SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public Inspection
Name of the organization
ST BERNARDS COMMUNITY HOSPITAL
 
Employer identification number

71-0835247
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		  1,645 357,613   357,613 2.340 %
b Medicaid (from Worksheet 3, column a) . . . . .     4,614,756 5,010,997    
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .   1,645 4,972,369 5,010,997 357,613 2.340 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4). 6 27,302 64,518   64,518 0.420 %
f Health professions education (from Worksheet 5) . . .            
g Subsidized health services (from Worksheet 6) . . . .     1,697,007 1,320,016 376,991 2.460 %
h Research (from Worksheet 7) .            
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . . 2 38,307 74,083   74,083 0.550 %
j Total. Other Benefits . . 8 65,609 1,835,608 1,320,016 515,592 3.430 %
k Total. Add lines 7d and 7j . 8 67,254 6,807,977 6,331,013 873,205 5.770 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support 1 270 2,246   2,246 0.100 %
4 Environmental improvements            
5 Leadership development and
training for community members		            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total 1 270 2,246   2,246 0.100 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
0
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
0
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
4,614,756
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
5,010,997
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-396,241
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 ST BERNARDS COMMUNITY HOSPITAL
PO BOX 590
WYNNE,AR72396
WWW.STBERNARDS.INFO
AR4063 		X X     X   X      
Schedule H (Form 990) 2020
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Schedule H (Form 990) 2020
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Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
ST BERNARDS COMMUNITY HOSPITAL
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 18
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10   No
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2020
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Schedule H (Form 990) 2020
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Part VFacility Information (continued)

Financial Assistance Policy (FAP)
ST BERNARDS COMMUNITY HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
WWW.STBERNARDS.INFO
b
WWW.STBERNARDS.INFO
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
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Schedule H (Form 990) 2020
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Part VFacility Information (continued)

Billing and Collections
ST BERNARDS COMMUNITY HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2020
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Schedule H (Form 990) 2020
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Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
ST BERNARDS COMMUNITY HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2020
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Schedule H (Form 990) 2020
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Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 5 THE COMMUNITY HEALTH NEEDS ASSESSMENT TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THE CROSS COUNTY HEALTH DEPARTMENT DIRECTOR, AS WELL AS INDIVIDUALS WHO ARE KNOWLEDGEABLE ABOUT POPULATIONS WITHIN THE COMMNITY WHOSE HEALTH AND QUALITY OF LIFE MAY NOT BE AS GOOD AS OTHERS, SUCH AS REPRESENTATIVES OF ORGANIZATIONS SERVING THE POOR. ADDITIONAL COMMUNITY STAKEHOLDERS, SUCH AS LOCAL GOVERNMENT AND BUSINESS LEADERS WERE ALSO INTERVIEWED. DIALOUGES WITH KEY MEMBERS WERE CONDUCTED FROM MAY 2019, THROUGH AUGUST 2019. ALL INTERVIEWS WERE CONDUCTED BY HOSPITAL PERSONNEL USING A STANDARD QUESTIONNAIRE.
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 11 ALTHOUGH CROSSRIDGE COMMUNITY HOSPITAL (CRCH) RECOGNIZES THE IMPORTANCE OF ALL THE NEEDS IDENTIFIED BY THE COMMUNITY, CRCH WILL NOT DIRECTLY DESIGN STRATEGIES FOR ALL THESE NEEDS IN THE IMPLEMENTATION PLAN. PRIORITY WAS GIVEN TO THE FIVE TOP IDENTIFIED NEEDS AS WELL AS THE HEALTH NEEDS IN WHICH THE MEDICAL CENTER IS MOST CAPABLE OF DIRECTLY INFLUENCING. SEE THE ATTACHED IMPLEMENTATION STRATEGY FOR A MORE DETAILED APPROACH. THE TOP FIVE SIGNIFICANT NEEDS IDENTIFIED IN THE MOST RECENT CHNA CONDUCTED ARE: 1. OBESITY: THE HOSPITAL WILL CONTINUE TO PROVIDE A VARIETY OF FREE COMMUNITY HEALTH SCREENINGS. EDUCATION SESSIONS WILL BE PROVIDED TO HELP EDUCATE PARTICIPANTS ON WAYS TO SELF-MANAGE CHRONIC ILLNESS WHICH INCLUDES EXERCISE REHABILITATION. EXERCISE CLASSES WITH CERTIFIED PERSONAL TRAINER OFFERED TO TREAT AND PREVENT OBESITY. 2. DIABETES: THE HOSPITAL PROVIDES FREE SCREENINGS TO PROVIDE A MEANS OF EARLY DETECTION. FREE CERTIFIED PERSONAL TRAINER PROVIDED TO DIABETICS IN CROSS COUNTY TO EXERCISE 3 TIMES PER WEEK TO HELP CONTROL DIABETES. FREE MEDICINE ASSISTANCE PROGRAM IS OFFERED TO HELP DIABETICS WHO HAVE NO HEALTH INSURANCE OR ARE UNDERINSURED WHERE THEY RECEIVE MEDICINE AND SUPPLIES AT REDUCED COSTS TO ASSIST IN DISEASE MANAGEMENT. 3. HEART DISEASE: CPR AND AED EDUCATION WILL BE AVAILABLE TO THE COMMUNITY. FREE HEALTH SCREENINGS ARE MADE AVAILABLE TO SCREEN CHOLESTEROL, BLOOD PRESSURE, DIABETES, WEIGHT, BMI AND HEALTH COUNSELING IS PROVIDED BY A CERTIFIED HEALTH EDUCATION SPECIALIST. HEART ATTACK TREATMENT PROGRAM PROVIDES EDUCATION TO THE COMMUNITY ON SIGNS AND SYMPTOMS OF A HEART ATTACK. CROSSRIDGE CARDIAC AND PULMONARY REHABILITATION PROVIDES EDUCATIONAL AND OUTPATIENT CARDIAC REHAB SERVICES FOR CARDIAC, PULMONARY, AND DIABETIC PATIENTS. 4. CANCER: $99 MAMMOGRAMS ARE OFFERED THROUGHOUT THE MONTH OF OCTOBER AND FREE MAMMOGRAMS THROUGHOUT THE YEAR TO THOSE THAT QUALIFY. BREAST CANCER AWARENESS LUNCHEON EACH YEAR TO PROMOTE THE IMPORTANCE OF BREAST HEALTH. FREE ANNUAL PROSTATE HEALTH SCREENINGS TO MEN IN CROSS COUNTY. 5. STROKE: TELEMEDICINE ACCESS TO NEUROSURGEONS 24/7 ENSURE THAT STROKE VICTIMS ARE TREATED APPROPRIATELY AND IN A TIMELY MANNER. PROVIDE STROKE EDUCATION TO ALL AGES OF THE LOCAL COMMUNITY REGARDING EARLY DETECTION OF STROKE SYMPTOMS AT LEAST TWICE PER MONTH. FREE HEALTH SCREENINGS AND EDUCATION REGARDING STROKE PREVENTION.
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 13B THE ONLY EXCEPTION IS IF THE PATIENT HAS BEEN APPROVED BY ST. BERNARDS FOR FINANCIAL ASSISTANCE; IN WHICH CASE, CRCH AUTOMATICALLY ACCEPTS THE PATIENT AS ELIGIBLE FOR ASSISTANCE.
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 16J CRCH BUSINESS OFFICE MAILS OUT COPIES OF THE FINANCIAL ASSISTANCE POLICY TO SELF PAY ACCOUNTS THAT MAINTAIN A CONSIDERABLE BALANCE AFTER A PERIOD OF TIME.
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 20E THE HOSPITAL WILL MAKE ATTEMPTS TO CONTACT THE PATIENT PRIOR TO PLACING ANY ACCOUNTS WITH COLLECTIONS. (PHONE CALLS, STATEMENTS/LETTERS)
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2020
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Schedule H (Form 990) 2020
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?1
Name and address Type of Facility (describe)
1 CROSSRIDGE COMM HOSPITAL HOME HEALTH
732 ELDRIDGE AVE
WYNNE,AR72396 		HOME HEALTH AGENCY
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2020
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Schedule H (Form 990) 2020
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
FORM 990, SCHEDULE H, PART I, LINE 7 THE AMOUNTS REPORTED ON LINE 7A AND 7B WERE CALCULATED USING THE COST TO CHARGE RATIO, CALCULATED USING WORKSHEET 2.
FORM 990, SCHEDULE H, PART II THE HOSPITAL'S INVOLVEMENT IN COMMUNITY BUILDING ACTIVITIES HELP PROMOTE THE HEALTH OF THE COMMUNITIES IT SERVES BY BRINGING AWARENESS OF HEALTH ISSUES WHILE SUPPORTING THE COMMUNITY.
FORM 990, SCHEDULE H, PART III, LINE 4 SEE FOOTNOTE 2 IN ATTACHED AUDITED FINANCIAL STATEMENTS.
FORM 990, SCHEDULE H, PART III, LINE 8 THE AMOUNTS WERE PULLED FROM THE MOST RECENT "AS FILED" MEDICARE COST REPORT. THE HOSPITAL FOLLOWS CHA COMMUNITY BENEFIT GUIDELINES AND DOES NOT COUNT MEDICARE SHORTFALL AS COMMUNITY BENEFIT.
FORM 990, SCHEDULE H, PART III, LINE 9B AFTER ALL REASONABLE EFFORTS ARE MADE TO DETERMINE WHETHER INDIVIDUALS ARE ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY, ACCOUNTS WHICH ARE DEEMED UNCOLLECTIBLE ARE REFERRED TO AN OUTSIDE AGENCY FOR COLLECTING. AN ACCOUNT IS CONSIDERED UNCOLLECTIBLE WHEN THE GUARANTOR HAS HAD SUFFICIENT NOTICE AND TIME TO PAY A BILL OR MAKE ARRANGEMENTS TO PAY A BILL, BUT HAS FAILED TO DO SO. MEDICARE BAD DEBT IS DEFINED ACCORDING TO CENTERS FOR MEDICARE AND MEDICAID SERVICES GUIDELINES.
FORM 990, SCHEDULE H, PART VI, LINE 2 CROSSRIDGE COMMUNITY HOSPITAL WAS FOUNDED IN 1952 AND OPENED AS A 54 BED RURAL HOSPITAL OPERATED BY CROSS COUNTY. CURRENTLY, CROSSRIDGE COMMUNITY HOSPITAL IS A 25 BED CRITICAL ACCESS HOSPITAL LOCATED IN WYNNE, ARKANSAS. IN JULY 1999, ST. BERNARDS HEALTHCARE OF JONESBORO, ARKANSAS SIGNED AN AGREEMENT TO LEASE THE FACILITY AND TAKE OVER THE HOSPITAL OPERATIONS. ST. BERNARDS MANAGEMENT HAS ALLOWED THE HOSPITAL TO UPDATE VIRTUALLY ALL OF ITS EQUIPMENT AND THE FACILITY ITSELF HAS BEEN SUBSTANTIALLY IMPROVED. CROSSRIDGE HAS ALSO BENEFITED FROM EXTREMELY STRONG COMMUNITY SUPPORT AS EVIDENCED BY THE PASSAGE OF A ONE-CENT SALES TAX IN 2000 WITH SUBSEQUENT PASSAGE IN 2004, 2008, AND 2012. CROSS COUNTY IS CONSIDERED A HPSA AND A MEDICALLY UNDERSERVED AREA. THE HEALTH PROVIDERS ARE AS FOLLOWS: 1. CROSSRIDGE COMMUNITY HOSPITAL- A 25 BED CRITICAL ACCESS HOSPITAL LOCATED IN WYNNE 2. WYNNE MEDICAL CLINIC (6 PRIMARY CARE PHYSICIANS) 3. JACOBS CLINIC (1 PRIMARY CARE PHYSICIAN) 4. ARCARE RURAL HEALTH - WYNNE (FQHC) 5. ARCARE RURAL HEALTH - PARKIN (FQHC) 6. ARCARE RURAL HEALTH - CHERRY VALLEY (FQHC) 7. CROSS COUNTY HEALTH DEPARTMENT 8. EAST ARKANSAS COUNSELING SERVICES (MENTAL HEALTH FACILITY) CURRENTLY, THERE ARE SIX PHYSICIANS ON THE ACTIVE MEDICAL STAFF AT CROSSRIDGE THERE ARE THREE COMMUNITY HEALTH CENTERS LOCATED IN WYNNE, PARKIN, AND CHERRY VALLEY. CROSSRIDGE COMMUNITY HOSPITAL ALSO HOUSES 10-12 SPECIALTY CLINICS THAT ARE AVAILABLE TO THE RESIDENTS OF CROSS COUNTY AND ASSIST IN MAKING HEALTHCARE MORE ACCESSIBLE AND AFFORDABLE.
FORM 990, SCHEDULE H, PART VI, LINE 3 ALL REGISTRATION AREAS HAVE OUR FINANCIAL ASSISTANCE NOTICE EITHER ON THE REGISTRATION DESK, ON THE WALL AT REGISTRATION OR IN A DISPLAY CASE IN REGISTRATION. UPON REGISTRATION, IF REGISTERED SELF PAY, A FINANCIAL APPLICATION AUTOMATICALLY PRINTS AND IS GIVEN TO THE PATIENT. GENERAL ADMISSIONS ALSO HAS OUR APPLICATIONS ALONG WITH OUR ENVELOPES DISPLAYED AT THE DESK FOR ANYONE TO PICK UP. INFORMATION AND TELEPHONE NUMBERS ARE ON THE BACK OF ALL OUR STATMENTS AND LETTERS THAT GO OUT TO PATIENTS. SOCIAL SERVICES LOOKS AT INPATIENTS THAT ARE SELF PAY AND CONTACTS THE PATIENT TO SEE IF THEY WOULD BE ELIGIBLE FOR MEDICAID, CHARITY, OR ANY OTHER ASSISTANCE. OUR FINANCIAL ASSISTANCE APPLICATION AND PHONE NUMBER ARE ALSO AVAILABLE ON OUR WEB SITE WWW.STBERNARDS.INFO AND FINANCIAL ASSISTANCE INFORMATION IS PRINTED ON EACH MAILED TO PATIENTS.
FORM 990, SCHEDULE H, PART VI, LINE 4 THE VAST MAJORITY OF PATIENTS THAT IT SERVES LIVE IN CROSS COUNTY IN NORTHEASTERN ARKANSAS. THE COMMUNITIES IN CROSS COUNTY THAT ARE SERVED BY CROSSRIDGE INCLUDE WYNNE, CHERRY VALLEY, HICKORY RIDGE, AND PARKIN. ACCORDING TO 2018 PROJECTIONS BASED ON THE MOST RECENT U.S. CENSUS BUREAU ESTIMATES, ABOUT 17,000 PEOPLE LIVE IN CROSS COUNTY. APPROXIMATELY 17% OF CROSS COUNTY'S POPULATION CONSISTS OF PEOPLE OVER THE AGE OF 65. IN THE MOST RECENTLY CONDUCTED CHNA, THE AVERAGE MEDIAN HOUSEHOLD INCOME IN THE HOSPITAL'S COMMUNITY WAS $41,081 WHILE ARKANSAS' AVERAGE WAS $43,813. LOWER THAN AVERAGE HOUSEHOLD INCOME SUGGESTS THAT MANY MEMBERS OF THE COMMUNITY MAY HAVE DIFFICULTY OBTAINING HEALTH CARE, ESPECIALLY PREVENTATIVE CARE. HOWEVER, THE LEVELS OF POVERTY ARE NOT MUCH DIFFERENT FROM THE RATES IN THE STATE OF ARKANSAS AND THE UNITED STATES. APPROXIMATELY 20% OF THE POPULATION AGE 25 OR OLDER DOES NOT HAVE A HIGH SCHOOL DIPOLOMA, COMPARED TO ABOUT 13% IN THE COUNTRY AS A WHOLE. LOWER LEVELS OF EDUCATION HAVE BEEN LINKED TO NEGATIVE HEALTH OUTCOMES, SO THE EDUCATIONAL ATTAINMENT OF THE COMMUNITY IS RELEVANT TO THE CONSIDERATION OF THE HEALTH NEEDS OF THE COMMUNITY. THESE HARSH DEMOGRAPHICS, COMBINED WITH POOR HEALTH STATISTICS, MAKE THE NEED FOR HEALTH PROMOTION ACTIVITIES IN THE COMMUNITY HIGH PRIORITY.
FORM 990, SCHEDULE H, PART VI, LINE 5 CROSSRIDGE HAS RESPONDED TO THE FINDINGS OF THE NEEDS ASSESSMENTS BY PROVIDING SEVERAL HEALTH PROMOTION ACTIVITIES TO AID IN REDUCING HEALTH DISPARITIES. FIRST, EVERY FEBRUARY IS HEART HEALTH MONTH AND CROSSRIDGE PROVIDES FREE LIPID PANELS, BLOOD PRESSURE, AND GLUCOSE SCREENINGS IN WYNNE AND THE THREE SURROUNDING COMMUNITIES IN CROSS COUNTY.PARTICIPANTS ARE ALSO PROVIDED WITH A ONE-ON-ONE HEALTH EDUCATION SESSION WITH A CERTIFIED HEALTH EDUCATION SPECIALIST AND ARE REFERRED IF BLOOD RESULTS ARE OUT OF THE NORMAL RANGE. APPROXIMATELY 500 CROSS COUNTY RESIDENTS ARE SERVED ANNUALLY. SECOND, CROSSRIDGE HAS DEVELOPED A DIABETES EDUCATION PROGRAM TO EDUCATE NEWLY DIAGNOSED AND POORLY CONTROLLED DIABETES PATIENTS WHEN THEY ARE REFERRED BY A PHYSICIAN. THE DIABETES PROGRAM ALSO OFFERS A NUTRITION AND EXERCISE COMPONENT THAT ALLOW DIABETES PATIENTS TO LEARN ABOUT DIET AND TO PARTICIPATE IN AN EXERCISE PROGRAM THREE DAYS PER WEEK WITH A CERTIFIED PERSONAL TRAINER. THIRD, IN RESPONSE TO THE HIGH RATES OF BREAST CANCER MORTALITY, CROSSRIDGE RECEIVES FUNDING FROM THE SUSAN G. KOMEN FOUNDATION TO PROVIDE $75 MAMMOGRAMS TO ALL WOMEN WHO HAVE A MAMMOGRAM DURING THE MONTH OF OCTOBER. THIS REPRESENTS ALMOST $200 IN SAVINGS FROM THE NORMAL COST. CROSSRIDGE ALSO SPONSORS A BREAST CANCER AWARENESS LUNCHEON DURING THE MONTH OF OCTOBER TO REMIND CROSS COUNTY WOMEN OF THE NEED TO BE PROACTIVE IN THEIR BREAST HEALTH PRACTICES. LASTLY, IN RESPONSE TO THE POVERTY THAT IS PLAGUING CROSS COUNTY RESIDENTS, CROSSRIDGE OFFERS A MEDICINE ASSISTANCE PROGRAM TO ASSIST PATIENTS WITH NO PRESCRIPTION DRUG COVERAGE WITH THE COST AND AVAILABILITY OF THEIR MEDICATIONS. THE PROGRAM SAVES PARTICIPANTS IN EXCESS OF $50,000 PER MONTH ON THEIR OUT OF POCKET PRESCRIPTION COSTS. THE ABOVE ARE A FEW EXAMPLES OF CROSSRIDGE COMMUNITY HOSPITAL'S ABILITY TO ASSESS THE NEEDS OF OUR COMMUNITY AND PROVIDE SERVICES TO ADDRESS THOSE DOCUMENTED NEEDS.
FORM 990, SCHEDULE H, PART VI, LINE 6 SBHC SYSTEM FOCUSES ITS ENERGIES AND RESOURCES ON PARTNERSHIPS THAT HAVE THE GREATEST POTENTIAL FOR A POSITIVE IMPROVEMENT IN THE HEALTH AND QUALITY OF LIFE FOR INDIVIDUALS AND COMMUNITIES. AREAS WHERE CONSIDERABLE ACTIVITY IS EXPENDED INCLUDE: - COMMUNITY HEALTH EDUCATION, PREVENTION, EARLY DETECTION, AND INTERVENTION ACTIVITIES THAT WOULD REDUCE THE INCIDENCE AND SERIOUSNESS OF ILLNESS, THEREBY MINIMIZING THE NEED FOR PREVENTABLE AND EXPENSIVE MEDICAL INTERVENTIONS. - CHRONIC DISEASE MANAGEMENT ACTIVITIES, WHICH, WHEN DONE EFFECTIVELY, MINIMIZE THE NEED FOR MEDICAL INTERVENTIONS. - PROACTIVE HEALTH GRANT PROGRAMS THAT FUND COMMUNITY BASED HEALTH PROGRAMS AND INITIATIVES. - INCREASING ACCESS TO HEALTH COVERAGE FOR ELIGIBLE RESIDENTS IN PROGRAMS SUCH AS AR KIDS FIRST. - INCREASING ACCESS TO HEALTHCARE SERVICES FOR THOSE IN NEED REGARDLESS OF ABILITY TO PAY. - COLLABORATIVE PARTNERSHIPS THAT SUPPORT THE PURPOSE OF INCREASING INDIVIDUAL AND COMMUNITY CAPACITY TO ACHIEVE THE HEALTHY COMMUNITY VISION. - HEALTH RESEARCH, EDUCATION AND TRAINING PROGRAMS. - DONATIONS OF FOOD, SURPLUS EQUIPMENT AND STAFF TIME TO ORGANIZATIONS ADDRESSING THE HEALTH NEEDS OF THE COMMUNITY. - PARTNERSHIPS WHICH MOTIVATE RESIDENTS TO GIVE BACK TO THEIR COMMUNITIES TO MOVE THE COMMUNITY CLOSER TO THE HEALTHY COMMUNITY VISION.
Schedule H (Form 990) 2020
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