2022-07-11T16:06:06-05:00 2021-09-30 FORVIS LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2020-10-01 710853900 ST BERNARDS HEALTHCARE INC % BEN BARYLSKE STBE 8702074100 225 EAST WASHINGTON JONESBORO AR 72401 BENJAMIN BARYLSKE CFO 8702074100 2022-06-09 true BENJAMIN BARYLSKE 000000000 AARON HERSHBERGER P00961884 5013721040 3 2020 2022-09-23 18:48:47Z CHRIS BARBER 225 EAST WASHINGTON JONESBORO AR 72401 24639089 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 14 150 14 2677752 0 0 0 23099115 24439864 65301 20765 0 178460 23164416 24639089 249727 500 0 0 12915968 13668529 0 0 0 9998721 10970060 23164416 24639089 0 299959511 335856047 7522396 12578784 292437115 323277263 X TO PROVIDE CHRIST-LIKE HEALING TO THE COMMUNITY THROUGH EDUCATION, TREATMENT AND HEALTH SERVICES. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. false false 19812389 500 21762112 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. 19812389 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 false false true false false false false false false false false false false false false false true true true false false true 326 0 true 150 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 BEN BARYLSKE 8702074100 225 EAST WASHINGTON JONESBORO AR 72401 X CHRIS BARBER PRESIDENT/CEO 40.0 9.0 X 696403 0 41703 KEVIN HODGES VICE-PRESIDENT 40.0 4.0 X 281793 0 16853 BENJAMIN BARYLSKE CFO 40.0 8.0 X 261348 0 28946 JOHN LIEBLONG VICE-PRESIDENT 40.0 1.0 X 257005 0 31702 MATT PARKER VICE-PRESIDENT 40.0 1.0 X 263400 0 11753 MICHAEL CALDWELL SVP - REGIONAL SERVICES 40.0 1.0 X 239494 0 15693 LORI SMITH VP - HUMAN RESOURCES 40.0 1.0 X 216839 0 17553 GARY SPARKS VICE-PRESIDENT 40.0 1.0 X 220409 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 1.0 2.0 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 2436691 0 164383 26 false true false CREDIT BUREAU OF JONESBORO 109 EAST JACKSON PO BOX 1305 JONESBORO AR 72403 COLLECTION 1156906 MEDICAL ADVOCACY SERVICES FOR HEALT 518 S MAGNOLIA AVE THIRD FLOOR ORLANDO FL 32801 COLLECTION 792616 PRESIDIO NETWORKED SOLUTION PO BOX 822169 PHILADELPHIA PA 191822169 COMPUTER 516384 BKD LLP PO BOX 3667 LITTLE ROCK AR 722033667 ACCOUNTING SERVICES 363440 KEMBERTON HEALTHCARE SERVICES 501 CORPORATE CENTRE DR FRANKLIN TN 370672659 COLLECTION 354400 18 0 MANAGEMENT FEES 561000 24090558 21412806 2677752 PAIN CENTER, LLC K-1 INCOME 621610 349306 349306 24439864 20765 20765 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 REBATES 900099 178460 178460 178460 24639089 21762112 2677752 199225 500 500 0 0 0 1418517 1418517 0 10358761 8838328 1520433 0 79341 67696 11645 1022209 872172 150037 789701 673791 115910 471357 402172 69185 48317 41225 7092 369584 315337 54247 0 0 0 28471 24292 4179 1205214 1028316 176898 3170301 2704972 465329 3568003 3044301 523702 0 143705 122612 21093 52877 45116 7761 0 10586 9032 1554 0 0 750208 640094 110114 388072 331112 56960 EQUIPMENT EXPENSE 348905 297694 51211 DUES & MEMBERSHIPS 177945 151827 26118 MEDPAY 90600 77302 13298 DIETARY SUPPLIES & FOOD 16810 14343 2467 129105 110155 18950 24639089 19812389 4826700 0 6879740 9938948 1500219 2169937 0 0 46434 19711 0 0 0 0 0 0 0 0 1558415 2113347 18323049 11787779 2661827 6535270 0 0 0 0 284950573 311986673 0 0 2362303 3092161 299959511 335856047 2312243 2568399 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5210153 10010385 7522396 12578784 X 292437115 323277263 0 0 292437115 323277263 299959511 335856047 X 0 30840148 X false true X true false X X 1 ST BERNARDS MEDICAL CENTER 710290019 3 true 0 18637599 1 0 18637599 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: - 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 1 ST. 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. 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 0 86707 12038 74669 14012314 11756855 2255459 4205142 0 4205142 6535270 INVESTMENT IN SUBSIDIARIES 311986673 F 311986673 0 DEFERRED COMPENSATION 663654 DUE TO AFFILIATES 9346731 10010385 24460629 24460629 178460 178460 24639089 24460629 24460629 178460 178460 24639089 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 NOT 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: $178,460 FORM 990, SCHEDULE D, PART XII, LINE 4B REVENUE INCLUDED AS EXPENSE PER AUDIT: $178,460 X false true X X X X false true false false false false false true false BENJAMIN BARYLSKE CFO 255181 0 0 0 6167 0 14093 0 14853 0 290294 0 0 0 CHRIS BARBER PRESIDENT/CEO 660598 0 0 0 35805 0 26000 0 15703 0 738106 0 0 0 KEVIN HODGES VICE-PRESIDENT 273297 0 0 0 8496 0 0 0 16853 0 298646 0 0 0 GARY SPARKS VICE-PRESIDENT 204633 0 7000 0 8776 0 0 0 180 0 220589 0 0 0 MATT PARKER VICE-PRESIDENT 254633 0 0 0 8767 0 0 0 11753 0 275153 0 0 0 MICHAEL CALDWELL SVP - REGIONAL SERVICES 231880 0 0 0 7614 0 0 0 15693 0 255187 0 0 0 LORI SMITH VP - HUMAN RESOURCES 211878 0 0 0 4961 0 0 0 17553 0 234392 0 0 0 JOHN LIEBLONG VICE-PRESIDENT 251911 0 0 0 5094 0 14149 0 17553 0 288707 0 0 0 SCHEDULE J, PART I, LINE 1A CHRIS 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 1B ALL REIMBURSEMENTS MUST BE APPROVED BY THE EMPLOYEE'S ONE UP. FORM 990, SCHEDULE J, PART I, LINE 7 GARY SPARKS RECEIVED $7,000 IN BONUS COMPENSATION IN LIEU OF AN ANNUAL INCREASE. 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 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 & 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 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 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 $30,840,148 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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