUGH HEALTH SCREENINGS, DONATIONS, EDUCATIONAL CLASSES, AND VOLUNTEER EFFORTS.
FORM 990, PART VI, SECTION B, LINES 6, 7A & 7BOLIVETAN 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 OVER 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 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.
FORM 990, PART VI, SECTION B, 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.
FORM 990, PART VI, SECTION B, LINES 15A & 15BTHE 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 16BALL OPERATING AGREEMENTS OR JOINT VENTURE ARRANGEMENTS CONTAIN A CLAUSE THAT SAFEGUARDS THE ORGANIZATION'S EXEMPT STATUS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 9TRANSFER FROM AFFILIATES $30,840,148

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
ST BERNARDS HOSPITAL INC (SBHI)
225 EAST WASHINGTONJONESBOROAR72401710290019MEDICAL CAREAR501 (C) (3)3SBHCIYes (true)
ST BERNARDS VILLAGE INC
225 EAST WASHINGTONJONESBOROAR72401710805203HOUSINGAR501 (C) (3)10SBHCIYes (true)
BENEDICTINE MANOR I
225 EAST WASHINGTONJONESBOROAR72401208030553HOUSINGAR501 (C) (3)10VILLAGEYes (true)
BENEDICTINE MANOR II
225 EAST WASHINGTONJONESBOROAR72401208030603HOUSINGAR501 (C) (3)10VILLAGEYes (true)
ST BERNARDS COMM HOSPITAL
310 S FALLS BLVDWYNNEAR72396710835247MEDICAL CAREAR501 (C) (3)3SBHCIYes (true)
JONESBORO REAL ESTATE HOLDINGS INC
225 EAST WASHINGTONJONESBOROAR72401710835010REAL ESTATEAR501 (C) (2)N/ASBHCIYes (true)
TOTAL LIFE HEALTHCARE
700 EAST WASHINGTON AVEJONESBOROAR72401260262745HEALTHCAREAR501 (C) (3)10SBHCIYes (true)
OLIVETAN BENEDICTINE SISTERS INC
PO DRAWER 130JONESBOROAR72403710654621CONVENTAR501 (C) (3)N/ANAfalse
ST BERNARDS DEVELOPMENT FOUNDATION
400 EAST STREETJONESBOROAR72401710563245SUPPORTAR501 (C) (3)7OBSYes (true)
MATTHEWS MEDICAL MILE
PO BOX 9320JONESBOROAR72403273865388ADVERTISINGAR501 (C) (3)10SBHCIYes (true)
AUX TO ST BERNARDS MEDICAL CENTER
225 EAST WASHINGTONJONESBOROAR72401710493824FUNDRAISINGAR501 (C) (3)12ASBHIYes (true)
FIVE RIVERS MEDICAL CENTER INC
2801 MEDICAL CENTER DRPOCAHONTASAR72455273970823HEALTHCAREAR501 (C) (3)3SBHCIYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
PET CENTER LLC
PO BOX 13267MAUMELLEAR72113710876911P.E.T. SCANNINGARNAfalsefalse
PAIN CENTER LLC
505 EAST MATTHEWS STE 103JONESBOROAR72401331048492PAIN MANAGEMENTARSBHCIfalsefalseRELATED$263,464$93,2130.51000
OUTPATIENT SURGERY CTR
1100 E MATTHEWSJONESBOROAR72401743052826HEALTHCAREARNAfalsefalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (18 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
REGIONAL HEALTHCARE HOLDINGS INC
PO BOX 9320JONESBOROAR72403731650896HOLDING CO.ARSBHCIC CORPORATION$106,823,805$19,884,9751.00000Yes (true)
JONESBORO ANESTHESIA INC
221 HUGHES STE CJONESBOROAR72401020644209ANESTHESIOLOGYARRHCH INCC CORPORATIONYes (true)
JONESBORO NEUROSURGERY CLINIC
PO BOX 9320JONESBOROAR72403205938180NEUROSURGERYARRHCH INCC CORPORATIONYes (true)
DOCTORS HEALTH GROUP
PO BOX 9320JONESBOROAR72403710788355HEALTHCAREARRHCH INCC CORPORATIONYes (true)
HEART SURGERY ASSOCIATES OF AR INC
PO BOX 9320JONESBOROAR72403200120406HEALTHCAREARRHCH INCC CORPORATIONYes (true)
SURGICAL ASSOCIATES OF JONESBORO
PO BOX 9320JONESBOROAR72403263827817HEALTHCAREARRHCH INCC CORPORATIONYes (true)
HEALTHCARE MEDICAL GROUP INC
PO BOX 9320JONESBOROAR72403710792539HEALTHCAREARRHSIC CORPORATIONYes (true)
THE HEARTCARE CENTER INC
225 EAST WASHINGTONJONESBOROAR72401202061837HEALTHCAREARSHBCIC CORPORATION$0$01.00000Yes (true)
JONESBORO PLASTIC SURGERY
800 S MAIN STREETJONESBOROAR72401271450995PLASTIC SURGERYARRHCH INCC CORPORATIONYes (true)
OB-GYN ASSOC OF JONESBORO
800 S MAIN STREETJONESBOROAR72401272717909OB-GYNARRHCH INCC CORPORATIONYes (true)
CARDIOLOGY ASSOCIATES OF JONESBORO
800 S MAIN STREETJONESBOROAR72401273757274CARDIOLOGYARRHCH INCC CORPORATIONYes (true)
ST BERNARDS CLINICS INC
800 S MAIN STREETJONESBOROAR72401273722124HEALTHCAREARRHCH INCC CORPORATIONYes (true)
CANCER CARE ASSOCIATES INC
800 S MAIN STREETJONESBOROAR72401800864692HEALTHCAREARRHCH INCC CORPORATIONYes (true)
ST BERNARDS ORTHOPEDIC ASSOCIATES INC
800 S MAIN STREETJONESBOROAR72401462738617HEALTHCAREARRHCH INCC CORPORATIONYes (true)
ST BERNARDS UROLOGY ASSOCIATES INC
800 S MAIN STREETJONESBOROAR72401464039608HEALTHCAREARRHCH INCC CORPORATIONYes (true)
FIVE RIVERS MEDICAL CENTER FOUNDATION
2801 MEDICAL CENTER DRIVEPOCAHONTASAR72455300926076SUPPORTARNAC CORPORATIONYes (true)
ST BERNARDS PHYSICIAN CLINICS INC
PO BOX 9320JONESBOROAR72403871439061HEALTHCAREARRHCH INCC CORPORATIONYes (true)
REGIONAL HEALTHCARE SERVICES (RHSI)
PO BOX 9320JONESBOROAR72403710780305HEALTHCAREARRHCH INCC CORPORATIONYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (16 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
JONESBORO REAL ESTATE HOLDINGS
K$125,585FMV
JONESBORO REAL ESTATE HOLDINGS
L$117,963FMV
REGIONAL HEALTHCARE HOLDINGS INC
L$2,323,864FMV
ST BERNARDS VILLAGE
L$424,666FMV
ST BERNARDS MEDICAL CENTER
L$18,638,099FMV
CROSSRIDGE COMMUNITY HOSPITAL
L$1,026,275FMV
FIVE RIVERS MEDICAL CENTER
L$707,776FMV
ST BERNARDS MEDICAL CENTER
M$147,221FMV
JONESBORO ANESTHESIA INC
Q$4,600,000FMV
JONESBORO REAL ESTATE HOLDINGS
S$1,075,015FMV
REGIONAL HEALTHCARE HOLDINGS INC
S$106,759,919FMV
ST BERNARDS VILLAGE
S$7,447,853FMV
ST BERNARDS MEDICAL CENTER
S$489,390,976FMV
CROSS RIDGE COMMUNITY HOSPITAL
S$16,544,873FMV
TOTAL LIFE HEALTHCARE
S$12,523,801FMV
PARAGOULD MEDICAL PARK
S$903,901FMV