2016-04-25T12:50:31-05:00 2015-09-30 BKD LLP PO BOX 3667 LITTLE ROCK AR 722033667 990 2014-10-01 710290019 ST BERNARDS HOSPITAL INC % HARRY HUTCHISON STBE 8702074100 225 EAST JACKSON JONESBORO AR 72401 HARRY HUTCHISON CFO 8702074100 2016-04-21 true AMBER SHERRILL P00748683 5013721040 2014 2016-08-17 19:52:53Z ST BERNARDS MEDICAL CENTER CHRIS BARBER 225 E JACKSON JONESBORO AR 72401 345464403 false 0928 X WWW.STBERNARDS.INFO X 1962 AR TO PROVIDE CHRIST-LIKE HEALING TO THE COMMUNITY THROUGH EDUCATION, TREATMENT, AND HEALTH SERVICES. 11 11 2298 664 3093132 868825 456662 286147662 316064821 1499028 987760 14228917 15712857 302744432 333222100 1219664 1417689 0 0 108154278 114402945 0 0 0 172729294 185810435 282103236 301631069 20641196 31591031 198621328 210612581 59109893 68127681 139511435 142484900 X TO PROVIDE CHRIST-LIKE HEALING TO THE COMMUNITY THROUGH EDUCATION, TREATMENT, AND HEALTH SERVICES. false false 252084978 1417689 317789827 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 2015, $31,099,077 WAS SPENT FOR COMMUNITY BENEFIT AND 225,439 PERSONS WERE SERVED THROUGH HEALTH SCREENINGS, DONATIONS, EDUCATIONAL CLASSES, AND VOLUNTEER EFFORTS. 252084978 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 true false false false false true true true false false true 0 0 true 2298 true true true false false false false false false false false false X 11 11 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 MICHAEL GIVENS ADMINISTRATOR 40.0 0.0 X 242351 0 9626 HARRY HUTCHISON CFO 1.0 40.0 X 0 278174 6481 CHRIS BARBER PRESIDENT/CEO 1.0 40.0 X 0 438590 26126 BRENDA MILLION VP CHIEF NURSING OFFICER 40.0 0.0 X 194943 0 6481 BENJAMIN SHAW HOSPITALIST 40.0 0.0 X 361763 0 8626 DON HOWARD INTENSIVIST 40.0 0.0 X 522167 0 8626 DR SHANE SPEIGHTS VP- MEDICAL AFFAIRS 40.0 0.0 X 386725 0 20400 DR KASEY HOLDER HOSPITALIST 40.0 0.0 X 350559 0 26328 ERICA BAKER HOSPITALIST 40.0 0.0 X 329317 0 12835 2387825 716764 125529 66 false true false THERAPY PROVIDERS OF ARK LLC 505 EAST MATTHEWS SUITE 205 JONESBORO AR 72403 PHYSICAL THERAPY 6645241 EMCARE INC 7032 COLLECTION CENTER DRIVE CHICAGO IL 60693 PHYSICIANS SERVICES 2018150 NABHOLZ CLIENT SERVICE PO BOX 2090 CONWAY AR 72033 CONSTRUCTION 1266242 MEDICAL INFORMATION TECHOLOGY INC PO BOX 74569 CHICAGO IL 60696 IT SERVICES 797283 SECURITAS SECURITY SERVICES 12672 COLLECTIONS CENTER CHICAGO IL 60693 SECURITY 666365 47 456662 189991 456662 PATIENT REVENUE 621110 298785959 298785959 MEDICAID ASSESSMENT FEE 621110 14539994 14539994 SENIOR HEALTH SERVICES 621110 77996 77996 REFERENCE LAB 621500 2660872 2660872 316064821 948888 948888 0 0 484322 484322 0 484322 0 0 484322 12266174 15001 12156882 85421 109292 -70420 38872 0 0 38872 0 0 0 HEALTHSOUTH REHAB K-1 900099 4252341 4236260 16081 CAFETERIA/FOOD 900099 1888073 1888073 EHR INCOME 900099 1842366 1842366 7245755 149618 432260 6663877 15228535 333222100 317789827 3093132 11882479 1417689 1417689 0 0 0 464355 0 464355 0 0 91410188 68666646 22743542 6332022 4756567 1575455 9555148 7177755 2377393 6641232 4988844 1652388 444826 334150 110676 397695 298745 98950 249115 187133 61982 41465 31148 10317 0 148430 111500 36930 35028717 26313309 8715408 98046 73651 24395 6070407 4560044 1510363 1425134 1070550 354584 0 6833005 5132902 1700103 643066 483066 160000 0 56604 42520 14084 0 0 12629293 9487030 3142263 1437780 1080050 357730 MEDICAL SUPPLIES 74144969 74144969 BAD DEBT EXPENSE 28336157 28336157 EQUIPMENT RENT 6087795 4573106 1514689 PATIENT SERVICES 5649663 4243984 1405679 6088268 4573463 1514805 301631069 252084978 49546091 0 37967125 51002683 0 0 0 0 24980446 29787484 0 0 0 0 0 0 3295661 3027179 2758845 3127953 229478974 161711085 73016780 67767889 50147072 49501790 0 0 0 0 0 0 6455399 6397603 198621328 210612581 23026561 24672550 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36083332 43455131 59109893 68127681 X 136440915 138717723 3070520 3767177 0 0 139511435 142484900 198621328 210612581 X 31591031 -1338429 -27279137 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 27445 33945 false FORM 990, SCHEDULE C, PAGE 3, PART II-B, LINE 1I PERCENTAGE OF DUES TO VARIOUS PROFESSIONAL ASSOCIATIONS ALLOCABLE TO LOBBYING EXPENSES $27,445 5069069 5069069 105158331 66498740 38659591 674017 274151 399866 114706926 92690400 22016526 3870631 2247794 1622837 67767889 0 DUE TO AFFILIATES 0 ASSET RETIREMENT OBLIGATION 451616 EST 3RD PARTY SETTLEMENTS 6034244 PENSION LIABILITY 36969271 43455131 303547514 -1338429 -1338429 304885943 28336157 28336157 333222100 273294912 273294912 28336157 28336157 301631069 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 $28,336,157 FORM 990, SCHEDULE D, PART XII, LINE 4B PROVISION FOR UNCOLLECTIBLE ACCOUNTS $28,336,157 true true true X true X true true false true true 54275 6688475 6688475 0.02450 39690 39023440 16827319 22196121 0.08120 93965 45711915 16827319 28884596 0.10570 14 89245 343388 20617 322771 0.00110 2 30 131211 131211 0.00050 4 42199 1745837 1745837 0.00640 20 131474 2220436 20617 2199819 0.00800 20 225439 47932351 16847936 31084415 0.11370 1 14662 14662 1 14662 14662 true 28336157 7084039 111326090 92849617 18476473 X true true 2 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 2 ST BERNARDS MED CTR BEHAV HEALTH 225 EAST JACKSON JONESBORO AR 72401 http://www.stbernards.info/ AR4645 X ADULT PSYCH ST BERNARDS MEDICAL CENTER 1 false false true X X X X X X X X 12 true false false true X WWW.STBERNARDS.INFO X true 12 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 0 X X X true false X X X X X true X false false ST BERNARDS MED CTR BEHAVIORAL HLTH 2 false false true X X X X X X X X 12 true false false true X WWW.STBERNARDS.INFO X true 12 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 0 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 30 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 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 SIX 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. 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: -MOTOR VEHICLE CRASH DEATHS -VOILENT CRIME -UNINTENTIONAL INJURIES FORM 990, SCHEDULE H, PART V, SECTION B, LINE 20E THE FOLLOWING STATEMENT APPLIES TO BOTH 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. 38 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 1726A 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 CENTE 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 HEY 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 HEY 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 FORM 990, SCHEDULE H, PART I, LINE 7, COLUMN F BAD DEBT EXPENSE IN THE AMOUNT OF $28,336,157 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 BAD DEBT FOOTNOTE TO FINANCIAL STATEMENTS: THE MEDICAL CENTER PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE MEDICAL CENTER BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. 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 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 2010 CENSUS DATA, THE TOTAL SERVICE AREA POPULATION IS PROJECTED AT 635,861 IN 2020 WITH A FORECASTED POPULATION OF 639,583 BY 2025. THE MEDIAN HOUSEHOLD INCOME FOR THE PRIMARY SERVICE AREA IS $32,239 WHICH IS APPROXIMATELY 84% OF THE ARKANSAS MEDIAN INCOME LEVEL AT $38,587 AND IS 65% OF THE UNITED STATES MEDIAN HOUSEHOLD INCOME AT $49,276. BOTH THE SECONDARY AND TERTIARY SERVICE AREAS FALL BELOW THAT OF THE PRIMARY SERVICE AREA. ST. BERNARDS HEALTHCARE ADDRESSES COMMUNITY HEALTH NEEDS BY IMPLEMENTING HEALTH PROMOTION, PREVENTION INTERVENTION, AND HEALTHCARE SERVICES TO THE UNINSURED, UNDERINSURED, AND UNDERSERVED POPULATIONS IN OUR PRIMARY SERVICE AREAS. 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 AHEC - UAMS 223 EAST JACKSON JONESBORO AR 72401 716046242 501(C)(3) 1075000 N/A N/A RESIDENCY PROGRAM ARKANSAS HOSPITAL ASSOCIATION 419 NATURAL RESOURCES LITTLE ROCK AR 72205 710664952 501(C)(3) 41726 N/A N/A AHEART PROGRAM ARKANSAS METHODIST PO BOX 339 PARGOULD AR 72451 710230218 501(C)(3) 150963 N/A N/A ACCESS IMPROVEMENT HISPANIC COMMUNITY SERVICES INC 311 W HUNTINGTON JONESBORO AR 72401 680561016 501(C)(3) 150000 N/A N/A NEW BUILDING 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. X false true X X X X false false false false false false false false false MICHAEL GIVENS ADMINISTRATOR 236635 0 166 0 5550 0 0 0 9626 0 251977 0 0 0 HARRY HUTCHISON CFO 0 269226 0 0 0 8948 0 0 0 6481 0 284655 0 0 CHRIS BARBER PRESIDENT/CEO 0 412921 0 166 0 25503 0 17500 0 8626 0 464716 0 0 BENJAMIN SHAW HOSPITALIST 326830 0 33425 0 1508 0 0 0 8626 0 370389 0 0 0 DON HOWARD INTENSIVIST 487638 0 32825 0 1704 0 0 0 8626 0 530793 0 0 0 DR SHANE SPEIGHTS VP- MEDICAL AFFAIRS 356993 0 29672 0 60 0 11774 0 8626 0 407125 0 0 0 DR KASEY HOLDER HOSPITALIST 319218 0 31287 0 54 0 12702 0 13626 0 376887 0 0 0 ERICA BAKER HOSPITALIST 280894 0 31812 0 16611 0 8381 0 4454 0 342152 0 0 0 BRENDA MILLION VP CHIEF NURSING OFFICER 175513 0 166 0 19264 0 0 0 6481 0 201424 0 0 0 FORM 990, SCHEDULE J, PART I, LINE 1A MICHAEL GIVENS - TAX GROSS-UPS PAID FOR EXEC BENEFITS $2.31, TAX GROSS-UPS PAID FOR SURRENDER OF SUPPLEMENTAL LIFE POLICY $125.84 BRENDA MILLION - TAX GROSS-UPS FOR EXEC BENEFITS $3.23 BENJAMIN SHAW - TAX GROSS-UPS FOR EXEC BENEFITS $2.87, TAX GROSS-UPS PAID FOR SURRENDER OF SUPPLEMENTAL LIFE POLICY $1,327 DON HOWARD - TAX GROSS-UPS FOR EXEC BENEFITS $3.42, TAX GROSS-UPS FOR SURRENDER OF SUPPLEMENTAL LIFE POLICY $1,490 ERICA BAKER - TAX GROSS-UPS FOR EXEC BENEFITS $1.07, TAX GROSS-UPS FOR SURRENDER OF SUPPLEMENTAL LIFE POLICY $1,202 FORM 990, SCHEDULE J, PART I, LINE 1B ALL EXPENSES ARE INCLUDED IN THE EMPLOYEES W-2 WAGES. 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. X 20797 FMV X 15214 FMV X 1 4915 FMV X FURNITURE 1 84824 FMV X WATER FILTRATION SYSTEM 1 20226 FMV X PATIENT STATION SYSTEM 1 6898 FMV X TRANSPORT MONITOR 1 9850 FMV X ORNAMENTS AND GLIDERS 1 11607 FMV X SATELLITE PHONE 1 12145 FMV X RESPONDER AND MODULES 1 3515 FMV false false false FORM 990, SCHEDULE M, PART I, COLUMN B THE AMOUNT REPRESENTS THE NUMBER OF CONTRIBUTIONS. FORM 990, PART VI, SECTION A, LINE 4A 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, 2015, SBMC PROVIDED $6,688,475 IN CHARITY CARE. THE TOTAL AMOUNT OF QUANTIFIABLE COMMUNITY BENEFITS PROVIDED BY ST. BERNARDS MEDICAL CENTER WAS $31,099,077 IN FISCAL YEAR 2015 THROUGH 225,439 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 2015 SBMC PROVIDED 80,412 PATIENT DAYS OF CARE. 38,467 PATIENT DAYS WERE PROVIDED TO THE ELDERLY WHILE 12,847 WERE PROVIDED TO THE MEDICALLY INDIGENT OR WHO HAD MEDICAID COVERAGE. 63,161 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 $(22,442,520) CHANGE IN THE PENSION LIABILITY $(5,533,274) CHANGE IN INTEREST IN NET ASSETS OF ST. BERNARDS DEVELOPMENT FOUNDATION, INC. $ 696,657 -------------------------------------------------------- TOTAL $(27,279,137) FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:28370357 FORM 990 PART IX LINE 11G DESCRIPTION:JANITORIAL SERVICES TOTAL FEES:3143890 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:2484958 FORM 990 PART IX LINE 11G DESCRIPTION:LAUNDRY SERVICES TOTAL FEES:639175 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTS/SERVICE AGREEMENTS TOTAL FEES:390337 ST BERNARDS HEALTHCARE INC (SBHCI) 225 EAST JACKSON JONESBORO AR 72401 710853900 SUPPORT AR 501 (C) (3) 11A OBS false OLIVETAN BENEDICTINE SISTERS INC PO DRAWER 130 JONESBORO AR 72403 710654621 CONVENT AR 501 (C) (3) N/A NA false ST BERNARDS COMM HOSPITAL 310 SOUTH FALLS BLVD WYNNE AR 72396 710835247 HEALTHCARE AR 501 (C) (3) 3 SBHCI true ST BERNARDS VILLAGE INC 225 EAST JACKSON JONESBORO AR 72401 710805203 HOUSING AR 501 (C) (3) 9 SBHCI true BENEDICTINE MANOR I 225 EAST JACKSON JONESBORO AR 72401 208030553 HOUSING AR 501 (C) (3) 7 VILLAGE true BENEDICTINE MANOR II 225 EAST JACKSON JONESBORO AR 72401 208030603 HOUSING AR 501 (C) (3) 7 VILLAGE true JONESBORO REAL ESTATE HOLDINGS INC 225 EAST JACKSON JONESBORO AR 72401 710835010 REAL ESTATE AR 501 (C) (2) SBHCI true TOTAL LIFE HEALTHCARE 700 EAST WASHINGTON AVE JONESBORO AR 72401 260262745 HEALTHCARE AR 501 (C) (3) 9 SBHCI true ST BERNARDS DEVELOPMENT FOUNDATION 400 EAST STREET JONESBORO AR 72401 710563245 SUPPORT AR 501 (C) (3) 7 OBS false MATTHEWS MEDICAL MILE 225 EAST JACKSON JONESBORO AR 72401 273865388 ADVERTISING AR 501 (C) (3) 9 SBHCI true AUX TO ST BERNARDS MEDICAL CENTER 225 EAST JACKSON JONESBORO AR 72401 710493824 FUNDRAISING AR 501 (C) (3) 11A SBHI true PET CENTER LLC PO BOX 13267 MAUMELLE AR 72113 710876911 P.E.T. SCANS AR SBHI RELATED 160756 309343 false 0 true 0.51000 ALLCARE OF ARKANSAS 225 EAST JACKSON JONESBORO AR 72401 203315907 HEALTHCARE AR NA false 0 false OUTPATNT SRGRY CTR 1100 E MATTHEWS JONESBORO AR 72401 743052826 HEALTHCARE AR NA false 0 false PAIN CENTER LLC 505 EAST MATTHEWS STE 103 JONESBORO AR 72401 331048492 PAIN MGT AR NA false false REGIONAL HEALTHCARE HOLDINGS INC PO BOX 9320 JONESBORO AR 72403 731650896 HOLDING COMPANY AR NA C CORP true JONESBORO ANESTHESIA INC 221 HUGHES STE C JONESBORO AR 72401 020644209 ANESTHESIOLOGY AR NA C CORP true HEART SURGERY ASSOCIATION PO BOX 9320 JONESBORO AR 72403 200120406 HEALTHCARE AR NA C CORP true MID SOUTH NEUROSURGERY PO BOX 9320 JONESBORO AR 72403 201345149 NEUROSURGERY AR NA C CORP true JONESBORO NEUROSURGERY CLINIC PO BOX 9320 JONESBORO AR 72403 205938180 NEUROSURGERY AR NA C CORP true DOCTORS HEALTH GROUP PO BOX 9320 JONESBORO AR 72403 710788355 HEALTHCARE AR NA C CORP true REGIONAL HEALTHCARE SERVICES PO BOX 9320 JONESBORO AR 72403 710780305 HEALTHCARE AR NA C CORP true SURGICAL ASSOCIATES OF JONESBORO PO BOX 9320 JONESBORO AR 72403 263827817 HEALTHCARE AR NA C CORP true HEALTHCARE MEDICAL GROUP INC PO BOX 9320 JONESBORO AR 72403 710792539 HEALTHCARE AR NA C CORP true THE HEARTCARE CENTER INC 225 EAST JACKSON JONESBORO AR 72401 202061837 HEALTHCARE AR NA C CORP true JONESBORO PLASTIC SURGERY 800 S MAIN STREET JONESBORO AR 72401 271450995 PLASTIC SURGERY AR NA C CORP true OB-GYN ASSOC OF JONESBORO 800 S MAIN STREET JONESBORO AR 72401 272717909 OB-GYN AR NA C CORP true CARDIOLOGY ASSOCIATES OF JONESBORO 800 S MAIN ST JONESBORO AR 72401 273757274 CARDIOLOGY AR NA C CORP true CLOPTON CLINIC OF JONESBORO INC 800 S MAIN ST JONESBORO AR 72401 273722124 HEALTHCARE AR NA C CORP true CANCER CARE ASSOCIATES INC 800 S MAIN STREET JONESBORO AR 72401 800864692 HEALTHCARE AR NA C CORP true ST BERNARDS ORTHOPEDIC ASSOCIATES INC 800 S MAIN STREET JONESBORO AR 72401 462738617 HEALTHCARE AR NA C CORP true ST BERNARDS UROLOGY ASSOCIATES INC 800 S MAIN STREET JONESBORO AR 72401 464039608 HEALTHCARE AR NA C CORP true true true true false false true true false false true true true true true true true true true false JONESBORO ANESTHESIA INC R 1925000 FMV JONESBORO REAL ESTATE HOLDINGS INC K 911030 FMV