ST BERNARD HOSPITAL: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- ST BERNARD HOSPITAL (EIN 36-2264414)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-05
- IRS object ID
- 201223109349300522
- Schema version
- 2011v1.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-05T09:00:12-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROWE HORWATH LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 70 West Madison Street | AddressLine1 |
| Address Line2 | Suite 700 | AddressLine2 |
| City | Chicago | City |
| State | IL | State |
| ZIP Code | 606024903 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 362264414 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST BERNARD HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STBE | NameControl |
| Phone | 7739624100 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 326 WEST 64TH STREET | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60621 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | GUY ALTON | Name |
| Title | OFFICER | Title |
| Date Signed | 2012-10-30 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | John Woodhull | Name |
| PTIN | P01305268 | PTIN |
| Phone | 3128997000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Name Of Principal Officer Business NameOfPrincipalOfficerBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SR ELIZABETH VAN STRATEN RHSJ | BusinessNameLine1 |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 326 WEST 64TH STREET | AddressLine1 |
| City | Chicago | City |
| State | IL | State |
| ZIP Code | 60621 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 90413252 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.STBH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1904 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | ST. BERNARD HOSPITAL (SBH) ASPIRES TO LIVE THE HEALING MISSION OF CHRIST WITHIN THE SOUTH SIDE COMMUNITY OF CHICAGO. DURING 2011 SBH PROVIDED $7.2 MIL IN CHARITY CARE AT COST UNDER ITS CHARITY CARE POLICY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1008 | TotalNbrEmployees |
| Total Nbr Volunteers | 32 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1464250 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1135819 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 87853000 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 85723340 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 71861 | InvestmentIncomePriorYear |
| Investment Income Current Year | 3838 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 3243938 | OtherRevenuePriorYear |
| Other Revenue Current Year | 3550255 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 92633049 | TotalRevenuePriorYear |
| Total Revenue Current Year | 90413252 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 48148301 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 47470729 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 26195 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 38681934 | OtherExpensePriorYear |
| Other Expenses Current Year | 37416821 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 86830235 | TotalExpensesPriorYear |
| Total Expenses Current Year | 84887550 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 5802814 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 5525702 | RevenuesLessExpensesCY |
| Total Assets BOY | 53400152 | TotalAssetsBOY |
| Total Assets EOY | 54589073 | TotalAssetsEOY |
| Total Liabilities BOY | 38896115 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 34575183 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 14504037 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 20013890 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | A CATHOLIC FACILITY SPONSORED BY THE RELIGIOUS HOSPITALLERS OF SAINT JOSEPH, SINCE 1904, ST. BERNARD HOSPITAL (SBH) ASPIRES TO LIVE THE HEALING MISSION OF CHRIST WITHIN THE SOUTH SIDE COMMUNITY OF CHICAGO. CONTINUED IN SCHED O. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 51943360 | Expense |
| Revenue | 66243655 | Revenue |
| Description | ST. BERNARD HOSPITAL OFFERS A FULL CONTINUUM OF INPATIENT SERVICES INCLUDING MEDICAL SURGICAL SERVICES, ICU, TELEMETRY, OBSTETRICS, NURSERY, NEONATOLOGY, MEDICAL DETOX, AND INPATIENT MENTAL HEALTH SERVICES. DURING 2011 ST. BERNARD HOSPITAL PROVIDED 40,465 INPATIENT DAYS OF SERVICE TO 9,031 PATIENTS. IN ADDITION, THE HOSPITAL HAD 1,134 NEWBORN DELIVERIES AS WELL AS 1,546 MENTAL HEALTH ADMISSIONS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 13961148 | Expense |
| Revenue | 7910582 | Revenue |
| Description | DURING 2011 EMERGENCY ROOM SERVICES WERE PROVIDED TO 40,997 PATIENTS. THE EMERGENCY ROOM OF ST. BERNARD HOSPITAL SERVES AS THE PSYCHIATRIC TRIAGE CENTER FOR THE SOUTH SIDE OF CHICAGO COMMUNITY. THE EMERGENCY ROOM ALSO INCLUDES A FAST TRACK TREATMENT AREA AS A WAY TO FASTER TREAT PATIENTS WITH LESS SEVERE MEDICAL CONDITIONS. THIS ENABLES ST. BERNARD HOSPITAL TO GIVE ITS PATIENTS THE RESPONSIVE AND IMMEDIATE TREATMENT THEY DESERVE. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 9154787 | Expense |
| Revenue | 11302681 | Revenue |
| Description | DURING 2011 ST. BERNARD HOSPITAL PROVIDED A FULL RANGE OF OUTPATIENT DIAGNOSTIC TREATMENT TO 28,011 OUTPATIENTS. SUCH SERVICES INCLUDED LAB WORK, X-RAYS, ULTRASOUNDS, NUCLEAR MEDICINE, CT SCANS, MAMMOGRAPHY SERVICES, EKG'S, AND EEG'S. ST. BERNARD HOSPITAL ALSO OPERATES A NUMBER OF DIFFERENT CLINICS. CLINICS OF ST. BERNARD HOSPITAL ARE OPEN TO TREAT ASTHMA, ORTHOPEDIC AND PODIATRIC PATIENTS. IN ADDITION, ST. BERNARD HOSPITAL OPERATES A DENTAL CLINIC, WHICH OPENED IN 2007, GEARED TOWARD TREATING CHILDREN, THAT TREATED 5,145 PATIENTS IN 2011. THE HOSPITAL ALSO OPERATES A MOBILE MEDICAL UNIT PROGRAM, WHICH WAS OPENED IN 2003, IT TREATED 2,965 PATIENTS TO PROVIDE IMMUNIZATIONS AND SCHOOL PHYSICALS TO THE CHILDREN IN ENGLEWOOD AND OTHER NEIGHBORHOODS ON THE SOUTH SIDE OF CHICAGO. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Revenue | 433989 | Revenue |
| Description | THE ORGANIZATION RECEIVES OTHER PROGRAM SERVICE REVENUE RELATED THE RENTAL OF SPACE FOR ITS PHYSICIANS AND NURSES SERVING PATIENTS OF SBH AS WELL AS OTHER REVENUE FROM MAINTENANCE AND MEDICAL RECORDS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Rev | 433989 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 75059295 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 83 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1008 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Guy Alton | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7739624073 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 326 West 64th Street | AddressLine1 |
| City | Chicago | City |
| State | IL | State |
| ZIP Code | 60621 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| GREGORY WHITEHEAD | |||||||
| CHAIRMAN OF THE BOARD | 1.00 | X | X | 0 | 0 | 0 | |
| HENRY WIGGINS MD | |||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 | |
| LEON JACKSON | |||||||
| VICE CHAIRMAN OF THE BOARD | 1.00 | X | X | 0 | 0 | 0 | |
| SR ELIZABETH VAN STRATEN RHSJ | |||||||
| PRESIDENT- CEO | 40.00 | X | X | 0 | 0 | 0 | |
| SR MARY POKORNY OP | |||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 | |
| AYONDE AKERE MD | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| DARRELL R HUBBARD | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| GEORGE DENGLER DO | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| MARIA ASHLEY DDS | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| SR JOANNE DELEHANTY OP | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| SR ROSEMARIE KUGEL RHSJ | |||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| CHARLES HOLLAND | |||||||
| VP - PLANNING & DEVELOPMENT | 40.00 | X | 250950 | 0 | 13777 | ||
| EVELYN JONES | |||||||
| CHIEF NURSE EXECUTIVE | 40.00 | X | 222256 | 0 | 14064 | ||
| GUY ALTON | |||||||
| CFO | 40.00 | X | 253120 | 0 | 21658 | ||
| JANET NOHOS | |||||||
| EXECUTIVE VP | 40.00 | X | 277964 | 0 | 18286 | ||
| ROLAND ABELLERA | |||||||
| VP- QUALITY & COMPLIANCE | 40.00 | X | 221222 | 0 | 22778 | ||
| RONALD CAMPBELL | |||||||
| VP - PATIENT CARE SERVICES | 40.00 | X | 261891 | 0 | 24848 | ||
| JENNIFER HONG SURAPIBOONCHAI | |||||||
| CRNA | 76.00 | 279447 | 0 | 22374 | X | ||
| JESUS DIOSMA | |||||||
| RN | 44.00 | 112220 | 0 | 9527 | X | ||
| SATISH BHATT | |||||||
| DIRECTOR OF PHARMACY | 40.00 | 142546 | 0 | 21613 | X | ||
| SUCHITRA SURAPIBOONCHAI | |||||||
| CHIEF CRNA | 71.00 | 300510 | 0 | 27627 | X | ||
| VIPUL SINGHUL DDS | |||||||
| DIRECTOR OF DENTISTRY | 40.00 | 169474 | 0 | 18575 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2491600 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 215127 | TotalOtherCompensation |
| Number Individuals GT100 K | 24 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| SOUTH YALE EMERGENCY PHYSICIANS | |||||
| 326 WEST 64TH ST | CHICAGO | IL | 60621 | ER PHYSICIAN FEES | 3218416 |
| AMOSIL | |||||
| PO BOX 767 | HAMMOND | IN | 46325 | REPIRATORY THERAPY & EKG SERVICES | 1657116 |
| COMPREHENSIVE CONSULTING INC | |||||
| 209 S MAIN ST | MOUNT PROSPECT | IL | 60056 | MENTAL HEALTH MANAGEMENT SERVICES | 1027260 |
| FRESENIUS MANAGEMENT SERVICES INC | |||||
| 16343 COLLECTION CENTER DR | CHICAGO | IL | 60693 | RENAL DIALYSIS SERVICES | 532326 |
| CHRISMAR FACILITIES MGMNT INC | |||||
| 3250 EAST GLENWOOD-DYER RD | LYNWOOD | IL | 60411 | PLANT OPERATIONS & MAINTENANCE MANAGEMENT | 521096 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 18 | NumberOfContractorsGT100K |
| Government Grants | 718808 | GovernmentGrants |
| All Other Contributions | 417011 | AllOtherContributions |
| Total Contributions | 1135819 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|
| INPATIENT REVENUE | 66243655 | 66243655 |
| OUTPATIENT REVENUE | 11302681 | 11302681 |
| EMERGENCY REVENUE | 7910582 | 7910582 |
| RENTAL REVENUE | 266422 | 266422 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 85723340 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3467 | TotalRevenueColumn |
| Exclusion | $3,467 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 271 | Securities |
| Other | 100 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 271 | Securities |
| Other | 100 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 371 | TotalRevenueColumn |
| Exclusion | $371 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| FHN & PIH PAYMENTS | 2950176 | $2,950,176 | |
| CAFETERIA | 432512 | $432,512 | |
| SISTERS MAINT & MED RECS | 98468 | 98468 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 69099 | TotalRevenueColumn |
| Related Or Exempt Function Income | 69099 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 3550255 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 90413252 | TotalRevenueColumn |
| Related Or Exempt Function Income | 85890907 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $3,386,526 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1602813 | Total |
| Management And General | 1602813 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3218416 | Total |
| Program Services | 3218416 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34295862 | Total |
| Program Services | 30866276 | ProgramServices |
| Management And General | 3429586 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 628363 | Total |
| Program Services | 570900 | ProgramServices |
| Management And General | 57463 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5135535 | Total |
| Program Services | 4718621 | ProgramServices |
| Management And General | 416914 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2589740 | Total |
| Program Services | 2330766 | ProgramServices |
| Management And General | 258974 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3830741 | Total |
| Program Services | 2688146 | ProgramServices |
| Management And General | 1142595 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32930 | Total |
| Management And General | 32930 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 150000 | Total |
| Management And General | 150000 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 276057 | Total |
| Management And General | 276057 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4922 | Total |
| Management And General | 4922 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4180882 | Total |
| Program Services | 4089821 | ProgramServices |
| Management And General | 91061 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 146205 | Total |
| Management And General | 146205 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 286333 | Total |
| Management And General | 286333 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 331576 | Total |
| Program Services | 248682 | ProgramServices |
| Management And General | 82894 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2857462 | Total |
| Program Services | 2285970 | ProgramServices |
| Management And General | 571492 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3975 | Total |
| Management And General | 3975 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 276 | Total |
| Management And General | 276 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5033 | Total |
| Program Services | 4026 | ProgramServices |
| Management And General | 1007 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3559188 | Total |
| Program Services | 3559188 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1923532 | Total |
| Program Services | 1750093 | ProgramServices |
| Management And General | 173439 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| STATE ASSESSMENT | 6713833 | 6713833 | |
| PROVISION FOR BAD DEBT | 1048477 | 1048477 | |
| PATIENT SUPP. & DRUGS | 9264912 | 8471837 | 793075 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2800487 | Total |
| Program Services | 2494243 | ProgramServices |
| Management And General | 280049 | ManagementAndGeneral |
| Fundraising | 26195 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 84887550 | Total |
| Program Services | 75059295 | ProgramServices |
| Management And General | 9802060 | ManagementAndGeneral |
| Fundraising | 26195 | Fundraising |
Total Joint Costs TotalJointCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1388305 | BOY |
| EOY | 1804285 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8862954 | BOY |
| EOY | 8150369 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 607668 | BOY |
| EOY | 10000 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8899897 | BOY |
| EOY | 10164319 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1071830 | BOY |
| EOY | 932982 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4221002 | BOY |
| EOY | 4300447 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 84800400 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 59028712 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24876758 | BOY |
| EOY | 25771688 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1129882 | BOY |
| EOY | 1153539 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2341856 | BOY |
| EOY | 2301444 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 53400152 | BOY |
| EOY | 54589073 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13358420 | BOY |
| EOY | 6560193 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8550418 | BOY |
| EOY | 8550418 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16987277 | BOY |
| EOY | 19464572 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38896115 | BOY |
| EOY | 34575183 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7852105 | BOY |
| EOY | 13583072 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5346997 | BOY |
| EOY | 5141733 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1304935 | BOY |
| EOY | 1289085 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14504037 | BOY |
| EOY | 20013890 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 53400152 | BOY |
| EOY | 54589073 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 5525702 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -15849 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $276,057 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 276057 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of the activities reported on Lines 1a through 1i | Identifier |
| Return Reference | Schedule C, Part II-B, Line 1 | ReturnReference |
| Explanation | AT THE STATE LEVEL LOBBYING WAS DONE TO EDUCATE LEGISLATORS AND GOVERNMENT OFFICIALS REGARDING ISSUES RELATING TO SAFETY NET HOSPITALS AND THE MEDICAID PROGRAM. AT THE FEDERAL LEVEL LOBBYING WAS DONE TO IMPACT LEGISLATION ON IMMIGRATION FOR NURSING PERSONNEL. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1336453 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 31071 | InvestmentEarningsOrLosses |
| Administrative Expenses | 2585 | AdministrativeExpenses |
| End Of Year Balance | 1364939 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 949953 | BeginningOfYearBalance |
| Contributions | 274400 | Contributions |
| Investment Earnings Or Losses | 112100 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 0 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 1336453 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 788263 | BeginningOfYearBalance |
| Contributions | 0 | Contributions |
| Investment Earnings Or Losses | 161690 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 0 | OtherExpenditures |
| End Of Year Balance | 949953 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 942504 | BeginningOfYearBalance |
| Contributions | 500 | Contributions |
| Investment Earnings Or Losses | -152858 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 1883 | OtherExpenditures |
| End Of Year Balance | 788263 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.94000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.06000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5331036 | OtherCostOrOtherBasis |
| Book Value | 5331036 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 41883349 | OtherCostOrOtherBasis |
| Depreciation | 33987569 | Depreciation |
| Book Value | 7895780 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 547430 | OtherCostOrOtherBasis |
| Book Value | 547430 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 37038585 | OtherCostOrOtherBasis |
| Depreciation | 25041143 | Depreciation |
| Book Value | 11997442 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 25771688 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| FIN 47 LIABILITY | $627,583 |
| EST LIAB - SELF INSURANCE PROGRAM | $14,709,755 |
| EST PAYABLES - THIRD PARTY REIMB. | $2,145,349 |
| US BANK LOAN | $1,981,885 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 19464572 | TotalOfAmounts |
| Total Revenue | 90413252 | TotalRevenue |
| Total Expenses | 84887550 | TotalExpenses |
| Excess Or Deficit For Year | 5525702 | ExcessOrDeficitForYear |
| Other | -$15,849 | OtherAmount |
| Total Adjustments | -15849 | TotalAdjustments |
| Excess Or Deficit Per FS | 5509853 | ExcessOrDeficitPerFS |
| Other Revenues | 0 | OtherRevenues |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 0 | RevenueSubtotal |
| Other Revenues Not Included | 0 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 0 | TotalRevenuePerForm990 |
| Other Expenses Included | 0 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 0 | ExpensesSubtotal |
| Other Expenses Not Included | 0 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 0 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Intended uses of endowment funds | Schedule D, Part V, Line 4 | THE INTENDED USES OF THE ENDOWMENT FUNDS ARE TO HELP FUND HOSPITAL OUTPATIENT SERVICES AND CHILDREN AND ADULT OUTREACH PROGRAMS TO BETTER SERVE THE COMMUNITY |
| FIN 48 (ASC 740) footnote | Schedule D, Part X, Line 2 | THE CORPORATIONS (ST. BERNARD HOSPITAL & AFFILIATES) PREVIOUSLY ADOPTED ASC SUBTOPIC 740-10, INCOME TAXES - OVERALL. ASC SUBTOPIC 740-10 CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN TAX POSITIONS AND ALSO PROVIDES GUIDANCE ON WHEN THE TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND HOW THE VALUES OF THESE POSITIONS ARE DETERMINED. AT THE DATE OF ADOPTION, AND AS OF DECEMBER 31, 2011, THE CORPORATIONS DO NOT HAVE A LIABILITY FOR UNRECOGNIZED TAX BENEFITS. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 6 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 13121 | PersonsServed |
| Total Community Benefit Expense | 13659630 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6713220 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6946410 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08290 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 203 | PersonsServed |
| Total Community Benefit Expense | 262709 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6112 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 256597 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00310 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 13324 | PersonsServed |
| Total Community Benefit Expense | 13922339 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6719332 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7203007 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08600 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3294641 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 713872 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2580769 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03080 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 587293 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 239115 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 348178 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00420 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6728146 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2448361 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4279785 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05100 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 37461 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 37461 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 10647541 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3401348 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7246193 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08640 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 13324 | PersonsServed |
| Total Community Benefit Expense | 24569880 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10120680 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 14449200 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.17240 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $1,048,477 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 25185738 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 25409744 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -224006 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARTNERS IN HEALTH | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | PROVIDE HEALTH CARE SERVICES TO MEDICAID PATIENTS | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.5 | OrganizationProfitOrOwnership |
| Officers Etc Profit Or Ownership | 0 | OfficersEtcProfitOrOwnership |
| Physicans Profit Or Ownership | 0.5 | PhysicansProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST BERNARD HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 326 WEST 64TH STREET | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60621 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Er24 Hours | X | Er24Hours |
| Er Other | X | ErOther |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Costing Methodology used to calculate financial assistance | Schedule H, Part I, Line 7 | A COST-TO-CHARGE RATIO WAS USED FOR ALL OF THE FIGURES REPORTED IN THE TABLE. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. |
| Bad Debt Expense excluded from financial assistance calculation | Schedule H, Part I, Line 7, column(f) | 1,048,477 |
| Subsidized Health Services | Schedule H, Part I, Line 7g | THE ORGANIZATION DID NOT INCLUDE, AS SUBSIDIZED HEALTH SERVICES, ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC. |
| Community Building Activities | Schedule H, Part II | ST. BERNARD HOSPITAL EXECUTIVES SIT ON BOARDS OF ORGANIZATIONS IN THE COMMUNITY AND PARTICIPATE IN COMMUNITY BUILDING ACTIVITES SUCH AS IMPROVING THE HOUSING AND ECONOMIC WELL BEING OF ENGLEWOOD, AND IMPROVING HEALTH CARE OF RESIDENTS BY ESTABLISHING AND IMPROVING THE NETWORK OF PROVIDERS AVAILABLE TO COMMUNITY RESIDENTS. |
| Bad debt expense - financial statement footnote | Schedule H, Part III, Line 4 | THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE RELATED TO "ACCOUNTS RECEIVABLE," "ALLOWANCE FOR DOUBTFUL ACCOUNTS," OR SIMILAR DESIGNATIONS. THE ORGANIZATION DOES NOT INCLUDE BAD DEBT AMOUNTS AS PART OF ITS COMMUNITY BENEFIT. THE METHODOLOGY USED TO DETERMINE THE ORGANIZATIONS BAD DEBT EXPENSE IS FORGONE CHARGES WHERE A COLLECTION EFFORT WAS MADE AND THE BALANCE WAS DEEMED TO BE UNCOLLECTIBLE. NONE OF THE BAD DEBT IS ATTRIBUTABLE TO CHARITY CARE WHICH IS TRACKED SEPERATELY. |
| Community benefit & methodology for determining medicare costs | Schedule H, Part III, Line 8 | THE HOSPITAL FEELS THAT 100% OF THE MEDICARE SHORTFALL SHOULD BE COUNTED AS COMMUNITY BENEFIT SINCE THE HOSPITAL SHORTFALL REDUCES THE TAXES THE FEDERAL GOVERNMENT WOULD HAVE HAD TO RAISE TO PAY AN OUTSIDE CONTRACTOR TO PROVIDE THE SAME SERVICES TO THE COMMUNITY THE HOSPITAL SERVES. THE HOSPITAL USES A CASE MIX ADJUSTED COST TO CHARGE RATIO METHODOLOGY TO DETERMINE THE AMOUNTS REPORTED ON PART III, LINE 6. |
| Collection practices for patients eligible for financial assistance | Schedule H, Part III, Line 9b | OF THE MORE THAN 78,000 PATIENTS SEEN ANNUALLY AT ST. BERNARD HOSPITAL, 63% OF THEM RECEIVE MEDICAID AS COVERAGE FOR THEIR HEALTH CARE SERVICES. ANOTHER 14% ARE ON MEDICARE; AND 16% OF OUR PATIENTS ARE SELF-PAY PATIENTS. OUR PATIENT MIX NECESSITATES THAT A FUNDAMENTAL COMPONENT OF ST. BERNARD HOSPITAL'S COMMUNITY BENEFIT STRATEGY IS THE PROVISION OF CHARITY CARE TO THOSE WHO CANNOT AFFORD TO PAY FOR THEIR CARE. THE HOSPITAL PERFORMS NORMAL ACCEPTED COLLECTION PROCEDURES ON LEGITIMATE BALANCES OWED TO THE HOSPITAL. HOSPITAL PATIENT ACCESS STAFF ASSIST UNINSURED OR UNDERINSURED PATIENTS IN APPLYING FOR ANY GOVERNMENTAL ASSISTANCE PROGRAMS THEY MAY QUALIFY FOR. UNINSURED PATIENTS WITH INCOMES LESS THAN 200% OF THE FEDERAL POVERTY LEVEL ARE ELIGIBLE FOR A 100% CHARITY CARE DISCOUNT. THERE ARE NO FURTHER COLLECTION ACTIVITIES ONCE A PATIENT BALANCE HAS BEEN DESIGNATED AS A CHARITY WRITEOFF CONSISTENT WITH THE FINANCIAL ASSISTANCE POLICY. IN ADDITION, PATIENTS WITH INCOMES BETWEEN 200% AND 600% OF THE FEDERAL POVERTY GUIDELINES ARE ELIGIBLE FOR AN AUTOMATIC 50% DISCOUNT WITH THE REMAINING BALANCE DISCOUNTED ON A SLIDING SCALE. |
| Means used to determine amounts billed | Schedule H, Part V Section B, Line 19d | (1) ST. BERNARD HOSPITAL - PURSUANT TO THE HOSPITAL UNINSURED PATIENT DISCOUNT ACT, PUBLIC ACT 95-0965, THE HOSPITAL EXTENDS A 50% DISCOUNT TO UNINSURED RESIDENTS OF ILLINOIS WHOSE FAMILY INCOME IS NOT MORE THAN 600% OF THE FEDERAL POVERTY GUIDELINES. IF THE TOTAL FAMILY INCOME FALLS BELOW 200% OF THE GUIDELINES, THE ENTIRE ACCOUNT (EXCLUDING LUXURY ITEMS) IS CHARGED TO CHARITY CARE. ; |
| Needs assessment. | Schedule H, Part VI, Line 2 | THE HOSPITAL PERIODICALLY COMMISSIONS THE COMMUNITY NEEDS ASSESSMENT TO PROVIDE INFORMATION TO THE HEALTHCARE NEEDS OF THE COMMUNITY. THE LATEST COMMUNITY NEEDS ASSESSMENT WAS DONE IN 2009. THE HOSPITAL ALSO PARTICIPATES IN COMMUNITY BUILDING AND COMMUNITY HEALTHCARE ADVOCACY GROUPS TO HELP IDENTIFY NEEDS AND COORDINATE EFFORTS TO PROVIDE QUALITY HEALTHCARE SERVICES TO THE COMMUNITY. THE HOSPITAL PARTICIPATES IN LOCAL HEALTH FAIRS AND OPERATES A MOBILE MEDICAL VAN THAT GOES TO SCHOOLS PROVIDING IMMUNIZATIONS AND SCHOOL PHYSICALS. FROM ITS WORK THE VAN IDENTIFIED THAT THERE WAS A LACK OF DENTAL SERVICES FOR CHILDREN. THE HOSPITAL HAS OPENED A DENTAL CLINIC GEARED TOWARDS PEDIATRIC PATIENTS TO FILL THAT NEED. IN 2010 THE HOSPITAL OPENED A WOMEN'S WELLNESS CLINIC TO PROVIDE FREE HEALTHCARE SERVICES TO UNINSURED WOMEN OF CHILD BEARING AGE. |
| Patient education of eligibility for assistance. | Schedule H, Part VI, Line 3 | SIGNS ARE POSTED IN THE WAITING AREAS OF THE HOSPITAL AS WELL AS THE HOSPITAL WEBSITE ANNOUNCING THE AVAILABILITY OF CHARITY CARE. HOSPITAL PATIENT ACCESS STAFF ASSIST UNINSURED OR UNDERINSURED PATIENTS IN APPLYING FOR ANY GOVERNMENTAL ASSISTANCE PROGRAMS THEY MAY QUALIFY FOR AS WELL AS THE HOSPITAL'S CHARITY CARE PROGRAM. HOSPITAL BILLS TO PATIENTS ALSO HAVE INFORMATION ON APPLYING FOR FINANCIAL ASSISTANCE. |
| Community information. | Schedule H, Part VI, Line 4 | THE URBAN COMMUNITIES SURROUNDING THE HOSPITAL FROM WHICH THE HOSPITAL DRAWS MOST OF ITS PATIENTS ARE SOME OF THE POOREST COMMUNITIES ON THE SOUTH SIDE OF CHICAGO. WITHIN THE LAST 30 YEARS, THEY HAVE CONTINUED TO LOSE POPULATION AND HAVE SEEN HOUSING ABANDONMENT AND COMMERCIAL DISINVESTMENT GROW. HIGH RATES OF UNEMPLOYMENT HAVE HAD A DISASTROUS EFFECT ON THE SOCIAL FABRIC NECESSARY TO MAINTAIN A STABLE COMMUNITY. PEOPLE WHO HAVE CHOICES OFTEN LEAVE AND MOVE TO NEIGHBORHOODS WITH GREATER AMENITIES, LEAVING BEHIND THOSE WITH FEWER OPTIONS. DRUGS AND VIOLENT CRIME ARE RAMPANT WHILE 35% OF THE POPULATION LIVES BELOW THE FEDERAL POVERTY GUIDELINES. SIXTY THREE PERCENT OF THE PATIENTS THE HOSPITAL SERVES ARE ON MEDICAID, WHILE 16% ARE SELF-PAY, MOSTLY WITH NO PAYMENT SOURCE. THE AREA IS A FEDERALLY DESIGNATED UNDERSERVED AREA. THE HOSPITAL SERVES OVER 750,000 PATIENTS IN ITS PRIMARY AND SECONDARY SERVICE AREAS. THERE ARE NO OTHER HOSPITALS IN ITS PRIMARY SERVICE AREA, BUT THERE ARE THREE OTHER HOSPITALS LOCATED IN ITS SECONDARY SERVICE AREA. |
| Promotion of community health | Schedule H, Part VI, Line 5 | ST. BERNARD HOSPITAL IS A 210-BED CATHOLIC COMMUNITY HOSPITAL FOUNDED IN 1904 BY THE RELIGIOUS HOSPITALLERS OF ST. JOSEPH UNDER THE SPONSORSHIP OF CATHOLIC HEALTH INTERNATIONAL. THE SISTERS OF THE RELIGIOUS HOSPITALLERS' ENDURING COMMITMENT TO THE HOSPITAL AND THE ENGLEWOOD COMMUNITY FOR 106 YEARS EPITOMIZES ST. BERNARD'S MISSION: TO CARE FOR THE SICK AND PROMOTE THE HEALTH OF SOUTH SIDE CHICAGO RESIDENTS, WHILE SUSTAINING VALUES OF RESPECT, DIGNITY, CARING AND COMPASSION FOR ALL PERSONS. THE HOSPITAL OPERATES 210 LICENSED BEDS INCLUDING MEDICAL/SURGICAL, OBSTETRICS, PEDIATRICS, INTENSIVE CARE, EMERGENCY MEDICINE, INPATIENT MENTAL HEALTH, AND MEDICAL DETOX SERVICES. THE ENGLEWOOD COMMUNITY, ALTHOUGH CHALLENGED BY THE IMPACTS OF ECONOMIC HARDSHIP, THE ENGLEWOOD COMMUNITY, ALTHOUGH CHALLENGED BY THE IMPACTS OF ECONOMIC HARDSHIP, LOOKS TO ST. BERNARD HOSPITAL AS AN INSTITUTIONAL ANCHOR. IT IS THE COMMUNITY'S SINGLE LARGEST EMPLOYER, EMPLOYING MORE THAN 900 PEOPLE. OVER 45% OF ITS EMPLOYEES LIVE IN THE HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREA. ST. BERNARD TAKES A LEAD ROLE IN IMPROVING THE NEIGHBORHOOD AND THE LIVES OF ITS RESIDENTS BY PARTICIPATING IN ECONOMIC DEVELOPMENT ACTIVITIES, SUCH AS BUILDING AFFORDABLE HOMES IN BERNARD PLACE THROUGH ITS HOUSING DEVELOPMENT SUBSIDIARY. AS THE COMMUNITY'S MAJOR HEALTH CARE FACILITY, THE HOSPITAL PROVIDES SERVICES RANGING FROM EMERGENCY MEDICINE AND OBSTETRICS TO MENTAL HEALTH AND SUBSTANCE ABUSE RECOVERY. IN KEEPING WITH MODERN DEMANDS, ST. BERNARD IS PROUD TO PROVIDE STATE-OF-THE-ART TECHNOLOGICAL CAPABILITIES THAT GREATLY ENHANCE THE HOSPITAL'S HIGH QUALITY OF CARE AND PROMOTE PATIENT SAFETY. OF THE MORE THAN 78,000 PATIENTS SEEN AT ST. BERNARD HOSPITAL EACH YEAR, MORE THAN SEVENTY-SIX PERCENT RECEIVE MEDICAID OR MEDICARE AS COVERAGE FOR THEIR HEALTH CARE. THE HOSPITAL PROVIDES MORE THAN $16 MILLION IN CHARITY CARE EACH YEAR, OR 10.4% OF TOTAL PATIENT REVENUE. COMMUNITY OUTREACH, SUCH AS THE CHANCE CONCEPT FOR COMPREHENSIVE PEDIATRIC HEALTH, ADDRESSES UNMET HEALTH CARE NEEDS OF CHILDREN THROUGH OUR BABY IMMUNIZATION TRACKING SERVICE, PEDIATRIC MOBILE HEALTH UNIT, AND ON-SITE DENTAL CENTER. AS A SETTING FOR EDUCATION, ST. BERNARD IS A VIBRANT CLINICAL TRAINING CLASSROOM FOR MEDICAL AND NURSING STUDENTS, INCLUDING EMERGENCY MEDICINE RESIDENTS, SURGERY, OB, PSYCHIATRIC MEDICAL STUDENTS, AND NURSING ASSISTANT AND X-RAY TECH STUDENTS. ST. BERNARD REMAINS A CONSTANT, DRIVING FORCE HELPING TO STRENGTHEN THE FOUNDATIONS OF THE COMMUNITY BY DELIVERING HIGH QUALITY, COMPREHENSIVE HEALTH CARE SERVICES, DEVELOPING AFFORDABLE HOUSING, AND FOSTERING OPPORTUNITIES FOR ECONOMIC GROWTH. |
| State filing of community benefit report | Schedule H, Part VI, Line 7 | IL |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SATISH BHATT | |||||||||||||
| 130326 | 0 | 10000 | 0 | 2220 | 0 | 6522 | 0 | 15091 | 0 | 164159 | 0 | 0 | 0 |
| JENNIFER HONG SURAPIBOONCHAI | |||||||||||||
| 279447 | 0 | 0 | 0 | 0 | 0 | 6731 | 0 | 15643 | 0 | 301821 | 0 | 0 | 0 |
| GUY ALTON | |||||||||||||
| 185502 | 0 | 66500 | 0 | 1118 | 0 | 6363 | 0 | 15295 | 0 | 274778 | 0 | 0 | 0 |
| RONALD CAMPBELL | |||||||||||||
| 194273 | 0 | 66500 | 0 | 1118 | 0 | 9520 | 0 | 15328 | 0 | 286739 | 0 | 0 | 0 |
| SUCHITRA SURAPIBOONCHAI | |||||||||||||
| 296802 | 0 | 0 | 0 | 3708 | 0 | 11920 | 0 | 15707 | 0 | 328137 | 0 | 0 | 0 |
| EVELYN JONES | |||||||||||||
| 154981 | 0 | 66500 | 0 | 775 | 0 | 7597 | 0 | 6467 | 0 | 236320 | 0 | 0 | 0 |
| JANET NOHOS | |||||||||||||
| 235346 | 0 | 41500 | 0 | 1118 | 0 | 11521 | 0 | 6765 | 0 | 296250 | 0 | 0 | 0 |
| VIPUL SINGHUL DDS | |||||||||||||
| 169294 | 0 | 0 | 0 | 180 | 0 | 3340 | 0 | 15235 | 0 | 188049 | 0 | 0 | 0 |
| ROLAND ABELLERA | |||||||||||||
| 154452 | 0 | 66500 | 0 | 270 | 0 | 7597 | 0 | 15181 | 0 | 244000 | 0 | 0 | 0 |
| CHARLES HOLLAND | |||||||||||||
| 183676 | 0 | 66500 | 0 | 774 | 0 | 7203 | 0 | 6574 | 0 | 264727 | 0 | 0 | 0 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GEORGE DENGLER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | BOARD MEMBER AND OWNER OF ENITY DOING BUSINESS WITH SBH | Relationship |
| Amount Of Transaction | 3218416 | AmountOfTransaction |
| Description Of Transaction | 100% OWNER OF AN ENTITY (SOUTH YALE ER PHYSICIANS) PROVIDING SERVICES TO SBH. | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION | FORM 990, PART III, LINE 1 | THIS MISSION CALLS SBH TO CARE FOR THE SICK AND PROMOTE THE HEALTH OF THE RESIDENTS IN THE COMMUNITY WHILE WITNESSING THE CHRISTIAN VALUES OF RESPECT, DIGNITY, CARE AND COMPASSION FOR ALL PERSONS. IN ALL MATTERS, ST. BERNARD HOSPITAL WILL SHOW A SPECIAL SENSITIVITY TO THE CULTURE OF THE PEOPLE IT SERVES AND THE SPECIAL NEEDS OF THE POOR AND POWERLESS. ST. BERNARD HOSPITAL IS LOCATED IN THE CHICAGO SOUTHSIDE COMMUNITY OF ENGLEWOOD, A PREDOMINANTLY AFRICAN AMERICAN COMMUNITY AREA THAT HAS SUFFERED THE CUMULATIVE EFFECTS OF POVERTY AND URBAN BLIGHT FOR DECADES. THE HOSPITAL OPERATES 210 LICENSED BEDS INCLUDING MEDICAL/SURGICAL, OBSTETRICS, PEDIATRICS, INTENSIVE CARE, EMERGENCY MEDICINE, INPATIENT MENTAL HEALTH, AND MEDICAL DETOX SERVICES AS WELL AS OUTPATIENT DIAGNOSTIC SERVICES. $7.2 MILLION IN FORGONE CHARGES AT COST UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS PROVIDED TO PATIENTS SERVED BY THE HOSPITAL IN 2011. |
| Description of other program services | Form 990, Part III, Line 4d | THE ORGANIZATION RECEIVES OTHER PROGRAM SERVICE REVENUE RELATED THE RENTAL OF SPACE FOR ITS PHYSICIANS AND NURSES SERVING PATIENTS OF SBH AS WELL AS OTHER REVENUE FROM MAINTENANCE AND MEDICAL RECORDS. |
| Classes of members or stockholders | Form 990, Part VI, Section A, Line 6 | ST. BERNARD HEALTH NETWORK, A RELATED TAX-EXEMPT, IS THE SOLE MEMBER OF ST. BERNARD HOSPITAL. |
| Members or stockholders electing members of governing body | Form 990, Part VI, Section A, Line 7a | AS THE SOLE CORPORATE MEMBER OF ST. BERNARD HOSPITAL, ST. BERNARD HEALTH NETWORK HAS THE RIGHT TO APPOINT MEMBERS OF THE GOVERNING BODY OF ST. BERNARD HOSPITAL. |
| Decisions requiring approval by members or stockholders | Form 990, Part VI, Section A, Line 7b | AS THE SOLE CORPORATE MEMBER OF ST. BERNARD HOSPITAL, ST. BERNARD HEALTH NETWORK HAS THE RIGHT TO APPROVE OR RATIFY SIGNIFICANT DECISIONS OF ST. BERNARD HOSPITAL'S GOVERNING BODY. SUCH RIGHTS INCLUDE APPROVING BUDGETS, APPROVING THE SELECTION OF THE HOSPITAL'S AUDITORS, AND APPROVING MEMBERS OF THE GOVERNING BODY OF ST. BERNARD HOSPITAL. |
| Review of form 990 by governing body | Form 990, Part VI, Section B, Line 11b | A FULL COPY OF THE FORM 990 IS PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY BEFORE IT IS FILED WITH THE IRS. THE FINANCE COMMITTEE OF THE INDEPENDENT GOVERNING BODY REVIEWS THE FORM 990 IN DETAIL, AND REPORTS TO THE FULL GOVERNING BODY AT A BOARD MEETING. DURING THE BOARD MEETING ANY QUESTIONS OR DISCUSSIONS RELATED TO THE FORM 990 ARE ADDRESSED. |
| Conflict of interest policy | Form 990, Part VI, Section B, Line 12c | WRITTEN CONFLICT OF INTEREST STATEMENTS ARE REQUIRED TO BE COMPLETED AND SIGNED BY EACH MEMBER OF THE GOVERNING BODY, OFFICERS, AND KEY EMPLOYEES ON AN ANNUAL BASIS. THE CORPORATE BOARD OFFICERS MONITOR ANY CONFLICTS AND PROHIBIT ANY GOVERNING BODY MEMBER FROM PARTICIPATING IN ANY DELIBERATION OR DECISION WHERE THE MEMBER MAY HAVE A CONFLICT OF INTEREST. CORPORATE OFFICERS, INCLUDING THE CEO AND CHIEF COMPLIANCE OFFICER, MONITOR ANY CONFLICT OF INTEREST ISSUES WITH OFFICERS, KEY EMPLOYEES, AND MANAGEMENT. |
| Process used to establish compensation of top management official | Form 990, Part VI, Section B, Line 15a | THE COMPENSATION COMMITTEE, WHICH CONSISTS OF INDEPENDENT MEMBERS OF THE BOARD, MEETS TO ESTABLISH AND APPROVE THE COMPENSATION OF THE CEO. HOSPITAL EXECUTIVE COMPENSATION STUDIES FROM METROPOLITAN CHICAGO HEALTHCARE COUNCIL AND MODERN HEALTHCARE AS WELL AS THE FORM 990S OF OTHER ORGANIZATIONS ARE USED TO DETERMINE THE FAIRNESS AND COMPARABILITY OF COMPENSATION PROVIDED TO THE CEO IN THE FORM OF SALARY AND BENEFITS. THE DELIBERATIONS AND DETERMINATIONS OF THE COMPENSATION COMMITTEE'S EFFORTS ARE DOCUMENTED ON A TIMELY BASIS AND PROVIDED TO HOSPITAL FINANCE FOR IMPLEMENTATION. THE PROCESS FOR DETERMINING COMPENSATION FOR THE HOSPITAL'S TOP MANAGEMENT OFFICIAL WAS LAST UNDERTAKEN IN 2010 FOR THE CALENDAR YEAR 2011 COMPENSATION. |
| PROCESS USED TO ESTABLISH COMPENSATION FOR OTHER OFFICERS/KEY EMPLOYEES | FORM 990, PART VI, LINE 15B | THE SALARIES OF THE POSITIONS OF EXECUTIVE VICE PRESIDENT, CFO, VP OF PATIENT CARE, CHIEF NURSE EXECUTIVE, CHIEF COMPLIANCE OFFICER, AND VP OF PLANNING ARE REVIEWED AND APPROVED BY THE PRESIDENT/CEO ON AN ANNUAL BASIS. COMPENSATION SURVEYS FROM METROPOLITAN CHICAGO HEALTHCARE COUNCIL, HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION, AND MODERN HEALTHCARE AS WELL AS THE FORM 990S OF OTHER ORGANIZATIONS ARE USED TO ESTABLISH THE REASONABLENESS OF COMPENSATION FOR EACH POSITION AS WELL AS EMPLOYEE PERFORMANCE. SUBSTANTIATION DOCUMENTING THIS PROCESS IS MAINTAINED BY THE PRESIDENT/CEO AND SHARED WITH THE BOARD CHAIRMAN. WRITTEN RESULTS ARE PROVIDED TO THE HOSPITAL FINANCE COMMITTEE FOR IMPLEMENTATION. THE PROCESS FOR DETERMINING COMPENSATION FOR THE ABOVE MENTIONED INDIVIDUALS WAS LAST UNDERTAKEN IN 2010 FOR THE CALENDAR YEAR 2011 COMPENSATION. |
| Governing documents, conflict of interest policy and financial statements available to the public | Form 990, Part VI, Section C, Line 19 | THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME. |
| Average hours worked per week for related organization | Form 990, Part VII, Section A, Column B | SR ELIZABETH VAN STRATEN RHSJ - SR ELIZABETH VAN STRATEN, RHSJ, CEO, DEVOTES APPROXIMATELY 1 HOUR A WEEK TO ST. BERNARD HOUSING DEVELOPMENT CORPORATION, 1 HOUR A WEEK TO ST. BERNARD FOUNDATION AND APPROXIMATELY 1 HOUR A WEEK TO ST. BERNARD HEALTH NETWORK. JESUS DIOSMA - 0 DARRELL R. HUBBARD - 0 |
| Other changes in net assets or fund balances | Form 990, Part XI, Line 5 | UNCOLLECTIBLE PERMANENTLY RESTRICTED PLEDGE RECEIVABLE - -15849; |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| ST BERNARD HEALTH NETWORK | ||||||||||
| 326 WEST 64TH ST | CHICAGO | IL | 60621 | 201903584 | HEALTHCARE | IL | 501(C)(3) | 11 | NA | false |
| ST BERNARD FOUNDATION | ||||||||||
| 326 WEST 64TH ST | CHICAGO | IL | 60621 | 300135130 | SUPPORT SBH | IL | 501(C)(3) | 11 | SBHN | false |
| ST BERNARD HOUSING DEVELOPMENT CORP | ||||||||||
| 326 WEST 64TH ST | CHICAGO | IL | 60621 | 364322147 | HOUSING DEVELOPMENT | IL | 501(C)(3) | N/A | SBH | true |
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Percentage OwnershipPercentageOwnership | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets |
|---|---|---|---|---|---|---|---|---|---|---|---|
| PARTNERS IN HEALTH INC | |||||||||||
| 326 WEST 64TH STREET | CHICAGO | IL | 60621 | 363877089 | HEALTHCARE SERV | IL | NA | C CORPORATION | 0.50000 | ||
| FOUNDATION FOR EMERGENCY SERVICES | |||||||||||
| 326 WEST 64TH STREET | CHICAGO | IL | 60621 | 364330129 | MEDICAL BILLING | IL | SBH | C CORPORATION | 1.00000 | 0 | 0 |
| WOMEN'S HEALTH CENTER - SOUTH | |||||||||||
| 326 WEST 64TH STREET | CHICAGO | IL | 60621 | 364333745 | WOMEN'S HEALTH | IL | SBH | C CORPORATION | 1.00000 | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
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