2017-08-14T10:10:05-05:00 2016-09-30 BKD LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2015-10-01 710290019 ST BERNARDS HOSPITAL INC % HARRY HUTCHISON STBE 8702074100 225 EAST JACKSON JONESBORO AR 72401 HARRY HUTCHISON CFO 8702074100 2017-07-26 true AMBER SHERRILL P00748683 5013721040 2015 2021-01-29 14:40:06Z CHRIS BARBER 225 E JACKSON JONESBORO AR 72401 355699602 false 0928 X WWW.STBERNARDS.INFO X 1962 AR TO PROVIDE CHRIST-LIKE HEALING TO THE COMMUNITY THROUGH EDUCATION, TREATMENT, AND HEALTH SERVICES. 15 15 1843 718 2844579 456662 344075 316064821 330744027 987760 1080313 15712857 12750599 333222100 344919014 1417689 1613138 0 0 114402945 125792008 0 0 0 185810435 194822091 301631069 322227237 31591031 22691777 210612581 212345604 68127681 64032745 142484900 148312859 X TO PROVIDE CHRIST-LIKE HEALING TO THE COMMUNITY THROUGH EDUCATION, TREATMENT, AND HEALTH SERVICES. false false 268715058 1613138 331745455 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 2016, $32,471,578 WAS SPENT FOR COMMUNITY BENEFIT AND 186,098 PERSONS WERE SERVED THROUGH HEALTH SCREENINGS, DONATIONS, EDUCATIONAL CLASSES, AND VOLUNTEER EFFORTS. 268715058 true true false true false false false false false false true false false false true false false true false false false false false false false false true true true false true false false false false false false false false false false false false false true true true false false true 0 0 true 1843 true true true false false false false false false false false false X 15 15 false false false false true true true true true false false true true true true true true true true true false AR X HARRY HUTCHISON 8702074100 225 E JACKSON JONESBORO AR 72401 X SISTER LILLIAN MARIE REITER CHAIRPERSON 1.0 1.0 X X 0 0 0 SISTER EILEEN SCHNEIDER OSB MEMBER 1.0 1.0 X 0 0 0 SISTER MONICA SWIRCZYNSKI OSB SECRETARY 1.0 0.0 X X 0 0 0 WARREN SHULL MEMBER 1.0 1.0 X 0 0 0 STEVE COX MEMBER 1.0 1.0 X 0 0 0 BRIAN HYNEMANN MEMBER 1.0 0.0 X 0 0 0 JOHN FREEMAN MEMBER 1.0 1.0 X 0 0 0 GUY PATTESON CONVENER 1.0 1.0 X X 0 0 0 MARK DUCKWORTH MEMBER 1.0 1.0 X 0 0 0 SISTER ANNE MARIE FERREICHER MEMBER 1.0 1.0 X 0 0 0 DR STEVEN LOCKE CHIEF OF STAFF 1.0 0.0 X X 0 0 0 DR JANE SNEED CHIEF OF STAFF 1.0 0.0 X X 0 0 0 LINDA WOFFORD MEMBER 1.0 0.0 X 0 0 0 RANDY MCNEIL MEMBER 1.0 0.0 X 0 0 0 DR MATT GARNER MEMBER 1.0 0.0 X 0 0 0 MICHAEL GIVENS ADMINISTRATOR 40.0 0.0 X 247431 0 11288 HARRY HUTCHISON CFO 1.0 40.0 X 0 267236 7173 CHRIS BARBER PRESIDENT/CEO 1.0 40.0 X 0 500346 29788 BRENDA MILLION VP CHIEF NURSING OFFICER 40.0 0.0 X 180867 0 7173 DON N HOWARD PHYSICIAN 40.0 0.0 X 541678 0 9788 BENJAMIN L SHAW PHYSICIAN 40.0 0.0 X 354824 0 9788 TYLER KING PHYSICIAN 40.0 0.0 X 416787 0 13052 MOHAMMED ALHAJII PHYSICIAN 40.0 0.0 X 347615 0 22732 THOMAS MULLIGAN PHYSICIAN 40.0 0.0 X 310202 0 0 2399404 767582 110782 91 false true false THERAPY PROVIDERS OF ARK LLC PO BOX 9174 JONESBORO AR 72403 PHYSICAL THERAPY 7082873 CLAYRIDGE EMERGENCY STAFFING 911 LAKECREST DRIVE JONESBORO AR 72404 PHYSICIAN SERVICES 4530686 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 PHYSICIAN SERVICES 918826 MEDICAL INFORMATION TECHNOLOGY INC PO BOX 74569 CHICAGO IL 60696 IT SERVICES 784763 MICHIGAN CO TENACY LABORATORY DEPT CH 14271 PALATINE IL 60055 LABORATORY SERVICES 747783 58 18257 325818 18257 344075 PATIENT REVENUE 621110 310388444 310388444 MEDICAID ASSESSMENT FEE 621110 17820223 17820223 SENIOR HEALTH SERVICES 621110 49784 49784 REFERENCE LAB 621500 2485576 2485576 330744027 1058086 0 0 1058086 0 0 407334 407334 0 407334 0 0 407334 10802315 500 10733587 47001 68728 -46501 22227 0 0 22227 0 0 0 HEALTHSOUTH REHAB K-1 900099 3296668 3281073 15595 CAFETERIA/FOOD 900099 2135259 2135259 EHR INCOME 900099 1076882 1076882 5834456 205931 359003 5269522 12343265 344919014 331745455 2844579 9984905 X 1613138 1613138 0 0 0 0 487571 487571 0 98791002 74639132 24151870 0 7116991 5377069 1739922 12279275 9277307 3001968 7117169 5377203 1739966 725046 547791 177255 399897 302132 97765 213971 161661 52310 27045 20433 6612 0 258985 195670 63315 40685934 30739265 9946669 139332 105269 34063 7517321 5679529 1837792 1800363 1360220 440143 0 5966706 4507999 1458707 706588 533845 172743 0 83706 63242 20464 1845 1394 451 0 11809266 8922203 2887063 1058624 799818 258806 MEDICAL SUPPLIES 78933475 78933475 BAD DEBT EXPENSE 24300770 24300770 PATIENT SERVICES 6487936 4901802 1586134 EQUIPMENT RENT 6434654 4861546 1573108 7270627 5493145 1777482 322227237 268715058 53512179 0 51002683 45110248 0 0 0 0 29787484 31104068 0 0 0 0 0 0 3027179 2602925 3127953 1930997 243076462 169002741 67767889 74073721 49501790 51231143 0 0 0 0 0 0 6397603 6292502 210612581 212345604 24672550 20375495 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43455131 43657250 68127681 64032745 X 138717723 144513967 3767177 3798892 0 0 142484900 148312859 210612581 212345604 X 22691777 975041 -17838859 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 6500 false true 28066 34566 false FORM 990, SCHEDULE C, PAGE 3, PART II-B, LINE 1I PERCENTAGE OF DUES TO VARIOUS PROFESSIONAL ASSOCIATIONS ALLOCABLE TO LOBBYING EXPENSES $28,066. 7618404 7618404 105434915 69415369 36019546 1631633 320134 1311499 115670567 96864585 18805982 12720943 2402653 10318290 74073721 0 ASSET RETIREMENT OBLIGATION 471035 EST 3RD PARTY SETTLEMENTS 7031582 PENSION LIABILITY 36154633 43657250 321593285 975041 975041 320618244 24300770 24300770 344919014 297926467 297926467 24300770 24300770 322227237 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 PROVISION FOR UNCOLLECTIBLE ACCOUNTS $24,300,770. FORM 990, SCHEDULE D, PART XII, LINE 4B PROVISION FOR UNCOLLECTIBLE ACCOUNTS $24,300,770. true true true X true X true true false true true 57610 8131409 0 8131409 0.02730 39699 38252857 16205818 22047039 0.07400 97309 46384266 16205818 30178448 0.10130 11 40954 268574 27628 240946 0.00080 3 75 136762 0 136762 0.00050 4 47760 1915422 0 1915422 0.00640 18 88789 2320758 27628 2293130 0.00770 18 186098 48705024 16233446 32471578 0.10900 1 115 30144 0 30144 0.00010 1 115 30144 0 30144 0.00010 true 24300770 12150385 108919062 92886400 16032662 X true true 3 1 ST BERNARDS MEDICAL CENTER 225 EAST JACKSON JONESBORO AR 72401 http://www.stbernards.info/ AR4053 X X X X X X FAST TRACK ER A 2 ST BERNARDS MED CTR BEHAV HEALTH 225 EAST JACKSON JONESBORO AR 72401 http://www.stbernards.info/ AR4645 X ADULT PSYCH A 3 HEALTHSOUTH REHABILITATION HOSPITAL 1201 FLEMING AVENUE JONESBORO AR 72401 WWW.HEALTHSOUTHJONESBORO.COM AR4937 X REHABILITATION A false false true X X X X X X X X X 15 true true false true X WWW.STBERNARDS.INFO X true 15 false true false true X 100 300. X X X X X true true X X X X true X WWW.STBERNARDS.INFO X WWW.STBERNARDS.INFO X WWW.STBERNARDS.INFO X X X X X true false X X X X X true X false false HEALTHSOUTH REHABILITATION HOSPITAL false false true X X X X X X X X X 15 true true false true X WWW.STBERNARDS.INFO X true 15 false true false true X 200. 400. X X X X X true true X X X X true X WWW.HEALTHSOUTHJONESBORO.COM X WWW.HEALTHSOUTHJONESBORO.COM X WWW.HEALTHSOUTHJONESBORO.COM X X X X X true false X X X X X true X false false FORM 990, SCHEDULE H, PART V, SECTION B, LINE 5 INTERVIEWING KEY INFORMANTS (COMMUNITY STAKEHOLDERS THAT REPRESENT THE BROAD INTEREST OF THE COMMUNITY WITH KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH) IS A TECHNIQUE EMPLOYED TO ASSESS PUBLIC PERCEPTIONS OF THE COUNTY'S HEALTH STATUS AND UNMET NEEDS. THESE INTERVIEWS ARE INTENDED TO ASCERTAIN OPINIONS AMONG INDIVIDUALS LIKELY TO BE KNOWLEDGEABLE ABOUT THE COMMUNITY AND INFLUENTIAL OVER THE OPINIONS OF OTHERS ABOUT HEALTH CONCERNS IN THE COMMUNITY. INTERVIEWS WITH 55 KEY INFORMANTS WERE CONDUCTED. INFORMANTS WERE DETERMINED BASED ON THEIR SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH OR THEIR INVOLVEMENT WITH UNDERSERVED AND MINORITY POPULATIONS. ALL INTERVIEWS WERE CONDUCTED BY MEDICAL CENTER PERSONNEL USING A STANDARD QUESTIONNAIRE. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 6A CHNA WAS CONDUCTED WITH HEALTH SOUTH REHABILITATION HOSPITAL OF JONESBORO. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 11 ALTHOUGH ST. BERNARDS MEDICAL CENTER (SBMC) RECOGNIZES THE IMPORTANCE OF ALL THE NEEDS IDENTIFIED BY THE COMMUNITY, SBMC WILL NOT DIRECTLY DESIGN STRATEGIES FOR ALL THESE NEEDS IN THE IMPLEMENTATION PLAN. PRIORITY WAS GIVEN TO THE SEVEN TOP IDENTIFIED NEEDS AS WELL AS THE HEALTH NEEDS IN WHICH THE MEDICAL CENTER IS MOST CAPABLE OF DIRECTLY INFLUENCING. THE REMAINING IDENTIFIED NEEDS WERE DIVIDED INTO NEEDS ST. BERNARDS WILL CONTINUE TO ADDRESS THROUGH PROGRAMS AND SERVICES OFFERED BY THE MEDICAL CENTER. NEEDS ST. BERNARDS WILL NOT DIRECTLY ADDRESS BUT WILL COLLABORATE AND SUPPORT ORGANIZATIONS WITH IN THE COMMUNITY IN ORDER TO ADDRESS THESE NEEDS AND NEEDS ST. BERNARDS WILL NOT BE ADDRESSING. SEE THE ATTACHED IMPLEMENTATION STRATEGY FOR A MORE DETAILED APPROACH. THE TOP SEVEN SIGNIFICANT NEEDS IDENTIFIED IN THE MOST RECENT CHNA CONDUCTED ARE: 1. OBESITY: THE HOSPITAL WILL CONTINUE TO PROVIDE A VARIETY OF FREE COMMUNITY HEALTH SCREENINGS. EDUCATION SESSIONS WILL BE PROVIDED TO HELP EDUCATE PARTICIPANTS ON WAYS TO MANAGE CHRONIC ILLNESSES & GUIDELINES FOR WEIGHT LOSS MANAGEMENT. THE MEDICAL CENTER WILL CONTINUE TO PROVIDE PROGRAMS THAT WILL HELP COMBAT OBESITY. 2. DIABETES: COMPREHENSIVE DIABETES EDUCATION WILL BE AVAILABLE. THE HOSPITAL WILL RECRUIT AN ENDOCRINOLOGIST TO PROVIDE CARE TO THE DIABETIC POPULATION. THE DIABETES EMPOWERMENT EDUCATION PROGRAM (DEEP) WAS IMPLEMENTED IN JULY 2016 TO HELP DIABETICS & CAREGIVERS. 3. ACCESS TO CLINICS/PHYSICIANS: THE HOSPITAL WILL CONTINUE ITS RECRUITMENT PRACTICES AND COLLABORATE WITH SEVERAL PHYSICIANS TO PROVIDE HEALTHCARE SERVICES TO NORTHEAST ARKANSAS. 4. HEART DISEASE: CPR AND AED EDUCATION WILL BE AVAILABLE TO THE COMMUNITY. THE HEART ATTACK TREATMENT PROGRAM WILL PROVIDE SIGNS AND SYMPTOMS EDUCATION TO PATIENTS. 5. SENIOR CARE: SENIOR LIFE CENTERS WILL PROVIDE ACTIVE, VITAL MEETING PLACES FOR SENIOR ADULTS AS WELL AS A WIDE VARIETY OF EDUCATION OPPORTUNITIES. FREE HEALTH SCREENINGS WILL BE AVAILABLE. 6. CANCER: DIFFERENT TYPES OF CANCER SCREENING WILL BE AVAILABLE TO PATIENTS. CONTINUED SUPPORT FOR THE LOCAL CANCER EVENTS WILL HELP PROMOTE CANCER AWARENESS AND EDUCATION. 7. TOBACCO USE: COMMUNITY BASED PREVENTION PROGRAMS AND THE PROMOTION OF THE ARKANSAS TOBACCO QUIT LINE WILL BE IMPLEMENTED TO REACH OUT TO YOUTH AND ADULT COALITIONS. ST. BERNARDS HAS CHOSEN NOT TO ADDRESS THE FOLLOWING NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSTMENT BECAUSE OTHER ORGANIZATIONS ARE BETTER EQUIPPED TO ADDRESS THESE: -HEALTH EDUCATION -CHILDREN IN POVERTY -PREVENTABLE HOSPITAL STAYS/UNINTENTIONAL INJURIES -ACCESS TO HEALTH FOODS FORM 990, SCHEDULE H, PART V, SECTION B, LINE 20E THE FOLLOWING STATEMENT APPLIES TO ALL LICENSED HOSPITAL FACILITIES LISTED IN PART V, SECTION A. ST BERNARDS MEDICAL CENTER INCLUDES A COPY OF THE FINANCIAL ASSISTANCE POLICY IN THE DISCHARGE PACKET GIVEN TO SELF PAY PATIENTS. FORM 990, SCHEDULE H, PART V, SECTION B, LINE 22D SBMC WILL GIVE A 35% DISCOUNT FROM BILLED GROSS CHARGES PER INDIVIDUAL ACCOUNT TO PATIENTS WITHOUT INSURANCE. FOLLOWING A DETERMINATION OF THE FINANCIAL ASSISTANCE POLICY (FAP) ELIGIBILITY, AN ELIGIBLE INDIVIDUAL WILL NOT BE CHARGED MORE FOR EMERGENCY, MEDICALLY NECESSARY CARE, OR OTHER MEDICAL CARE COVERED UNDER THE FAP THAN THE AMOUNTS GENERALLY BILLED (AGB) TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE. SBMC HAS CALCULATED THE CURRENT AGB TO BE 55% OF GROSS CHARGES. THEREFORE, SBMC WILL GIVE THE FOLLOWING DISCOUNT FROM GROSS BILLED CHARGES (BEFORE 35% DISCOUNT STATED EARLIER) TO ELIGIBLE FAP INDIVIDUALS FOR INPATIENT OR OUTPATIENT GROSS CHARGES. THE METHOD OF CALCULATION OF THE AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE WAS THE LOOK-BACK METHOD. 40 ST BERNARD'S IMAGING CENTER 1144 EAST MATTHEWS JONESBORO AR 72401 IMAGING CENTER REFERENCE LAB 300 EAST MATTHEWS JONESBORO AR 72401 REFERENCE LAB DIALYSIS 540 EAST WASHINGTON JONESBORO AR 72401 DIALYSIS ST BERNARD'S BEHAVIORAL HEALTH UNIT 2712 EAST JOHNSON AVE JONESBORO AR 72401 BEHAVIORAL HEALTH PHYSICAL THERAPY 225 EAST JACKSON JONESBORO AR 72401 PHYSICAL THERAPY ST BERNARD'S WOUND HEALING CENTER 505 EAST MATTHEWS SUITE 201 JONESBORO AR 72401 WOUND HEALING ST BERNARD'S HOME HEALTH 1726 MARIE CIRCLE JONESBORO AR 72401 HOME HEALTH ST BERNARD'S HOSPICE 1726 MARIE CIRCLE JONESBORO AR 72401 HOSPICE ST BERNARDS SENIOR HEALTH CLINIC 303 EAST MATTHEWS SUITE 202 JONESBORO AR 72401 SENIOR HEALTH PHYSICAL THERAPY SPORTS MEDICINE 1416 EAST MATTHEWS JONESBORO AR 72401 PHYSICAL THERAPY DIALYSIS - WYNNE 310 S FALLS BLVD WYNNE AR 72396 DIALYSIS FLO & PHIL JONES HOSPICE HOUSE 1148 EAST MATTHEWS JONESBORO AR 72401 HOSPICE HOUSE PHYSICAL THERAPY ASUSPORTS MEDICINE 333 STADIUM BLVD JONESBORO AR 72401 PHYSICAL THERAPY PHYSICAL THERAPY PARKER ROAD 1001 PARKER ROAD JONESBORO AR 72401 PHYSICAL THERAPY PHYSICAL THERAPY PARAGOULD 400 LINWOOD PARAGOULD AR 72450 PHYSICAL THERAPY PHYSICAL THERAPY SPEECH THERAPY 225 EAST JACKSON JONESBORO AR 72401 SPEECH THERAPY PHYSICAL THERAPY - OCCUPATIONAL 4334 EAST HIGHLAND SUITE C JONESBORO AR 72401 OCCUPATIONAL THERAPY PHYSICAL THERAPY TRUMANN 1300 INDUSTRIAL DR TRUMANN AR 72472 PHYSICAL THERAPY PHYSICAL THERAPY INDUSTRIAL REHAB 4334 EAST HIGHLAND SUITE C JONESBORO AR 72401 PHYSICAL THERAPY PRE-ADMISSION TESTING 105 EAST MATTHEWS JONESBORO AR 72401 TESTING FACILITY PHYSICAL THERAPY MANILA 3644 W STATE HWY 18 MANILA AR 72442 PHYSICAL THERAPY ST BERNARDS BEHAVIORAL COUNSELING CTR 615A EAST MATTHEWS JONESBORO AR 72401 COUNSELING CENTER CARDIAC REHABILITATION 1416 EAST MATTHEWS JONESBORO AR 72401 CARDIAC REHAB DIABETES MANAGEMENT CENTER 1416 EAST MATTHEWS JONESBORO AR 72401 DIABETES MANAGEMENT ST BERNARD'S PET CENTER LLC PO BOX 13267 MAUMELLE AR 72113 PET SCANNING WOUND HEALING - PARAGOULD 4000 LINWOOD PARAGOULD AR 72450 WOUND HEALING WOUND HEALING- WALNUT RIDGE 1309 WEST MAIN ST WALNUT RIDGE AR 72476 WOUND HEALING INFUSION CENTER- PARAGOULD 4000 LINWOOD PARAGOULD AR 72450 INFUSION PRE-ADMISSION TESTING -PMP 4000 LINWOOD PARAGOULD AR 72450 TESTING FACILITY LABS- MANILA 3644 W STATE HWY 18 MANILA AR 72442 LAB RADIOLOGY-MANILA 3644 W STATE HWY 18 MANILA AR 72442 IMAGING/RADIOLOGY PRE-ADMISSION TESTING-MANILA 3644 W STATE HWY 18 MANILA AR 72442 TESTING FACILITY WOUND HEALING CENTER- MANILA 3644 W STATE HWY 18 MANILA AR 72442 WOUND HEALING INFUSION CENTER - CLOPTON 300 CARSON JONESBORO AR 72401 INFUSION NONINVASIVE CARDIOLOGY - PARAGOULD 314 SOUTH 12TH ST PARAGOULD AR 72450 NONINVASIVE CARDIOLOGY NUCLEAR MED - PARAGOULD 314 SOUTH 12TH ST PARAGOULD AR 72450 NUCLEAR MEDICINE DIALYSIS - HEALTHSOUTH 1201 FLEMING AVE JONESBORO AR 72401 DIALYSIS PHYSICAL THERAPY - VILLA 2217 W PARKER RD JONESBORO AR 72404 PHYSICAL THERAPY ST BERNARD'S WOMEN'S CLINIC 800 SOUTH CHURCH SUITE 202 JONESBORO AR 72401 WOMEN'S CLINIC IMOSTEOPATHIC RESIDENCY CLINIC 800 SOUTH CHURCH SUITE 202 JONESBORO AR 72401 RESIDENCY CLINIC FORM 990, SCHEDULE H, PART I, LINE 7, COLUMN F BAD DEBT EXPENSE IN THE AMOUNT OF $24,300,770. 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. FORM 990, SCHEDULE H, PART I, LINE 7 THE AMOUNTS ON LINE 7A AND 7B WERE CALCULATED USING THE COST TO CHARGE RATIO. FORM 990, SCHEDULE H, PART II, LINE 3 DISASTER PREPAREDNESS DRILLS AND PLANNING. FORM 990, SCHEDULE H, PART III, LINE 2 DETERMINED USING THE OVERALL COST TO CHARGE RATIO FOR THE MOST RECENT "AS FILED" MEDICARE COST REPORT FORM 990, SCHEDULE H, PART III, LINE 3 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. FORM 990, SCHEDULE H, PART III, LINE 4 SEE ATTACHED AUDIT REPORT FOOTNOTE #2: 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. FORM 990, SCHEDULE H, PART III, LINE 8 THE 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. FORM 990, SCHEDULE H, PART III, LINE 9B ACCOUNTS 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. FORM 990, SCHEDULE H, PART VI, LINE 2 ST. BERNARDS HOSPITAL ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES BY REVIEWING DATA GATHERED THROUGHOUT THE CHNA ASSESSMENT. THE ASSESSMENT INCLUDES DATA ON LEADING CAUSES OF DEATL, RANKINGS OF HEALTH OUTCOMES AND FACTORS, AND SURVEYS AND INTERVIEWS WITH INDIVIDUALS WITHIN THE COMMUNITIES SERVED. 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. FORM 990, SCHEDULE H, PART VI, LINE 3 ALL 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. FORM 990, SCHEDULE H, PART VI, LINE 4 ST. 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 2015 U.S. CENSUS BUREAU DATA, PROJECTIONS ESTIMATE ABOUT 286,000 PEOPLE LIVE IN THE EIGHT COUNTIES INCLUDED IN THE COMMUNITY. JONESBORO, ARKANSAS IS THE LARGEST TOWN IN THE COMMUNITY WITH A POPULATION OF APPROXIMATELY 72,000 PEOPLE. THE AVERAGE PER-CAPITA INCOME IN THE MEDICAL CENTER'S COMMUNITY IS $20,362, COMPARED TO $22,595 FOR THE STATE OF ARKANSAS AND $28,554 FOR THE UNITED STATES. BOTH THE SECONDARY AND TERTIARY SERVICE AREAS FALL BELOW THAT OF THE PRIMARY SERVICE AREA. LOWER THAN AVERAGE, PER-CAPITA INCOME SUGGESTS THAT MANY MEMBERS OF THE COMMUNITY MAY HAVE DIFFICULTY OBTAINING HEALTH CARE, ESPECIALLY PREVENTATIVE CARE. FORM 990, SCHEDULE H, PART VI, LINE 5 THE 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. FORM 990, SCHEDULE H, PART VI, LINE 6 SBHC 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. true ARKANSAS HOSPITAL ASSOCIATION 419 NATURAL RESOURCES LITTLE ROCK AR 72205 710664952 501(C)(3) 68917 N/A N/A AHEART PROGRAM AHEC - UAMS 223 E JACKSON JONESBORO AR 72401 716046242 501(C)(3) 1350000 N/A N/A RESIDENCY PROGRAM ARKANSAS METHODIST MEDICAL CENTER PO BOX 339 PARAGOULD AR 72451 710230218 501(C)(3) 183919 N/A N/A ACCESS IMPROVEMENT ARKANSAS STATE UNIVERSITY PO BOX 2219 STATE UNIVERSITY AR 72467 716000556 501(C)(3) 10302 N/A N/A GENERAL SUPPORT 4 FORM 990, SCHEDULE I, PART I, LINE 2 THE ORGANIZATION MAKES ONE TIME GRANTS TO ORGANIZATIONS QUALIFYING AS A CHARITY IN THE U.S. BASED ON APPLICATIONS RECEIVED BY THE ORGANIZATION. GRANTS ARE FOR A SPECIFIC PURPOSE OR USE AND POST GRANT MONITORING IS PERFORMED ON AN AS NEEDED BASIS. 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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 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. FORM 990, PART III, LINE 1 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, 2016, SBMC PROVIDED $8,131,409 IN CHARITY CARE. THE TOTAL AMOUNT OF QUANTIFIABLE COMMUNITY BENEFITS PROVIDED BY ST. BERNARDS MEDICAL CENTER WAS $32,471,578 IN FISCAL YEAR 2016 THROUGH 186,098 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 2016 SBMC PROVIDED 80,156 PATIENT DAYS OF CARE. 36,094 PATIENT DAYS WERE PROVIDED TO THE ELDERLY WHILE 13,767 WERE PROVIDED TO THE MEDICALLY INDIGENT OR WHO HAD MEDICAID COVERAGE. 63,839 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. FORM 990, PART VI, SECTION A, LINES 6, 7A, & 7B ST. 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. 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., PRESIDENT/CEO OF ST. BERNARDS HEALTHCARE, INC., LEGAL COUNSEL, AND THE AUDIT COMMITTEE OF ST. BERNARDS HEALTHCARE, INC. PRIOR TO FILING. 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, LINE 15A & 15B THE BOARD OF DIRECTORS SELECTS DIRECTORS TO SERVE ON THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE APPROVES THE INITIAL SALARY AND ANY SUBSEQUENT SALARY ADJUSTMENTS OF ALL MANAGEMENT. THE COMPENSATION COMMITTEE OBTAINS AN INDEPENDENT SALARY SURVEY FROM INTEGRATED HEALTHCARE STRATEGIES ON AN ANNUAL BASIS FOR USE IN DETERMINING THE APPROPRIATE SALARY RANGES FOR MANAGEMENT. THE COMPENSATION COMMITTEE PRESENTS THE INFORMATION TO THE BOARD FOR APPROVAL. THE LAST REVIEW WAS CONDUCTED IN 2015. FORM 990, PART VI, SECTION B, LINE 16B ALL OPERATING AGREEMENTS OF JOINT VENTURE ARRANGEMENTS IN WHICH THE ORGANIZATION PARTICIPATES 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 TO AFFILIATE $(18,995,779.) CHANGE IN THE PENSION LIABILITY $1,125,205. CHANGE IN INTEREST IN NET ASSETS OF ST. BERNARDS DEVELOPMENT FOUNDATION, INC. $31,715. ---------------------------------------------------------- TOTAL $(17,838,859.) 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