ST DOMINIC-JACKSON MEMORIAL HOSPITAL: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: ST DOMINIC-JACKSON MEMORIAL HOSPITAL (EIN 64-0303091)
Tax period: 2023-07-01 to 2024-06-30
Filed: 2025-05-15
IRS object ID: 202511359349310286
Schema version: 2023v6.0
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 I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-05-15T14:48:05-05:00	ReturnTs
Tax Period End	2024-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	135565207	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	301 MAIN STREET SUITE 2150	AddressLine1Txt
City	BATON ROUGE	CityNm
State Abbreviation	LA	StateAbbreviationCd
ZIP	70801	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	640303091	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST DOMINIC - JACKSON MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	STDO	BusinessNameControlTxt
Phone	6012006570	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	969 LAKELAND DRIVE	AddressLine1Txt
City	JACKSON	CityNm
State Abbreviation	MS	StateAbbreviationCd
ZIP	392164699	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	SAM SCOTT	PersonNm
Person Title	TREASURER	PersonTitleTxt
Phone	6012006570	PhoneNum
Signature	2025-05-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	RYAN HOOKS	PreparerPersonNm
PTIN	P00746825	PTIN
Phone	2253444000	PhoneNum
Preparation	2025-05-14	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	SAM SCOTT	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	969 LAKELAND DRIVE	AddressLine1Txt
City	JACKSON	CityNm
State Abbreviation	MS	StateAbbreviationCd
ZIP	392164699	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$632,286,026	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.STDOM.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1946	FormationYr
Legal Domicile State	MS	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE FOR THE CARE OF THE ILL, INJURED, OR DISABLED PERSONS, AND TO PROVIDE FOR RESEARCH, EDUCATION, AND FOR THE ENHANCEMENT OF HEALTH OF THOSE IN THE COMMUNITY.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	3646	TotalEmployeeCnt
Total Volunteers	127	TotalVolunteersCnt
Total Gross UBI	$744,422	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$7,167,444	PYContributionsGrantsAmt
CY Contributions Grants	$5,887,832	CYContributionsGrantsAmt
PY Program Service Revenue	$530,787,522	PYProgramServiceRevenueAmt
CY Program Service Revenue	$571,485,465	CYProgramServiceRevenueAmt
PY Investment Income	$2,940,635	PYInvestmentIncomeAmt
CY Investment Income	$4,935,860	CYInvestmentIncomeAmt
PY Other Revenue	$4,720,867	PYOtherRevenueAmt
CY Other Revenue	$14,594,470	CYOtherRevenueAmt
PY Total Revenue	$545,616,468	PYTotalRevenueAmt
CY Total Revenue	$596,903,627	CYTotalRevenueAmt
PY Grants And Similar Paid	$526,950	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$374,475	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$265,022,579	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$234,930,911	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$371,660,584	PYOtherExpensesAmt
CY Other Expenses	$345,926,188	CYOtherExpensesAmt
PY Total Expenses	$637,210,113	PYTotalExpensesAmt
CY Total Expenses	$581,231,574	CYTotalExpensesAmt
PY Revenues Less Expenses	-$91,593,645	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$15,672,053	CYRevenuesLessExpensesAmt
Total Assets BOY	$403,117,319	TotalAssetsBOYAmt
Total Assets EOY	$567,488,528	TotalAssetsEOYAmt
Total Liabilities BOY	$293,375,103	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$281,525,687	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$109,742,216	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$285,962,841	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	INSPIRED BY THE VISION OF ST. FRANCIS OF ASSISI AND IN THE TRADITION OF THE ROMAN CATHOLIC CHURCH, WE EXTEND THE HEALING MINISTRY OF JESUS CHRIST TO GOD'S PEOPLE, ESPECIALLY THOSE MOST IN NEED. WE CALL FORTH ALL WHO SERVE IN THIS HEALTHCARE MINISTRY, TO SHARE THEIR GIFTS AND TALENTS TO CREATE A SPIRIT OF HEALING - WITH REVERENCE AND LOVE FOR ALL OF LIFE, WITH JOYFULNESS OF SPIRIT, AND WITH HUMILITY AND JUSTICE FOR ALL THOSE ENTRUSTED TO OUR CARE. WE ARE, WITH GOD'S HELP, A HEALING AND SPIRITUAL PRESENCE FOR EACH OTHER AND FOR THE COMMUNITIES WE ARE PRIVILEGED TO SERVE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$463,227,158	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$572,884,067	RevenueAmt
Desc	THE ST. DOMINIC - JACKSON MEMORIAL HOSPITAL PROVIDES QUALITY HOSPITAL AND MEDICAL SERVICES TO ITS PATIENTS. IN THE CURRENT YEAR, SERVICES WERE PROVIDED FOR 111,687 PATIENT DAYS, 46,324 EMERGENCY ROOM VISITS AND 18,941 INPATIENT DISCHARGES. THE MEDICAL CENTER IS AN ACTIVE, CARING MEMBER OF THE COMMUNITIES IT SERVES. IN CARRYING OUT ITS MISSION, THE MEDICAL CENTER HAS ESTABLISHED A POLICY UNDER WHICH IT PROVIDES CARE TO NEEDY MEMBERS OF ITS COMMUNITIES. ADDITIONAL COSTS WERE INCURRED FOR PARTICIPATION IN PROGRAMS WHICH, IN SOME CASES, PAY AMOUNTS LESS THAN THE COST OF PROVIDING SERVICES.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$374,475	ExpenseAmt
Grant	$374,475	GrantAmt
Revenue	$0	RevenueAmt
Desc	THE HOSPITAL SERVES THE COMMUNITY IN NUMEROUS WAYS. SOME EXAMPLES INCLUDE ASSISTING IN EDUCATING THE COMMUNITY REGARDING HEALTH-RELATED ISSUES.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$463,601,633	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	3646	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	0	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SAM SCOTT	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6012006570	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	969 LAKELAND DRIVE	AddressLine1Txt
City	JACKSON	CityNm
State Abbreviation	MS	StateAbbreviationCd
ZIP	392164699	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
BISHOP JOSEPH KOPACZ
BOARD MEMBER	1.00	1.00	Yes (X)	$0	$0	$0
BRYAN MILLER MD
BOARD MEMBER/FMOLHS VP, CCTO	0.75	40.00	Yes (X)	$0	$563,689	$45,944
DAVID CARROLL MD
BOARD MEMBER	0.75	5.00	Yes (X)	$0	$38,740	$0
EJ KUIPER
FMOLHS PRESIDENT & CEO FROM 5/24	1.00	50.00	Yes (X)	$0	$0	$0
JEFF FLETCHER
CHAIR	0.75	0.00	Yes (X)	$0	$0	$0	Yes (X)
JEREMY TINNERELLO
ST DOM MARKET PRESIDENT	1.50	40.00	Yes (X)	$0	$117,252	$267	Yes (X)
JOHNNY DONALDSON
VICE CHAIR	0.75	0.00	Yes (X)	$0	$0	$0	Yes (X)
KRISTIN WOLKART
INTERIM MARKET PRESIDENT (THRU 11/23)	0.75	42.00	Yes (X)	$0	$740,802	$117,217	Yes (X)
MARCELO RUVINSKY MD
BOARD MEMBER	1.00	1.00	Yes (X)	$0	$0	$0
REBEKAH MOULDER MD
BOARD MEMBER/PHYSICIAN	40.00	0.00	Yes (X)	$758,400	$0	$19,664
RICK GUYNES MD
BOARD MEMBER	1.00	0.00	Yes (X)	$0	$0	$0
SCOTT KASHMAN
MARKET PRESIDENT THRU 7/23	2.50	40.00	Yes (X)	$0	$295,199	$16,104	Yes (X)
SISTER DOROTHEA SONDGEROTH OP
BOARD MEMBER	0.75	41.50	Yes (X)	$0	$0	$0
SISTER KARINA DICKEY OP
BOARD MEMBER	0.75	0.00	Yes (X)	$0	$0	$0
SISTER M TRINITA EDDINGTON OP
SECRETARY	0.75	40.50	Yes (X)	$0	$0	$0	Yes (X)
STEWART GENTRY
BOARD MEMBER	0.75	1.00	Yes (X)	$0	$0	$0
SAMUEL SCOTT
SVP, CFO	0.75	41.50		$0	$434,391	$33,974	Yes (X)
THU PHAN
VP COO	0.00	40.00		$0	$356,031	$10,489		Yes (X)
DAVID ESTORGE
VP COO	40.00	0.00		$340,551	$0	$43,577		Yes (X)
TRACEY SMITHSON
CNO	40.00	0.00		$241,022	$0	$16,073		Yes (X)
BRYAN A GASPARD
PHYSICIAN	40.00	0.00		$1,196,392	$0	$43,396			Yes (X)
DAVID THEODORO
PHYSICIAN	40.00	0.00		$1,251,704	$0	$36,347			Yes (X)
JOHN LANCON
PHYSICIAN	40.00	0.00		$1,246,071	$0	$45,506			Yes (X)
PB KERR
PHYSICIAN	40.00	0.00		$1,200,201	$0	$42,756			Yes (X)
RUTH FREDERICKS
PHYSICIAN	40.00	0.00		$947,710	$0	$26,772			Yes (X)
ROBERT NELSON
VP CHIEF NURSING OFFICER	0.00	0.00		$151,043	$0	$0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,333,094	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,546,104	TotReportableCompRltdOrgAmt
Total Other Compensation	$498,086	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	454	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
TRIMEDX INC
PO BOX 636129	CINCINNATI	OH	45263	BIOMED SERVICES	$9,155,226
PHYSICIANS ANESTHESIA GROUP PA
PO BOX 3749	JACKSON	MS	39207	PROFESSIONAL SERVICES	$6,634,654
JACKSON HEART CLINIC PA
PO BOX 5169	JACKSON	MS	39296	PROFESSIONAL FEE SERVICES	$3,779,650
RELIAS EMERGENCY MEDICINE SPECIALISTS OF
PO BOX 31037	CHARLOTTE	NC	28231	REVENUE CYCLE SERVICES	$2,869,244
FRESENIUS MEDICAL CAREBIO-MEDICAL APPLI
16343 COLLECTIONS CTR DR	CHICAGO	IL	60622	PROFESSIONAL FEE SERVICES	$2,680,669

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	97	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,913,655	RelatedOrganizationsAmt
Government Grants	$1,000,000	GovernmentGrantsAmt
All Other Contributions	$2,974,177	AllOtherContributionsAmt
Total Contributions	$5,887,832	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PATIENT SERVICE REVENU	621990	$560,364,464	$560,364,464
INCOME FROM EQUITY INV	900099	$4,905,725	$4,905,725
OTHER PROGRAM SERVICE	621990	$3,380,620	$2,676,198	$704,422
CAFETERIA	722514	$2,301,852			$2,301,852
LAB	621990	$559,601	$559,601

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$26,797	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$141,401	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$40,000	UnrelatedBusinessRevenueAmt
Exclusion	$74,604	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$571,485,465	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,012,841	TotalRevenueColumnAmt
Exclusion	$5,012,841	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$5,169,265	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$5,169,265	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,169,265	TotalRevenueColumnAmt
Exclusion	$5,169,265	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$35,305,418	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$35,382,399	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$76,981	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$76,981	TotalRevenueColumnAmt
Exclusion	-$76,981	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	PENSION RELATED CHANGE	Desc
Business	900099	BusinessCd
Total Revenue Column	$9,425,205	TotalRevenueColumnAmt
Related Or Exempt Func Income	$9,425,205	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$9,425,205	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$596,903,627	TotalRevenueColumnAmt
Related Or Exempt Func Income	$577,789,792	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$744,422	UnrelatedBusinessRevenueAmt
Exclusion	$12,481,581	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$374,475	TotalAmt
Program Services	$374,475	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,339,972	TotalAmt
Program Services	$1,274,752	ProgramServicesAmt
Management And General	$65,220	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$194,505,730	TotalAmt
Program Services	$185,038,560	ProgramServicesAmt
Management And General	$9,467,170	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$11,519,072	TotalAmt
Program Services	$10,920,502	ProgramServicesAmt
Management And General	$598,570	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$14,698,850	TotalAmt
Program Services	$13,936,989	ProgramServicesAmt
Management And General	$761,861	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$12,867,287	TotalAmt
Program Services	$12,198,659	ProgramServicesAmt
Management And General	$668,628	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$92,551,737	TotalAmt
Program Services	$52,184,773	ProgramServicesAmt
Management And General	$40,366,964	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$536,420	TotalAmt
Program Services	$53,003	ProgramServicesAmt
Management And General	$483,417	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$54,040	TotalAmt
Program Services	$5,340	ProgramServicesAmt
Management And General	$48,700	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$120,989	TotalAmt
Management And General	$120,989	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$47,534,689	TotalAmt
Program Services	$20,887,203	ProgramServicesAmt
Management And General	$26,647,486	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,585,981	TotalAmt
Program Services	$572,800	ProgramServicesAmt
Management And General	$1,013,181	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$25,261,663	TotalAmt
Program Services	$11,563,773	ProgramServicesAmt
Management And General	$13,697,890	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,252,453	TotalAmt
Program Services	$452,341	ProgramServicesAmt
Management And General	$800,112	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$13,947,728	TotalAmt
Program Services	$12,371,651	ProgramServicesAmt
Management And General	$1,576,077	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$219,196	TotalAmt
Program Services	$79,166	ProgramServicesAmt
Management And General	$140,030	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	-$37,995	TotalAmt
Program Services	-$13,722	ProgramServicesAmt
Management And General	-$24,273	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$725,295	TotalAmt
Program Services	$14,631	ProgramServicesAmt
Management And General	$710,664	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$17,375,509	TotalAmt
Program Services	$14,775,962	ProgramServicesAmt
Management And General	$2,599,547	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$7,644,393	TotalAmt
Program Services	$1,014,706	ProgramServicesAmt
Management And General	$6,629,687	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL & OTHER SUPPLIE	$130,326,980	$119,629,349	$10,697,631
OTHER EXPENSES	$6,057,038	$5,559,858	$497,180
REPAIRS & MAINTENANCE	$623,003	$571,865	$51,138
HEALTH & WELLNESS	$126,883	$116,468	$10,415

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$20,186	TotalAmt
Program Services	$18,529	ProgramServicesAmt
Management And General	$1,657	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$581,231,574	TotalAmt
Program Services	$463,601,633	ProgramServicesAmt
Management And General	$117,629,941	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$15,151,818	BOYAmt
EOY	$10,341,739	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$726,945	BOYAmt
EOY	$40,420,394	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$63,883,921	BOYAmt
EOY	$58,014,322	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$118,635	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$15,839,171	BOYAmt
EOY	$14,940,473	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$12,952,326	BOYAmt
EOY	$1,515,524	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$309,940,812	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$76,328,076	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$229,104,154	BOYAmt
EOY	$233,612,736	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$33,594,463	BOYAmt
EOY	$169,324,342	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$7,257,601	BOYAmt
EOY	$11,237,362	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$13,410,813	BOYAmt
EOY	$9,774,035	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$11,196,107	BOYAmt
EOY	$18,188,966	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$403,117,319	BOYAmt
EOY	$567,488,528	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$44,387,215	BOYAmt
EOY	$59,550,024	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$29,594	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$248,987,888	BOYAmt
EOY	$221,946,069	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$293,375,103	BOYAmt
EOY	$281,525,687	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$109,742,216	BOYAmt
EOY	$277,499,044	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$8,463,797	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$109,742,216	BOYAmt
EOY	$285,962,841	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$403,117,319	BOYAmt
EOY	$567,488,528	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$15,672,053	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$7,558,167	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$152,990,405	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

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)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$35,000	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$35,000	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	PART II-B, LINE 1G: ST. DOMINIC JACKSON MEMORIAL HOSPITAL PAID A LOBBYING CONSULTANT WHO HAD DIRECT CONTACT WITH LEGISLATORS TO DISCUSS VARIOUS PUBLIC POLICY ISSUES AND LEGISLATIVE MATTERS.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Incl Escrow Custodial Acct Liab	0	InclEscrowCustodialAcctLiabInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$34,704,960	OtherCostOrOtherBasisAmt
Book Value	$34,704,960	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$210,469,976	OtherCostOrOtherBasisAmt
Depreciation	$37,642,711	DepreciationAmt
Book Value	$172,827,265	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$60,726,418	OtherCostOrOtherBasisAmt
Depreciation	$37,941,057	DepreciationAmt
Book Value	$22,785,361	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,039,458	OtherCostOrOtherBasisAmt
Depreciation	$744,308	DepreciationAmt
Book Value	$3,295,150	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$233,612,736	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	FND DEPR - FMOL PORTFOLIO	Desc
Book Value	$169,324,342	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$169,324,342	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
NET DUE TO/FROM AFFILIATES	$32,573,884
OPERATING LEASE - LT	$8,474,548
SELF INSURANCE LIABILITY LT	$29,007,349
RETIREMENT PAYABLE LONG TERM	$81,052,661
OBLIGATION OPERATING- ST	$1,725,079
INVETSEMENTS HELD AT FMOLHS	$69,112,548

Field	Value	IRS element (for citing)
Total Liability	$221,946,069	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	FMOLHS RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. NO RESERVE FOR UNCERTAIN TAX POSITIONS HAVE BEEN RECORDED.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	0	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	0	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,469,307	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$362,471	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,106,836	NetCommunityBenefitExpnsAmt
Total Expense	0.01390	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$73,575,279	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$69,775,148	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,800,131	NetCommunityBenefitExpnsAmt
Total Expense	0.00650	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$82,044,586	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$70,137,619	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,906,967	NetCommunityBenefitExpnsAmt
Total Expense	0.02040	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,346	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,346	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,482,542	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,780,580	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,701,962	NetCommunityBenefitExpnsAmt
Total Expense	0.00640	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$73,573	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$73,573	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,557,461	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,780,580	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,776,881	NetCommunityBenefitExpnsAmt
Total Expense	0.00650	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$102,602,047	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$86,918,199	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,683,848	NetCommunityBenefitExpnsAmt
Total Expense	0.02690	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$15,424,272	BadDebtExpenseAmt
Reimbursed By Medicare	$131,431,425	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$143,227,969	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$11,796,544	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 JACKSON HEART & VASCULAR CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	G	PrimaryActivitiesTxt
Org Profit Or Ownership	0.20000	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.47000	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.75300	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST DOMINIC-JACKSON MEMORIAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	969 LAKELAND DRIVE	AddressLine1Txt
City	JACKSON	CityNm
State Abbreviation	MS	StateAbbreviationCd
ZIP	392164699	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HTTP://WWW.STDOM.COM/14-031	WebsiteAddressTxt
State License	14-031	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ST DOMINIC-JACKSON MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.FMOLHS.ORG/-/MEDIA/FILES/STD-CHNA-ASSESSMENT-07122021.ASHX	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ST. DOMINIC-JACKSON MEMORIAL HOSPITAL	PART V, SECTION B, LINE 5: AS PART OF THE COMMUNITY NEEDS ASSESSMENT, ST. DOMINIC HOSPITAL REACHED OUT TO AN EXPANSIVE AND HIGHLY DIVERSE GROUP OF INDIVIDUALS TO PARTICIPATE IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) LEADERSHIP TEAM AND TO CONTRIBUTE INSIGHT FROM COMMUNITY SERVICE ORGANIZATIONS. EACH MEMBER PROVIDED PROJECT INSIGHT, FEEDBACK REGARDING PERCEPTIONS OF AREA HEALTH NEEDS, DATA EVALUATION, AND OTHER GUIDANCE DURING THE CHNA DEVELOPMENT PROCESS. THESE INDIVIDUALS OFFERED A BREADTH OF COMMUNITY HEALTH VISION, KNOWLEDGE, AND POWER TO IMPACT THE WELL-BEING OF THE SERVICE AREA. INFORMATION WAS GATHERED ABOUT THE LARGER COMMUNITY USING SECONDARY RESEARCH, DISCUSSION GROUPS AND COMMUNITY SURVEYS.
ST. DOMINIC-JACKSON MEMORIAL HOSPITAL	PART V, SECTION B, LINE 11: DURING THE CURRENT YEAR, ST. DOMINIC'S (SDH) CONTINUED TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS IDENTIFIED DURING THE PRIOR CHNA. THOSE NEEDS WERE: - HOMELESSNESS;- CRISIS CARE PROGRAMS FOR MENTAL HEALTH; - AFFORDABLE HEALTHCARE SERVICES FOR PEOPLE OR FAMILIES WITH LOW INCOME;- DOMESTIC VIOLENCE RESOURCES; - HOUSING FOR ALL INCOMES/AGES; - COUNSELING SERVICES FOR DEPRESSION OR ANXIETY; - JOB READINESS; - POST-ADDICTIONS TREATMENT SUPPORT PROGRAMS; - COUNSELING SERVICES FOR ADOLESCENTS AND - PRESCRIPTION ASSISTANCE.THE HOSPITAL WILL NOT ADDRESS HOMELESSNESS, HOUSING FOR ALL INCOMES/AGES, JOB READINESS, DOMESTIC VIOLENCE OR COUNSELING SERVICES FOR ADOLESCENTS/CHILDREN AS THOSE COMMUNITY NEEDS ARE OUTSIDE OF ITS SCOPE. THE HOSPITAL HAS DECIDED THAT IT WILL ADDRESS CRISIS CARE FOR MENTAL HEALTH, COUNSELING SERVICES FOR DEPRESSION OR ANXIETY, AND POST-ADDICTIONS TREATMENT SUPPORT PROGRAMS WITHIN THE NEXT 2-3 YEARS.DURING THE CURRENT YEAR, TO ADDRESS THE SIGNIFICANT COMMUNITY HEALTH NEEDS LISTED ABOVE, THE HOSPITAL DID THE FOLLOWING:A SIGNIFICANT INVESTMENT WAS MADE IN COMMUNITY-DRIVEN INITIATIVES THAT MET VULNERABLE POPULATIONS WHERE THEY ARE BEST SERVED IN THE COMMUNITY. THE CARE-A-VAN MOBILE MEDICAL UNIT CONDUCTED FREE HEALTH SCREENINGS, ASSISTANCE, AND EDUCATION TO REACH COMMUNITY MEMBERS WITH TRANSPORTATION DISPARITIES. SDH PARTNERED WITH ST. VINCENT DEPAUL PHARMACY TO FURTHER PLANS TO OPEN A FREE PHARMACY DEDICATED TO SERVING VULNERABLE POPULATIONS IN JACKSON AND THE SURROUNDING AREAS, WITH PLANS TO OPEN THE PHARMACY IN FISCAL YEAR '25. SDH WILL PROVIDE THE SPACE FREE OF CHARGE FOR THE PHARMACY TO HELP OFFSET THE COST OF OPERATIONS. SDH CONTINUED TO PROVIDE THE FREE SISTER TRINITA COMMUNITY HEALTH CLINIC TO PATIENTS IN THE SAME BUILDING AS STEWPOT COMMUNITY SERVICES, WHICH INCLUDES SERVICES SUCH AS A CLOTHING CLOSET, FREE MEAL PROGRAMS, A FOOD PANTRY, A STREET OUTREACH PROGRAM, A LEGAL CLINIC, HEARTWORKS ART PROGRAM, AND DAILY CHAPEL SERVICES. FINANCIAL CONTRAINTS COMPELLED SDH TO CLOSE ITS FREE-STANDING BEHAVIORAL HEALTH SERVICES IN 2023. HOWEVER, SDH SOUGHT A BEHAVIORAL HEALTH PROVIDER TO LEASE THE SPACE. OCEANS HEALTHCARE OPENED EARLY IN 2025. WHILE OCEANS CANNOT ACCOMMODATE THE SAME VOLUME OF INDIGENT PATIENTS AS SDH DID, IT NONETHELESS PROVIDES MUCH NEEDED BEHAVIORAL HEALTH SERVICES TO THE COMMUNITY. ADDITIONALLY, ST. DOMINIC'S FOCUSED ITS COMMUNITIY BENEFIT FUNDING STRATEGIES IN AREAS THAT TARGETED ITS COMMUNITY HEALTH NEEDS ASSESSMENT GOALS. IN TOTAL, ST. DOMINIC'S INVESTED $485,850 IN THE JACKSON AREA COMMUNITY, WITH A FOCUS ON PROGRAMS SERVING VULNERABLE POPULATIONS AND ADDRESSING HEALTH ISSUES THAT WERE RELATED TO THE CHNA IDENTIFIED PRIORITY NEEDS. THE HOSPITAL ALSO CONTINUED TO ADDRESS BEHAVORIAL OR MENTAL HEALTH BY FOCUSING ON ACCESS, EARLY DETECTION AND INTERVENTION AS EVIDENCED BY STEERED SCREENING OR EDUCATION ACTIONS IN COMMUNITIES THROUGHOUT THE STATE, COMPLETED IN-PERSON AND THROUGH VIRTUAL MEANS. EARLY DETECTION WAS A FOCUS IN PROVIDING DEPRESSION SCREENING TOOLS TO SDMA AND MEA CLINICS, AS WELL AS OTHER CLINIC LOCATIONS FOR PATIENTS SEEN IN THE PHP SETTING. ST. DOMINIC'S ALSO CONTINUED THE TELEMEDICINE OFFERINGS TO ENCOMPASS BEHAVIORAL HEALTH AND ASSIST OUTLYING COMMUNITIES WITH LIMITED PERSONNEL AND RESOURCES TO CONDUCT PROPER ASSESSMENTS.
ST. DOMINIC-JACKSON MEMORIAL HOSPITAL	PART V, SECTION B, LINE 13H: PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE:1. THE PATIENT RECEIVING FREE CARE FROM A COMMUNITY CLINIC AND ISREFERRED TO THE HOSPITAL;2. STATE-FUNDED PRESCRIPTION PROGRAMS;3. HOMELESS, INDIGENT, OR HOMELESS CLINIC PATIENT;4. PATIENTS' CHILDREN WHO QUALIFY FOR OTHER FINANCIAL ASSISTANCEPROGRAMS;5. PATIENT ELIGIBLE FOR FOOD STAMPS;6. MEDICAID ELIGIBLE PATIENT;7. PATIENT IS DECEASED WITH NO KNOWN RESPONSIBLE PARTY;8. PATIENT IS INCARCERATED AND HAS NO OTHER RESPONSIBLE PARTY
ST. DOMINIC-JACKSON MEMORIAL HOSPITAL	PART V, SECTION B, LINE 16J: REGISTRATION PERSONNEL REFER UNINSURED AND/OR LOW-INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY.
PART V, SECTION A, LINES 7A:	HTTPS://WWW.FMOLHS.ORG/ABOUT-US/COMMUNITY-IMPACT
PART V, SECTION B, LINE 16 A, B, C:	THE FAP, FAP APPLICATION FORM, AND A PLAIN LANGUAGE SUMMARY OF THE FAP ARE AVAILABLE AT:HTTPS://WWW.FMOLHS.ORG/PATIENTS-GUESTS/PATIENTS-RESOURCES/FINANCIAL-ASSISTANCE-POLICY

Field	Value	IRS element (for citing)
Facility	35	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (35 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - ST DOMINIC'S HOSPITAL MEDICINE
971 LAKELAND DRIVE SUITE 1453	JACKSON	MS	39216	HOSPITALIST CLINIC
2 - ST DOMINIC'S NEUROSURGERY ASSOCIATES
971 LAKELAND DRIVE SUITE 657	JACKSON	MS	39216	PHYSICIAN CLINIC
3 - ST DOMINIC'S NEUROCARE
971 LAKELAND DRIVE SUITE 557	JACKSON	MS	39216	PHYSICIAN CLINIC
4 - ST DOMINIC'S VASCULAR AND ENDOVASCULAR
971 LAKELAND DRIVE SUITE 1250	JACKSON	MS	39216	PHYSICIAN CLINIC
5 - ST DOMINIC'S EAR NOSE & THROAT SURGICA
970 LAKELAND DRIVE SUITE 40	JACKSON	MS	39216	PHYSICIAN CLINIC
6 - ST DOMINIC'S INTERNAL MEDICINE GROUP
971 LAKELAND DRIVE SUITE 250	JACKSON	MS	39216	PHYSICIAN CLINIC
7 - STDOMINIC'S FAMILY MEDICINE OF MADISON
106 HIGHLAND WAY 103	MADISON	MS	39110	PHYSICIAN CLINIC
8 - ST DOMINIC'S INTERNAL MEDICINE MADISON
106 HIGHLAND WAY 200	MADISON	MS	39110	PHYSICIAN CLINIC
9 - ST DOMINIC'S CARDIOVASCULAR SURGERY
971 LAKELAND DRIVE SUITE 657	JACKSON	MS	39216	PHYSICIAN CLINIC
10 - ST DOMINIC'S PAIN MANAGEMENT CENTER
971 LAKELAND DRIVE SUITE 1159	JACKSON	MS	39216	PHYSICIAN CLINIC
11 - ST DOMINIC'S GYNECOLOGIC ONCOLOGY
971 LAKELAND DRIVE SUITE 750	JACKSON	MS	39216	PHYSICIAN CLINIC
12 - ST DOMINIC'S UROLOGY
971 LAKELAND DRIVE SUITE 360	JACKSON	MS	39216	PHYSICIAN CLINIC
13 - ST DOMINIC'S INFECTIOUS DISEASE
971 LAKELAND DRIVE SUITE 954	JACKSON	MS	39216	PHYSICIAN CLINIC
14 - ST DOMINIC'S PSYCHIATRIC ASSOCIATES
890 LAKELAND DRIVE	JACKSON	MS	39216	PHYSICIAN CLINIC
15 - ST DOMINIC'S RHEUMATOLOGY
106 HIGHLAND WAY SUITE 200	MADISON	MS	39110	PHYSICIAN CLINIC
16 - ST DOMINIC'S FAMILY MEDICINE OF BRANDON
1297 WEST GOVERNMENT STREET	BRANDON	MS	39042	PHYSICIAN CLINIC
17 - ST DOMINIC'S FAMILY MEDICINE OF CLINTON
728 CLINTON PARKWAY SUITE B	CLINTON	MS	39056	PHYSICIAN CLINIC
18 - ST DOMINIC'S FAMILY MEDICINE OF FLOWOOD
1050 RIVER OAKS DRIVE	FLOWOOD	MS	39232	PHYSICIAN CLINIC
19 - ST DOMINIC'S FAMILY MEDICINE OF DOGWOOD
205A BELLE MEADE POINTE	FLOWOOD	MS	39232	PHYSICIAN CLINIC
20 - ST DOMINIC'S FAMILY MEDICINE OF MAGEE
360 SIMPSON HWY 149 SUITE 220	MAGEE	MS	39111	PHYSICIAN CLINIC
21 - ST DOMINIC'S FAMILY MEDICINE OF JACKSON
890 LAKELAND DRIVE	JACKSON	MS	39056	PHYSICIAN CLINIC
22 - ST DOMINIC'S MARTIN SURGICAL ASSOCIATES
971 LAKELAND DRIVE SUITE 211	JACKSON	MS	39216	PHYSICIAN CLINIC
23 - ST DOMINIC'S FAMILY MED OF PELAHATCHIE
610 2ND STREET	PELAHATCHIE	MS	39145	PHYSICIAN CLINIC
24 - ST DOMINIC'S FAMILY MEDICINE OF RALEIGH
342 MAGNOLIA DRIVE	RALEIGH	MS	39153	PHYSICIAN CLINIC
25 - ST DOMINIC'S FAMILY MEDICINE GLUCKSTADT
286 CALHOUN STATION PARKWAY	MADISON	MS	39110	PHYSICIAN CLINIC
26 - ST DOMINIC'S COUMADIN CLINIC
890 LAKELAND DRIVE	JACKSON	MS	39056	PHYSICIAN CLINIC
27 - ST DOMINIC'S CHRONIC CARE CLINIC
969 LAKELAND DRIVE	JACKSON	MS	39216	PHYSICIAN CLINIC
28 - ST DOMINIC'S OUTREACH PROGRAM-TELEMEDIC
969 LAKELAND DRIVE	JACKSON	MS	39216	PHYSICIAN CLINIC
29 - ST DOMINIC'S OUTREACH PROGRAM-MAGEE
360 SIMPSON HWY 149 SUITE 370	MAGEE	MS	39111	PHYSICIAN CLINIC
30 - ST DOMINIC'S OUTREACH PROGRAM-CLEVELAND
810 E SUNFLOWER ROAD	CLEVELAND	MS	38732	PHYSICIAN CLINIC
31 - ST DOMINIC'S OUTREACH PROGRAM-KOSCIUSKO
332 HIGHWAY 12 WEST	KOSCIUSKO	MS	39090	PHYSICIAN CLINIC
32 - ST DOMINIC'S OUTREACH PROGRAM-PELAHATCH
610 2ND STREET	PELAHATCHIE	MS	39145	PHYSICIAN CLINIC
33 - ST DOMINIC'S OUTREACH PROGRAM-VICKSBURG
4204 CLAY STREET	VICKSBURG	MS	39180	PHYSICIAN CLINIC
34 - ST DOMINIC'S OUTREACH PROGRAM-BROOKHAVE
427 HWY 51 N	BROOKHAVEN	MS	39601	PHYSICIAN CLINIC
35 - ST DOMINIC'S INTERNAL MEDICINE CLINIC
112 SOUTH LAKE CIRCLE	CANTON	MS	39046	PHYSICIAN CLINIC

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	FINANCIAL ASSISTANCE IS AVAILABLE FOR INDIVIDUALS WHO ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR ANY GOVERNMENT HEALTH CARE BENEFIT PROGRAM, AND WHO ARE UNABLE TO PAY FOR THEIR CARE. FULLY-DISCOUNTED CARE IS AVAILABLE IF INCOME AND ASSETS MEET CERTAIN FEDERAL POVERTY GUIDELINE LEVELS. FULLY-DISCOUNTED CARE IS ALSO AVAILABLE FOR THOSE PATIENTS WITH CATASTROPHIC MEDICAL BILLS IF MEDICAL BILLS EXCEED A CERTAIN PERCENTAGE OF INCOME AND ASSETS. FULLY DISCOUNTED CARE IS ALSOAVAILABLE WHERE THE PATIENT OR OTHER SOURCES CAN PROVIDE SUFFICIENT EVIDENCE OF PRESUMPTIVE ELIGIBILITY. PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE:1) PATIENT RECEIVING FREE CARE FROM A COMMUNITY CLINIC AND IS REFERREDTO THE HOPSITAL;2) STATE-FUNDED PRESCRIPTION PROGRAMS;3) HOMELESS, INDIGENT, OR HOMELESS CLINIC PATIENT;4) PATIENT'S CHILDREN WHO QUALIFY FOR OTHER FINANCIAL ASSISTANCEPROGRAMS;5) PATIENT ELIGIBLE FOR FOOD STAMPS;6) MEDICAID ELIGIBLE PATIENT;7) PATIENT IS DECEASED WITH NO KNOWN RESPONSIBLE PARTY;8) PATIENT IS INCARCERATED AND HAS NO OTHER RESPONSIBLE PARTY.
PART I, LINE 7:	A COST TO CHARGE RATIO WAS USED TO CALCULATE PART I, LINE 7A AND 7B. THE COST TO CHARGE RATIO WAS DERIVED FROM IRS WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGES. THE COST TO CHARGE RATIO IS APPLIED TO GROSS CHARGES RELATED TO CHARITY CARE AND CARE COVERED BY MEDICAID AND OTHER GOVERNMENT PROGRAMS. FOR PART I, LINES 7E THROUGH 7I, DIRECT COSTS WERE CAPTURED FROM THE HOSPITAL'S AUDITED FINANCIAL STATEMENTS AND THE MEDICARE COST REPORT LESS DIRECT OFFSESTTING REVENUE, WHERE APPLICABLE.
PART II, COMMUNITY BUILDING ACTIVITIES:	ST. DOMINIC PROVIDES SIGNIFICANT SUPPORT TO ITS COMMUNITY THROUGH A VARIETY OF WAYS INCLUDING FREE HEALTH SCREENINGS AT LOCAL SCHOOLS, PARTICIPATION IN VARIOUS NON-PROFIT BOARDS AS WELL AS FINANCIAL SUPPORT THROUGH CASH DONATIONS.
PART III, LINE 2:	THE AMOUNT REPORTED IN PART III, LINE 2 AS BAD DEBT EXPENSE MATCHES THE AMOUNT OF BAD DEBT EXPENSE REPORTED ON THE HOSPITAL'S INTERNAL FINANCIAL STATEMENTS.
PART III, LINE 3:	ST. DOMINIC HOSPITAL FREQUENTLY HAS PATIENT ACCOUNTS THAT ARE INTITIALLY WRITTEN OFF AS A BAD DEBT EXPENSE, BUT LATER (THROUGH A SCREENING PROCESS) IT IS DETERMINED THAT THE PATIENT DOES QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. THE PERCENTAGE OF ACCOUNTS IS ESTIMATED TO BE 83 PERCENT. THE PERCENTAGE IS DETERMINED UTILIZING AN INTERNAL REPORT OF ACCOUNTS WRITTEN OFF AS A BAD DEBT EXPENSE IN ONE YEAR AND CLASSIFIED AS CHARITY IN A SUBSEQUENT YEAR.
PART III, LINE 4:	PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND REPORTED AT NET REALIZABLE VALUE. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS HISTORICAL EXPERIENCE AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTABLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF THEIR PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
PART III, LINE 8:	THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE MEDICARE COST REPORT IS BASED ON REGULATORY REQUIREMENTS AND GUIDELINES.
PART III, LINE 9B:	ST. DOMINIC HOSPITAL HAS A BOARD APPROVED COLLECTION POLICY AND HAS WRITTEN CONTRACTS IN PLACE WITH ITS COLLECTION AGENCIES SO THE APPROPRIATE COLLECTION ACTIVITIES ARE FOLLOWED. THE COLLECTION AGENCIES THAT ST. DOMINIC USES ARE FULLY INFORMED ABOUT THE HOSPITAL'S FINANCIAL AID POLICY AND ASSIST IN EDUCATING ITS PATIENTS. THEY ROUTINELY SEND FINANCIAL AID APPLICATIONS TO PATIENTS AND REFER THOSE PATIENTS BACK TO THE HOSPITAL'S FINANCIAL COUNSELORS WHEN APPROPRIATE.
PART VI, LINE 2:	ST. DOMINIC HOSPITAL ASSESSES THE COMMUNITY IT SERVES THROUGH VARIOUS SOURCES WHICH INCLUDE:1) ANALYSIS OF THE PAYOR SOURCE AND DISEASE CATEGORIES OF PATIENTS TREATED AT ST. DOMINIC HOSPITAL WITH PARTICULAR ANALYSIS DONE ON PATIENTS PRESENTING TO ITS EMERGENCY DEPARTMENT;2) FEEDBACK FROM THE BOARD MEMBERS WHO REPRESENT THE COMMUNITY IT SERVES;3) REQUESTS MADE FROM THE COMMUNITY; AND4) PUBLIC HEALTH INFORMATION.
PART VI, LINE 3:	ST. DOMINIC HOSPITAL WORKS TO EDUCATE ITS PATIENTS AND COMMUNITY OF ASSISTANCE OPTIONS BY:1) POSTING SIGNAGE IN THE EMERGENCY ROOM AND OTHER REGISTRATION AREAS INFORMING PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE.2) PROVIDING BROCHURES IN THE WAITING ROOMS AND AT THE REGISTRATION DESKS THAT EXPLAIN THE BILLING AND COLLECTION PROCESS AS WELL AS INFORMATION ABOUT THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AND PHONE NUMBERS TO CALL FOR ASSISTANCE.3) CONTRACTING AND PAYING AN AGENCY TO MEET WITH ALL UNINSURED PATIENTS TO ASSIST THEM IN APPLYING FOR FEDERAL AND STATE ASSISTANCE (I.E. MEDICAID, DISABILITY, ETC.).4) PROVIDING FINANCIAL COUNSELORS TO MEET WITH PATIENTS. THESE COUNSELORS FULLY UNDERSTAND THE HOSPITAL'S CHARITY POLICY AND ARE AVAILABLE TO ASSIST WITH THE APPLICATIONS, SET UP INTEREST FREE PAYMENT PLANS AND OFFER ADVICE ON PUBLIC ASSISTANCE THAT MAY BE AVAILABLE.5) STAFFING PATIENT REPRESENTATIVES TO ANSWER QUESTIONS AND ASSIST PATIENTS AS NEEDED.6) EDUCATING THE EARLY-OUT AND BAD DEBT COLLECTION AGENCIES ON THE HOSPITAL'S FINANCIAL ASSISTANCE POLICIES SO THEY CAN ASSIST PATIENTS WHOM THEY FIND MIGHT HAVE FINANCIAL NEED.
PART VI, LINE 4:	COMMUNITY INFORMATION:ST. DOMINIC HOSPITAL IS A COMMUNITY-BASED, NOT-FOR-PROFIT HOSPITAL LOCATED IN JACKSON, MISSISSIPPI, IN HINDS COUNTY. FOR PURPOSES OF THE CHNA, THE HOSPITAL DEFINES ITS PRIMARY SERVICE AREA AS THE MADISON, HINDS, AND RANKIN TRI-COUNTY REGION OF MISSISSIPPI. PURSUANT TO THE HOSPITAL'S LAST CHNA, ST. DOMINIC HOSPITAL'S PRIMARY SERVICE AREA HAS A POPULATION OF APPROXIMATELY 493,383 RESIDENTS. THE MEDIAN AGE FOR THE PRIMARY SERVICE AREA IS 37. THE MEDIAN INCOME OF THE PRIMARY SERVICE AREA IS $60,049 AND 13.1% OF RESIDENTS ARE LIVING IN POVERTY.
PART VI, LINE 5:	INSPIRED BY THE TEACHINGS OF JESUS CHRIST AND THE WITNESS OF OUR FOUNDING DOMINICAN SISTERS, WE PROVIDE COMPASSIONATE CARE AND HOPE AS A HEALING MINISTRY OF THE CATHOLIC CHURCH. ST. DOMINIC APPLIES THIS MISSION BY CONDUCTING NEEDS ASSESSMENTS, PUBLISHING THE RESULTS, ESTABLISHING GOALS AND STRATEGIES TO HELP RESOLVE IDENTIFIED ISSUES AND SEEKING OPPORTUNITIES TO WORK WITH THE COMMUNITY. ST. DOMINIC HOSPITAL IMPROVES THE HEALTH OF THE COMMUNITIES IT IS PRIVILEGED TO SERVE IN MANY WAYS THAT EXTEND FAR BEYOND THE HEALING MINISTRY OF BEDSIDE CARE. THROUGH APPROACHES SUCH AS OPEN MEDICAL STAFF POLICIES, UNIQUE TECHNOLOGY INNOVATIONS FOR BETTER OUTCOMES, AND DIVERSITY, EQUITY, AND INCLUSION STRATEGIES FOCUSED ON EVERY ASPECT OF HEALTH CARE FROM THE BEDSIDE TO THE PURCHASING DOCK TO EACH PATIENT WHO WALKS THROUGH OUR DOORS, THE HOSPITAL CONTINUOUSLY EXPANDS ITS DEFINITION OF WHAT IT MEANS TO HAVE A "COMMUNITY IMPACT." THE HOSPITAL ALSO INVOLVES MEMBERS OF ITS COMMUNITY IN ITS GOVERNANCE SO THAT IT MAINTAINS THE FOCUS ON THE NEEDS OF ITS COMMUNITY. ST. DOMINIC'S HEART FAILURE CLINIC IS A STAND-ALONE CLINIC OVERSEEN BY AN EXPERIENCED NURSE PRACTITIONER. THIS SPECIALIZED CLINIC OFFERS HEART FAILURE PATIENTS QUICK, EASY, ACCESSIBLE CARE AND PROVIDES DETAILED EDUCATION ABOUT THE DISEASE PROCESS., DIETARY RESTRICTIONS OF SODIUM AND FLUID, AND THERAPY OPTIONS. THE CLINIC ALSO OFFERS LABORATORY SERVICES, SUPPORT GROUPS, AND, IF WARRANTED, INTRAVENOUS OR INTRAMUSCULAR DIURETIC INJECTIONS. ST. DOMINIC'S IS THE FIRST HOSPITAL IN MISSISSIPPI TO RECEIVE THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL AND THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S HEART-CHECK MARK FOR ADVANCED CERTIFICATION FOR COMPREHENSIVE STROKE CENTERS. ST. DOMINIC'S COMPREHENSIVE STROKE CENTER OFFERS RAPID DIAGNOSIS, HIGH-TECH INTERVENTION, EXPERT CARE, AND INTENSE REHABILITATION IN A CARING, COMPASSIONATE SETTING. ST. DOMINIC'S CAN DELIVER THE FULL SPECTRUM OF CARE TO SERIOUSLY ILL PATIENTS WITH STROKE AND CEREBROVASCULAR DISEASE. THE CHIEF COMPONENT OF THE PROGRAM IS A HIGHLY COLLABORATIVE, EXPERTLY SKILLED TEAM OF CLINICAL PROFESSIONALS WHO DIRECT AND PROVIDE EVIDENCE-BASED CARE FOR EVERY STROKE PATIENT. SERVICES PROVIDED INCLUDE: EMERGENCY DEPARTMENT, HOSPITALIST MEDICAL, ADULT NEUROLOGY, NEUROSURGERY, INTERVENTIONAL RADIOLOGY, ACUTE REHABILITATION AND OUTPATIENT REHABILITATION, AND CRITICAL CARE. ST. DOMINIC'S TELE-STROKE PROGRAM CONNECTS ST. DOMINIC'S NEUROLOGISTS TO PATIENTS IN ST. DOMONIC'S EMERGENCY DEPARTMENT AND TO PATIENTS IN OUTLYING HOSPITALS' EMERGENCY DEPARTMENTS USING A TELEMEDICINE CART AND LAPTOP CONNECTIONS. NEUROLOGISTS CAN QUICKLY AND EFFICIENTLY PROVIDE A DIAGNOSIS AND BEST TREATMENT OPTIONS USING THE TECHNOLOGY. ST. DOMINIC'S IS CURRENTLY PARTNERED WITH SIX MISSISSIPPI HOSPITALS AS PART OF ITS TELE-STROKE PROGRAM: COPIAH COUNTY MEDICAL CENTER IN HAZELHURT, GREENWOOD LEFLORE HOSPITAL IN GREENWOOD, NESHOBA GENERAL IN PHILADELPHIA, MAGEE GENERAL HOSPITAL IN MAGEE, DELTA REGIONAL MEDICAL CENTER IN GREENVILLE, AND SOUTHWEST REGIONAL MEDICAL CENTER IN MCCOMB.
PART VI, LINE 6:	ST. DOMINIC HEALTH SERVICES, INC. IS THE PARENT ORGANIZATION OF A SYSTEM THAT INCLUDES ST. DOMINIC - JACKSON MEMORIAL HOSPITAL (A 571-BED ACUTE CARE FACILITY), ST. CATHERINE'S VILLAGE (A CONTINUING CARE RETIREMENT COMMUNITY), ST. DOMINIC HEALTH SERVICES FOUNDATION (A FUNDRAISING/GRANT FOCUSED ENTITY) AND ST. DOMINIC MADISON HEALTH SERVICES, INC. (A MEDICAL OFFICE BUILDING AND FITNESS CENTER). IN ADDITION, ST. DOMINIC HEALTH SERVICES OPERATES COMMUNITY HEALTH SERVICES - ST. DOMINIC, INC., WHICH INCORPORATES THE OUTREACH SERVICES OF THE CLUB AT ST. DOMINIC'S, NEW DIRECTIONS FOR OVER 55, ST. DOMINIC COMMUNITY HEALTH CLINIC, MADISON SCHOOL NURSE PROGRAM AND THE CARE-A-VAN SCREENING PROGRAM. AS A WHOLE, ALL OF THE SERVICES, ENTITIES AND HOSPITAL ARE COLLECTIVELY REFERRED TO AS ST. DOMINIC'S. ST DOMINIC'S SEEKS TO GIVE TIME, TALENTS, AND RESOURCES TO MAKE THE COMMUNITIES SERVED BY THE ORGANIZATION BETTER PLACES TO LIVE. THE ST. DOMINIC'S FAMILY OF CAREGIVERS NOT ONLY SERVES PATIENTS, BUT ALSO CONTRIBUTES TO AN ATMOSPHERE OF CARE AND COMPASSION FOR THOSE OUTSIDE THE HOSPITAL'S WALLS. ST. DOMINIC STRIVES TO NOT ONLY PROVIDE CARE FOR THE SICK BUT ALSO TO OFFER EDUCATION AND WELLNESS SERVICES TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY AND HELP ELIMINATE RISK FACTORS FOR MORE SERIOUS HEALTH PROBLEMS. ADDITIONALLY ON JULY 1, 2019, ST. DOMINIC HEALTH SERVICES BECAME PART OF THE FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM (FMOLHS). AS SUCH, IT IS AFFILIATED WITH TAX-EXEMPT HOSPITALS THROUGHOUT THE STATE OF LOUISIANA INCLUDING:OUR LADY OF LOURDES REGIONAL MEDICAL CENTERST. FRANCIS MEDICAL CENTEROUR LADY OF THE LAKE ASSUMPTION HOSPITALOUR LADY OF THE ANGELS HOSPITALOUR LADY OF THE LAKE HOSPITAL

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
AMERICAN HEART ASSOCIATION
250 WILLIAMS STREET	ATLANTA	GA	30303	135613797	501(C)(3)	$16,400	$0	GENERAL SUPPORT
100 BLACK MEN OF JACKSON INC
5360 HIGHLAND DRIVE	JACKSON	MS	39286	640817928	501(C)(3)	$7,500	$0	GENERAL SUPPORT
CATHOLIC CHARITIES INC
850 EAST RIVER PLACE	JACKSON	MS	39201	640466850	501(C)(3)	$50,000	$0	GENERAL SUPPORT
AMERICAN CANCER SOCIETY INC
250 WILLIAMS STREET	ATLANTA	GA	30303	131788491	501(C)(3)	$20,000	$0	GENERAL SUPPORT
JUNIOR LEAGUE OF JACKSON
805 RIVERSIDE DRIVE	JACKSON	MS	39202	646011106	501(C)(3)	$5,000	$0	GENERAL SUPPORT
NATIONAL COALITION OF 100 BLACK WOMEN - CENT MS CHAPTER
PO BOX 68412	JACKSON	MS	39286	133168694	501(C)(3)	$7,500	$0	GENERAL SUPPORT
CENTER FOR VIOLENCE PREVENTION
PO BOX 6279	PEARL	MS	39288	581959108	501(C)(3)	$15,000	$0	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	7	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE HOSPITAL HAS A CONTRIBUTIONS COMMITTEE, WHICH IS A SUB-COMMITTEE OF THE BOARD, THAT OVERSEES THE HOSPITAL'S GIVING. THEY MONITOR THE REQUESTS AND OVERSEE ALL GIFTS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOHN LANCON
PHYSICIAN	$1,149,991	$0	$46,981	$0	$49,099	$0	$16,500	$0	$29,006	$0	$1,291,577	$0	$0	$0
DAVID THEODORO
PHYSICIAN	$1,181,126	$0	$66,877	$0	$3,701	$0	$16,500	$0	$19,847	$0	$1,288,051	$0	$0	$0
PB KERR
PHYSICIAN	$1,081,016	$0	$36,781	$0	$82,404	$0	$16,500	$0	$26,256	$0	$1,242,957	$0	$0	$0
BRYAN A GASPARD
PHYSICIAN	$1,077,113	$0	$30,125	$0	$89,154	$0	$16,500	$0	$26,896	$0	$1,239,788	$0	$0	$0
RUTH FREDERICKS
PHYSICIAN	$616,895	$0	$317,943	$0	$12,872	$0	$16,500	$0	$10,272	$0	$974,482	$0	$0	$0
KRISTIN WOLKART
INTERIM MARKET PRESIDENT (THRU 11/23	$0	$493,260	$0	$244,790	$0	$2,752	$0	$96,776	$0	$20,441	$0	$858,019	$0	$0
REBEKAH MOULDER MD
BOARD MEMBER/PHYSICIAN	$638,744	$0	$118,366	$0	$1,290	$0	$16,500	$0	$3,164	$0	$778,064	$0	$0	$0
BRYAN MILLER MD
BOARD MEMBER/FMOLHS VP, CCTO	$0	$467,839	$0	$90,659	$0	$5,191	$0	$16,500	$0	$29,444	$0	$609,633	$0	$0
SAMUEL SCOTT
SVP, CFO	$0	$334,566	$0	$94,413	$0	$5,412	$0	$15,315	$0	$18,659	$0	$468,365	$0	$0
DAVID ESTORGE
VP COO	$266,841	$0	$71,934	$0	$1,776	$0	$14,530	$0	$29,047	$0	$384,128	$0	$0	$0
THU PHAN
VP COO	$0	$275,279	$0	$79,113	$0	$1,639	$0	$0	$0	$10,489	$0	$366,520	$0	$0
SCOTT KASHMAN
MARKET PRESIDENT THRU 7/23	$0	$293,628	$0	$0	$0	$1,571	$0	$0	$0	$16,104	$0	$311,303	$0	$0
TRACEY SMITHSON
CNO	$177,760	$0	$40,000	$0	$23,262	$0	$10,409	$0	$5,664	$0	$257,095	$0	$0	$0
ROBERT NELSON
VP CHIEF NURSING OFFICER	$0	$0	$0	$0	$151,043	$0	$0	$0	$0	$0	$151,043	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3	THE FMOL HEALTH SYSTEM BOARD OF DIRECTORS DESIGNATES A COMPENSATION COMMITTEE, MADE UP OF INDEPENDENT BOARD MEMBERS, TO REVIEW AND SET COMPENSATION ANNUALLY. THE COMPENSATION COMMITTEE OBTAINS AND RELIES UPON COMPARABLE DATA INCLUDING A COMPENSATION STUDY/SURVEY FROM AN INDEPENDENT COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE REIVEWS COMPENSATION PACKAGES AND APPRROPRIATE COMPENSATION IS DETERMINED AND APPROVED. THE BASIS FOR MAKING SUCH DETERMINATION IS DOCUMENTED BY THE COMPENSATION COMMITTEE.
PART I, LINES 4A-B	FMOLHS MAINTAINS TWO UNFUNDED DEFERRED COMPENSATION PLANS WHICH MEET THE REQUIREMENTS OF IRC SECTION 457(F) AND IRC SECTION 409A. THE PLANS PROVIDE FOR COMPENSATION TO BE DEFERRED AND PAID UPON THE OCCURRENCE OF CERTAIN EVENTS SUCH AS TERMINATION WITHOUT CAUSE, DISABILITY, DEATH OR ATTAINMENT OF A SPECIFIC PAYMENT DATE. PARTICIPATION IN THE PLANS IS LIMITED TO CERTAIN EXECUTIVES AND IS SUBJECT TO APPROVAL OF FMOLHS BOARD OF DIRECTORS OR A DESIGNATED COMMITTEE OF SUCH BOARD. NO ONE LISTED ON PART VII, SECTION A RECEIVED A PAYMENT FROM THE PLANS IN THE CURRENT YEAR.
PART I, QUESTION 4A:	TWO BOARD MEMBERS AND TWO OFFICERS ARE ENTITLED TO A SEVERANCE BENEFIT. THE PAYOUT OF SUCH BENEFIT IS REMOTE AS IT IS EFFECTIVE ONLY FOR A TERMINATION OF EMPLOYMENT WITHOUT CAUSE, FOR GOOD REASON OR DUE TO CHANGE OF CONTROL. IF TRIGGERED, THE EMPLOYEE WOULD BE PAID HIS/HER BASE SALARY AND PROVIDED RETIREMENT AND WELFARE BENEFITS FOR AN ENTITLEMENT PERIOD. THE ENTITLEMENT PERIOD IS EITHER 12 OR 18 MONTHS. NO PAYMENTS WERE MADE UNDER THE PLAN IN THE CURRENT YEAR. A FORMER KEY EMPLOYEE, ROBERT NELSON, RECEIVED SEVERANCE PAYMENT OF $151,043 THIS YEAR.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	ST. DOMINIC HEALTH SERVICES, INC. WAS THE SOLE MEMBER OF ST. DOMINIC JACKSON MEMORIAL HOSPITAL. ON 3/31/24, ST. DOMINIC HEALTH SERVICES INC. MERGED INTO ST. DOMINIC JACKSON MEMORIAL HOSPITAL (SDJMH). FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM (FMOLHS) IS NOW THE SOLE MEMBER OF ST. DOMINIC JACKSON MEMORIAL HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7A	THE BOARD OF DIRECTORS OF ST. DOMINIC- JACKSON MEMORIAL HOSPITAL'S SOLE MEMBER, FMOLHS, INC., HAS THE AUTHORITY TO APPROVE THE ELECTION OF THE PRESIDENT/CEO, THE CHAIR OF THE BOARD OF DIRECTORS AND THE VICE-CHAIR OF THE BOARD OF DIRECTORS OF THE HOSPITAL AND ALL OTHER DIRECTORS AND OFFICERS OF THE HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7B	THE RESERVED POWER TO THE MEMBER, FMOLHS, INC., ARE AS FOLLOWS: I. TO CHANGE PHILOSOPHY, OBJECTIVES AND PURPOSES OF CORPORATION. II. TO APPOINT OR REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF THE CORPORATION. III. TO AMEND, ALTER, MODIFY, OR REPEAL THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION. IV. TO AUTHORIZE MERGER, CONSOLIDATION, OR AFFILIATION, OR PARTICIPATE IN JOINT VENTURES. V. TO DISSOLVE AND TO DISTRIBUTE ASSETS OF THE CORPORATION. VI. TO APPOINT AND/OR TERMINATE WITH OR WITHOUT CAUSE THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION. VII. TO ACQUIRE, PURCHASE, SELL, LEAASE, TRANSFER, OR ENCUMBER ANY IMMOVABLE PROPERTY ON BEHALF OF THE CORPORATION. VIII. TO ADD TO OR INCUR LONG-TERM DEBT IN EXCESS OF $5 MILLION BY THE CORPORATION. IX. TO APPOINT THE FISCAL AUDITOR FOR THE CORPORATION. X. TO APPROVE ANY INCREMENT OR ADDITION TO THE CAPITAL DEBT OR EFFORTS TO RENEGOTIATE, MODIFY OR CHANGE THE EXISTING CAPITAL DEBT OBLIGATIONS OF THE CORPORATION. XI. TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION. XII. TO APPROVE A STRATEGIC BUSINESS PLAN OF THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11B	THE BOARD HAS DELEGATED REVIEW OF THE FORM 990 TO THE FINANCE COMMITTEE OF THE BOARD PRIOR TO FILING. A FULL COPY, AS APPROVED BY THE FINANCE COMMITTEE, IS PROVIDED TO THE BOARD.
FORM 990, PART VI, SECTION B, LINE 12C	ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AND SIGN A CONFLICT OF INTEREST FORM ANNUALLY. THE PRESIDENT REVIEWS THE FORMS, AND ANY CONFLICTS ARE DISCLOSED TO THE OTHER MEMBERS OF THE BOARD AND MADE A MATTER OF RECORD. PERSONS WITH CONFLICTS OF INTERESTS DO NOT VOTE OR USE HIS OR HER INFLUENCE ON THE MATTER AND ARE EXCLUDED FROM THE COUNT IN DETERMINING THE QUORUM FOR THE MEETING, EVEN WHERE PERMITTED BY LAW.
FORM 990, PART VI, SECTION B, LINE 15	OUR BOARD OF DIRECTORS DESIGNATES AN EXECUTIVE COMMITTEE MADE UP OF INDEPENDENT BOARD MEMBERS TO REVIEW AND SET THE COMPENSATION ANNUALLY OF OUR OFFICERS AND KEY EMPLOYEES. THE EXECUTIVE COMMITTEE OBTAINS AND RELIES UPON COMPARABLE DATA INCLUDING INDUSTRY-WIDE COMPENSATION INFORMATION PROVIDED BY AN OUTSIDE CONSULTING FIRM. THE EXECUTIVE COMMITTEE REVIEWS COMPENSATION PACKAGES AND APPROPRIATE COMPENSATION IS DETERMINED AND APPROVED. THE BASIS FOR DETERMINATION IS THEN DOCUMENTED BY THE EXECUTIVE COMMITTEE. THE COMPENSATION FOR THE CEO OF ST. DOMINIC JACKSON MEMORIAL HOSPITAL IS SET BY THE COMPENSATION COMMITTEE OF ST. DOMINIC HEALTH SERVICES (A RELATED TAX-EXEMPT ORGANIZATION) ACCORDING TO THEIR PAY PRACTICES WHICH ARE SIMILAR TO THOSE DESCRIBED ABOVE.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. SECTION 1.263(A)-3(N) - BOOK CONFORMITY ELECTION: ST. DOMINIC JACKSON MEMORIAL HOSPITAL IS MAKING THE ELECTION UNDER TREAS. REG. 1.263(A)-3(N) TO CAPITALIZE THE REPAIR AND MAINTENANCE COSTS THAT IT TREATS AS CAPITAL IMPROVEMENTS ON ITS BOOKS AND RECORDS FOR THE TAX YEAR ENDED JUNE 30, 2024. SECTION 1.263(A)-1(F) - DE MINIMIS SAFE HARBOR ELECTION: ST. DOMINIC JACKSON MEMORIAL HOSPITAL HEREBY MAKES THE DE MINIMIS SAFE HARBOR ELECTION UNDER SECTION 1.263(A)-1(F) OF THE TREASURY REGULATIONS, EFFECTIVE ONLY FOR THE TAX YEAR ENDED JUNE 30, 2024. TAXPAYER HAS AN APPLICABLE FINANCIAL STATEMENT FOR THE YEAR OF THE ELECTION. THIS ELECTION PERMITS THE TAXPAYER TO DEDUCT FOR TAX PURPOSES ANY ITEM DEDUCTED UNDER ITS BOOK POLICY THAT DOES NOT EXCEED $5,000 PER INVOICE (OR PER ITEM, AS SUBSTANTIATED BY THE INVOICE) OR ITEMS HAVING AN ECONOMIC USEFUL LIFE OF TWELVE MONTHS OR LESS AS DESCRIBED IN SECTION 1.263(A)-1(F)(1)(I).
FORM 990, PART XI, LINE 9:	CAPITAL TRANSFER DUE TO MERGER 197,809,763. BOOK/TAX DIFFERENCES FOR HEALTH & WELLNESS ACTIVITY -86,884. CAPITAL TRANSFERS -44,732,474.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ST DOMINIC MEDICAL ASSOCIATES
969 LAKELAND DRIVE	JACKSON	MS	39216	261969846	HEALTHCARE	MS	$0	-$74,030,934	SDJMH
ST DOMINIC HOSPITAL MEDICINE LLC
969 LAKELAND DRIVE	JACKSON	MS	39216	814908606	HEALTHCARE	MS	$0	$0	SDJMH
ST DOMINIC HEALTH & WELLNESS LLC
969 LAKELAND DRIVE	JACKSON	MS	39216	823234006	HEALTHCARE	MS	-$86,884	-$161,853	SDJMH
CENTRAL MISSISSIPPI IMAGING LLC DBA SOUTHERN DIAGNOSTIC IMAGING
1037 NORTH FLOWOOD DRIVE	FLOWOOD	MS	39232	640928442	HEALTHCARE	MS	$795,134	$3,535,633	SDJMH
MEA PRIMARY CARE PLUS LLC
308 CORPORATE DRIVE	RIDGELAND	MS	39211	814502721	HEALTHCARE	MS	$0	$0	SDJMH

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
HEALTH CARE CENTERS IN SCHOOLS
5000 HENNESSY BLVD	BATON ROUGE	LA	70808	721443935	HEALTHCARE	LA	501(C)(3)	LINE 10 - A	OLOL	0
ST DOMINIC HEALTH SERVICES INC
969 LAKELAND DRIVE	JACKSON	MS	39216	640714999	HOLDING CO	MS	501(C)(3)	LINE 12C, III-FI	FMOLHS	0
COMMUNITY HEALTH SERVICES - ST DOMINIC
969 LAKELAND DRIVE	JACKSON	MS	39216	640884870	HEALTH PROGRAM	MS	501(C)(3)	LINE 10 - A	SDJMH	Yes (1)
ST DOMINIC - HEALTH SERVICES FOUNDATION
969 LAKELAND DRIVE	JACKSON	MS	39216	431992975	FUNDRAISING	MS	501(C)(3)	LINE 7	SDJMH	Yes (1)
ST CATHERINE'S VILLAGE INC
969 LAKELAND AND DRIVE	JACKSON	MS	39216	640714997	RET HOME	MS	501(C)(3)	LINE 10 - A	SDJMH	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (23 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
LOURDES IMAGING DEVELOPMENT LLC
4801 AMBASSADOR CAFFERY PKWY	LAFAYETTE	LA	70508	208326287	REAL ESTATE	LA	N/A	0	0
PARK PLACE SURGERY CENTER LLC
4811 AMBASSADOR CAFFERY PKWY	LAFAYETTE	LA	70508	721404092	HEALTHCARE	LA	N/A	0	0
CONVENIENT CARE LLC
10319 JEFFERSON HIGHWAY	BATON ROUGE	LA	70809	721439481	HEALTHCARE	LA	N/A	0	0
PERKINS PLAZA AMBULATORY SURGERY CENTER LLC
7145 PERKINS ROAD	BATON ROUGE	LA	70808	481264699	HEALTHCARE	LA	N/A	0	0
SURGICAL SPECIALTY CENTER OF BATON ROUGE LLC
8080 BLUEBONNET BLVD	BATON ROUGE	LA	70810	263120962	HEALTHCARE	LA	N/A	0	0
ST ELIZABETH-MARY BIRD PERKINS CANCER CENTER LLC
4950 ESSEN LANE	BATON ROUGE	LA	70809	260628752	HEALTHCARE	LA	N/A	0	0
NORTHEAST LA CANCER INSTITUTE LLC
411 CALYPSO STREET	MONROE	LA	71201	721329499	HEALTHCARE	LA	N/A	0	0
LHCG-XIII LLC DBA LOURDES HOME HEALTH
901 S HUGH WALLIS ROAD	LAFAYETTE	LA	70508	208068308	HEALTHCARE	LA	N/A	0	0
LOURDES AFTER HOURS LLC
7777 HENNESSY BLVD SUITE 1004-202	BATON ROUGE	LA	70809	201367299	HEALTHCARE	LA	N/A	0	0
LAKE URGENT CARE ASCENSION LLC (LUCA)
10319 JEFFERSON HIGHWAY	BATON ROUGE	LA	70809	352463092	HEALTHCARE	LA	N/A	0	0
ST FRANCIS URGENT CARE LLC
10319 JEFFERSON HIGHWAY	BATON ROUGE	LA	70809	474013731	HEALTHCARE	LA	N/A	0	0
GAMMA KNIFE OF LOUISIANA LLC
4950 ESSEN LANE	BATON ROUGE	LA	70809	811827194	HEALTHCARE	LA	N/A	0	0
PINNACLE CARE HOLDINGS LLC
5627 S SHERWOOD FOREST BLVD	BATON ROUGE	LA	70816	821637627	HEALTHCARE	LA	N/A	0	0
LAFAYETTE SURGERY CENTER LIMITED PARTNERSHIP
4801 AMBASSADOR CAFFERY PKWY	LAFAYETTE	LA	70508	943419282	HEALTHCARE	LA	N/A	0	0
FREMAUX OFFICE MM LLC
3500 NORTH CAUSEWAY BOULEVARD STE 6	METAIRIE	LA	70002	843084552	HEALTHCARE	LA	N/A	0	0
OLOL PONTCHARTRAIN SURGERY CENTER LLC
4200 ESSEN LANE	BATON ROUGE	LA	70809	461379031	HEALTHCARE	LA	N/A	0	0
LAKE SURGICAL HOSPITAL (SLIDELL) LLC
1700 LINDBERG DR	SLIDELL	LA	70458	474228147	HEALTHCARE	LA	N/A	0	0
PREMIER HEALTH HOLDINGS LLC
10319 JEFFERSON HIGHWAY	BATON ROUGE	LA	70809	472665226	HEALTHCARE	LA	N/A	0	0
PERKINS PLAZA DEVELOPMENT LLC
5000 HENNESSY BLVD	BATON ROUGE	LA	70808		REAL ESTATE	LA	N/A	0	0
JACKSON HEART & VASCULAR CENTER LLC
969 LAKELAND DRIVE	JACKSON	MS	39216		HEALTHCARE	MS		0	Yes (1)	ST DOMINIC JACKSON	RELATED	-$2,441,801	$1,887,448	0.80000
CARDIOVASCULAR AND ARRYTHMIA CENTER LLC (CVAC)
PO BOX 82063	BATON ROUGE	LA	70884	861438331	HEALTHCARE	LA	N/A	0	0
CARDIOVASCULAR AND ARRYTHMIA MANAGEMENT LLC (CVAM)
PO BOX 82063	BATON ROUGE	LA	70884		HEALTHCARE	LA	N/A	0	0
TRACTION SPORTS MANAGEMENT LLC
9222 BURBANK DRIVE	BATON ROUGE	LA	70820	822247999	HEALTHCARE	LA	N/A	0	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1ForeignAddress/AddressLine1Txt	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Legal Domicile StateLegalDomicileStateCd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt
LOUISE INSURANCE COMPANY
PO BOX 1051	CJ	KY1-1102	INSURANCE	CJ	FMOL	C	0
FRANCISICAN HEALTH & WELLNESS SERVICES INC
			HEALTHCARE		FMOL	C	0	4200 ESSEN LANE	BATON ROUGE	LA	70809	455492379	LA
FMOL HEALTH SYSTEM HOLDINGS INC
			INVESTMENT		FMOL	C	0	4200 ESSEN LANE	BATON ROUGE	LA	70809	454405024	LA
ST DOMINIC MADISON HEALTH SERVICES INC
			HEALTHCARE		SDJMH	C	Yes (1)	969 LAKELAND DRIVE	JACKSON	MS	39216	202870254	MS	$3,060,591	$16,735,427
ST DOMINIC INTEGRATED SERVICES INC
			INVESTMENTS		SDJMH	C	Yes (1)	969 LAKELAND DRIVE	JACKSON	MS	39216	271493623	MS	-$1,799,807	$3,722,772
LAFAYETTE SURGICARE INC
			HEALTHCARE		LOURDES	C	0	C/O C T CORPORATION SYSTEM 3867 PLA	BATON ROUGE	LA	70816	943419282	LA
NMC OPERATING COMPANY LLC DBA SPINE HOSPITAL OF LOUISIANA
			HEALTHCARE		OLOL	S	0	10105 PARK ROWE CIRCLE STE 250	BATON ROUGE	LA	70810	270059959	LA

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
JACKSON HEART & VASCULAR CENTER LLC
B	$199,999	FMV
ST CATHERINE'S VILLAGE
D	$14,568,915	FMV