Community Benefit Insight - Tax-exempt hospital

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St Bernard Hospital

St Bernard Hospital

326 W 64th Street
Chicago, IL 60621

Bed count	210	Medicare provider number	140103	Member of the Council of Teaching Hospitals	YES	Children's hospital	NO

EIN: 362264414

Display data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

15.26%

Spending by Community Benefit Category- 2021
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2021

Additional data

Community Benefit Expenditures: 2021

All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 4,138,052 3.78 %
Medicaid as % of operating expenses	$ 0 0 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
Health professions education as % of operating expenses	$ 463,319 0.42 %
Subsidized health services as % of operating expenses	$ 7,432,777 6.79 %
Research as % of operating expenses	$ 0 0 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 4,602,061 4.20 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 66,619 0.06 %
Community building* as % of operating expenses	$ 0 0 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	NO
Number of activities or programs (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Persons served (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Community building expense as % of operating expenses	$ 0 0 %
Physical improvements and housing as % of community building expenses	$ 0
Economic development as % of community building expenses	$ 0
Community support as % of community building expenses	$ 0
Environmental improvements as % of community building expenses	$ 0
Leadership development and training for community members as % of community building expenses	$ 0
Coalition building as % of community building expenses	$ 0
Community health improvement advocacy as % of community building expenses	$ 0
Workforce development as % of community building expenses	$ 0
Other as % of community building expenses	$ 0
Direct offsetting revenue	$ 0
Physical improvements and housing	$ 0
Economic development	$ 0
Community support	$ 0
Environmental improvements	$ 0
Leadership development and training for community members	$ 0
Coalition building	$ 0
Community health improvement advocacy	$ 0
Workforce development	$ 0
Other	$ 0

Other Useful Tax-exempt Hospital Information: 2021

In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt as % of operating expenses	$ 1,544,465 1.41 %
Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?	NO

Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

Does the organization have a written financial assistance (charity care) policy?	YES
Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?	YES
Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy as % of operating expenses	$ 0 0 %

Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

Community Health Needs Assessment Activities: 2021

The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

Did the tax-exempt hospital report that they had conducted a CHNA?	YES
Did the CHNA define the community served by the tax-exempt hospital?	YES
Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?	YES
Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?	YES
Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?	YES

Supplemental Information: 2021

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.

4A (Expenses $ 58111789 including grants of $ 0) (Revenue $ 51095606)
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 2021 ST. BERNARD HOSPITAL PROVIDED 23,981 INPATIENT DAYS OF SERVICE TO 4,069 PATIENTS. IN ADDITION, THE HOSPITAL HAD 1,586 MENTAL HEALTH ADMISSIONS.

4B (Expenses $ 22894703 including grants of $ 0) (Revenue $ 20130489)
DURING 2021 EMERGENCY ROOM SERVICES WERE PROVIDED TO 31,539 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.

4C (Expenses $ 21097697 including grants of $ 0) (Revenue $ 18550447)
DURING 2021 ST. BERNARD HOSPITAL PROVIDED A FULL RANGE OF OUTPATIENT DIAGNOSTIC TREATMENT TO 72,244 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 2,722 CHILDREN AND 2,405 ADULTS IN 2021. THE HOSPITAL ALSO OPERATES A MOBILE MEDICAL UNIT PROGRAM, WHICH WAS OPENED IN 2003, IT TREATED 2,849 PATIENTS TO PROVIDE IMMUNIZATIONS AND SCHOOL PHYSICALS TO THE CHILDREN IN ENGLEWOOD AND OTHER NEIGHBORHOODS ON THE SOUTH SIDE OF CHICAGO.

4D (Expenses $ 0 including grants of $ 0) (Revenue $ 3543171)
THE ORGANIZATION RECEIVES OTHER PROGRAM SERVICE REVENUE RELATED TO ANESTHESIA, DENTAL AND ORTHO SERVICES, THE RENTAL OF SPACE FOR ITS PHYSICIANS, AS WELL AS OTHER REVENUE FROM MAINTENANCE AND MEDICAL RECORDS.

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

Schedule H, Part V, Section B, Line 3E
THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY ARE IDENTIFIED AND PRIORITIZED THROUGH THE CHNA.

Schedule H, Part V, Section B, Line 5 Facility , 1
Facility , 1 - St. Bernard Hospital. To provide oversight of the CHNA process, St. Bernard Hospital convened a CHNA Advisory Committee comprising ten individuals that represented a blend of internal and external stakeholders. The CHNA Advisory Committee informed the CHNA, ensuring that the assessment process reflected the values and needs of St. Bernard Hospital and the broader community served by St. Bernard Hospital. St. Bernard Hospital also conducted Focus Groups with residents in STBH's service area. The focus groups included a total of 12 community stakeholders. The STBH CHNA Advisory Committee selected and recruited participants with the goal of achieving a diverse cross-section of the community, including representation of seniors, communities of color, and low-income community members. While no group this size can represent the experience or perspectives of the whole community, the participants reflected a broad array of sectors, ages, and lived experiences. In addition to residents, participants had the following affiliations: Resident Association of Greater Englewood (R.A.G.E.) * The Primo Center * Beloved Community Family Wellness Center * Imagine Englewood If... * Grow Greater Chicago *7th District Chicago Police Department * Greater Englewood Chamber of Commerce * Growing Home * Oak Street Health * Heartland Alliance Health Center * STBH staff and patients

Schedule H, Part V, Section B, Line 6b Facility , 1
Facility , 1 - St. Bernard Hospital. St. Bernard Hospital worked with the Sinai Urban Health Institute (SUHI) to develop this CHNA. SUHI is the community research arm of Sinai Chicago, a safety-net hospital system on the city's West Side. SUHI employs community-driven processes to identify and address health needs in Chicago communities. SUHI staff members, including CHNA authors, Myles Castro, Stephanie Jara, Lubia Nunez-Montelongo, and Pamela Roesch provided public health expertise in data collection, analysis, and interpretation.

Schedule H, Part V, Section B, Line 11 Facility , 1
Facility , 1 - St. Bernard Hospital. Each year, St. Bernard Hospital prepares a Community Benefit Plan Annual Report which describes the current activities directed toward the significant needs identified in its CHNA. The 2021 Report provides details related to the Hospital's response to identified needs, especially the top priority needs.

Supplemental Information

Schedule H (Form 990) Part VI

Schedule H, Part V, Section B, Line 20a Explanation
St. Bernard Hospital does not engage in any Extraordinary Collection Actions.

Schedule H, Part V, Section B, Line 9 Current Year CHNA
The Community Health Needs Assessment (CHNA) was completed and approved by the Hospital Board of directors on November 15, 2021. The Implementation strategy was developed by members of the Hospital staff and the CHNA Advisory Committee and was completed and approved by the Hospital Board of Directors on February 21, 2022. Please refer to the current Implementation Strategy for more information on how the Hospital is addressing the significant needs addressed in its most recently conducted CHNA. https://stbh.wpenginepowered.com/wp-content/uploads/2021-Community-Health-Needs-Assessment-Implementation-Plan.pdf

Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount
The Hospital uses historical bad debt percentages by payer type to estimate bad debt expense.

Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
Reference the financial statements footnote provided on page 10

Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs
THE ENTIRE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. CARING FOR MEDICARE PATIENTS FULFILLS A COMMUNITY NEED AND RELIEVES A GOVERNMENT BURDEN. Ratio of Cost to charge to total charges by Payer.

Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance
Of the nearly 75,000 patients seen annually at St. Bernard Hospital, approximately 66% of them receive Medicaid as coverage for their health care services. Another 12% are on Medicare; 17% receive charity care for which no bill is generated, and 5% 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 under insured 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 write off 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.

Schedule H, Part V, Section B, Line 16a FAP website
- St. Bernard Hospital: Line 16a URL: https://www.stbh.org/patients/financial-services/;

Schedule H, Part V, Section B, Line 16b FAP Application website
- St. Bernard Hospital: Line 16b URL: https://www.stbh.org/patients/financial-services/;

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
- St. Bernard Hospital: Line 16c URL: https://www.stbh.org/patients/financial-services/;

Schedule H, Part VI, Line 2 Needs assessment
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 2021. 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.

Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
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.

Schedule H, Part VI, Line 4 Community information
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. 60% of the patients the hospital serves are on Medicaid, while 5% are self-pay, and 23% qualify for charity care, 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.

Schedule H, Part VI, Line 7 State filing of community benefit report
IL

Schedule H, Part VI, Line 5 Promotion of community health
St. Bernard Hospital is a 174-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 over one hundred 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 174 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, looks to St. Bernard Hospital as an institutional anchor. It is the community's single largest employer, employing nearly 800 people. Over 45% of its employees live in the Hospital's primary and secondary service area. The majority of it's Board of Trustee members live in its primary or secondary service area. It maintains an open medical staff of approximately 150 members and extends medical staff privileges to all qualified physicians in its community for all specialties. 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 nearly 75,000 patients seen at St. Bernard Hospital each year, close to 72% receive Medicaid or Medicare as coverage for their health care. The hospital provided more than $7.6 million in charity care charges in 2021, or 4.6% of total patient revenue. Community outreach 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.

Operating expenses	$ 109,453,282
Total amount spent on community benefits as % of operating expenses	$ 16,702,828 15.26 %