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ST CATHERINES VILLAGE INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
ST CATHERINES VILLAGE INC (EIN 64-0714997)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-05-15
IRS object ID
202211359349301866
Schema version
2020v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-05-15T13:26:21-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN135565207PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1301 MAIN STREET SUITE 2150AddressLine1Txt
CityBATON ROUGECityNm
State AbbreviationLAStateAbbreviationCd
ZIP70801ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN640714997EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1STCATHERINE'S VILLAGE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTCABusinessNameControlTxt
Phone6012006642PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1969 LAKELAND DRIVEAddressLine1Txt
CityJACKSONCityNm
State AbbreviationMSStateAbbreviationCd
ZIP392164699ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSAM SCOTTPersonNm
Person TitleTREASURERPersonTitleTxt
Phone6012006642PhoneNum
Signature2022-05-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstSAMPersonFirstNm
Person LastSCOTTPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRYAN HOOKSPreparerPersonNm
PTINP00746825PTIN
Phone2253444000PhoneNum
Preparation2022-05-12PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSAM SCOTTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1969 LAKELAND DRIVEAddressLine1Txt
CityJACKSONCityNm
State AbbreviationMSStateAbbreviationCd
ZIP392164699ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$25,778,029GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.STCATHERINESVILLAGE.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1987FormationYr
Legal Domicile StateMSLegalDomicileStateCd
Activity Or MissionST. CATHERINE'S VILLAGE OPERATES RETIREMENT FACILITIES, NURSING HOMES, HOSPICES AND HOME HEALTH AGENCIES FOR THE AGED.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee456TotalEmployeeCnt
Total Volunteers19TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$2,655,144CYContributionsGrantsAmt
PY Program Service Revenue$23,130,123PYProgramServiceRevenueAmt
CY Program Service Revenue$22,805,906CYProgramServiceRevenueAmt
PY Investment Income$131,357PYInvestmentIncomeAmt
CY Investment Income$147,579CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$169,400CYOtherRevenueAmt
PY Total Revenue$23,261,480PYTotalRevenueAmt
CY Total Revenue$25,778,029CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$12,843,345PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$13,777,680CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$12,064,640PYOtherExpensesAmt
CY Other Expenses$10,494,496CYOtherExpensesAmt
PY Total Expenses$24,907,985PYTotalExpensesAmt
CY Total Expenses$24,272,176CYTotalExpensesAmt
PY Revenues Less Expenses-$1,646,505PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,505,853CYRevenuesLessExpensesAmt
Total Assets BOY$74,682,360TotalAssetsBOYAmt
Total Assets EOY$74,126,052TotalAssetsEOYAmt
Total Liabilities BOY$59,494,862TotalLiabilitiesBOYAmt
Total Liabilities EOY$57,222,995TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$15,187,498NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$16,903,057NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionINSPIRED 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$20,923,048ExpenseAmt
Revenue$22,805,906RevenueAmt
DescTHE VILLAGE IS MISSISSIPPI'S FIRST RETIREMENT COMMUNITY OFFERING THE SECURITY OF ALL-INCLUSIVE LIFE CARE. NESTLED ON 160 ACRES OF ROLLING GREEN HILLS AND TALL PINE TREES, THE VILLAGE OVERLOOKS A TRANQUIL 15 ACRE STOCKED LAKE. REMINISCENT OF A QUAINT EUROPEAN VILLAGE, THE VILLAGE IS CONVENIENTLY LOCATED IN MADISON, MISSISSIPPI 7 MILES NORTH OF JACKSON, THE STATE'S CAPITOL CITY. THE VILLAGE OFFERS A CONTINUUM OF CARE FEATURING:246 INDEPENDENT LIVING BEDS IN APARTMENTS AND GARDEN HOMES50 ASSISTED LIVING BEDS24 MEMORY SUPPORT BEDS120 SKILLED NURSING BEDSTHE VILLAGE IS THE FIRST RETIREMENT COMMUNITY IN MISSISSIPPI TO EARN ACCREDITATION BY CARF INTERNATIONAL. THIS "SEAL OF APPROVAL" SIGNIFIES THAT THE VILLAGE EXCEEDS THE STANDARDS OF EXCELLENCE AS ESTABLISHED BY CARF INTERNATIONAL. THE VILLAGE IS A FREE STANDING NOT-FOR-PROFIT, ALL INCLUSIVE CONTINUING CARE RETIREMENT COMMUNITY PROVIDING SERVICES TO INDIVIDUALS OVER 62 YEARS OF AGE, AND OPEN TO ALL FAITHS AND RACES. THE VILLAGE IS SPONSORED BY THE FRANCISCAN MISSIONARY OF OUR LADY SISTERS OF BATON ROUGE, LOUISIANA. THE DOMINICAN SISTERS OF SPRINGFIELD, ILLINOIS, WHO OWNED AND OPERATED ST. DOMINIC JACKSON MEMORIAL HOSPITAL FROM 1946 TO 2019, EXTENDED THEIR HEALING MINISTRY TO THE SPECIAL NEEDS OF OLDER ADULTS WITH THE CREATION OF THE VILLAGE.Desc
Total Program Service Expenses$20,923,048TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document41IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee456EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SAM SCOTTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6012006642PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1969 LAKELAND DRIVEAddressLine1Txt
CityJACKSONCityNm
State AbbreviationMSStateAbbreviationCd
ZIP392164699ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
SONNY STONE
CHAIRMAN0.500.00Yes (X)Yes (X)$0$0$0
JAMES E WOOD
VICE CHAIR0.500.00Yes (X)Yes (X)$0$0$0
LIONEL FRASIER MD
DIRECTOR0.500.00Yes (X)$0$0$0
PATSY TOLLESON
DIRECTOR0.500.00Yes (X)$0$0$0
RANDALL DAY
DIRECTOR0.500.00Yes (X)$0$0$0
BARNEY DALY
DIRECTOR0.500.00Yes (X)$0$0$0
WILLIAM E LOPER MD
DIRECTOR0.500.00Yes (X)$0$0$0
LESTER DIAMOND
PRESIDENT0.5041.50Yes (X)Yes (X)$0$1,135,918$113,444
SISTER MARY TRINITA EDDINGTON
SECRETARY0.5040.50Yes (X)Yes (X)$0$0$0
SAM SCOTT
TREASURER0.5041.50Yes (X)$0$594,049$26,582
LISA WILBURN
EXECUTIVE DIRECTOR40.000.00$219,875$0$22,189Yes (X)
FELICHIA FIELDS
VP SENIOR SERVICES40.000.00$121,518$0$12,478Yes (X)
SCOTT KERSH
MANAGER FINANCE SCV40.000.00$151,153$0$28,689Yes (X)
SHEILA SIMPSON
SR DIRECTOR ADMIN40.000.00$108,405$0$12,037Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$600,951TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,729,967TotReportableCompRltdOrgAmt
Total Other Compensation$215,419TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CURA HOSPITALITY LLC
PO BOX 743676ATLANTAGA303743676FOOD SVC. MANAGEMENT$3,530,390
DAVID B TURNER BUILDERS LLC
213 PALMERS COURTMADISONMS39110VARIOUS CONSTRUCTION$396,765
PRO LAWN CARE INC
PO BOX 1098MADISONMS39130LANDSCAPING SVCS$254,265
D & L FLOORING AND DESIGN LLC
806 MONDRO STJACKSONMS39202FLOORING SVCS$181,501
COOKE DOUGLAS FARR LEMONS
PO BOX 55909JACKSONMS39293ARCHITECTURE SVCS$112,870
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
Government Grants$2,655,144GovernmentGrantsAmt
Total Contributions$2,655,144TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescRESIDENT SERVICESDesc
Business623000BusinessCd
Total Revenue Column$22,805,906TotalRevenueColumnAmt
Related Or Exempt Func Income$22,805,906RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$22,805,906TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$147,579TotalRevenueColumnAmt
Exclusion$147,579ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescPENSION RELATED ADJUSTMENTSDesc
Business900099BusinessCd
Total Revenue Column$169,400TotalRevenueColumnAmt
Related Or Exempt Func Income$169,400RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$169,400OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$25,778,029TotalRevenueColumnAmt
Related Or Exempt Func Income$22,975,306RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$147,579ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$219,875TotalAmt
Program Services$106,329ProgramServicesAmt
Management And General$113,546ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$11,453,006TotalAmt
Program Services$10,341,600ProgramServicesAmt
Management And General$1,111,406ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,287,797TotalAmt
Program Services$1,152,656ProgramServicesAmt
Management And General$135,141ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$817,002TotalAmt
Program Services$731,266ProgramServicesAmt
Management And General$85,736ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$355,236TotalAmt
Program Services$281,827ProgramServicesAmt
Management And General$73,409ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$99,318TotalAmt
Program Services$88,896ProgramServicesAmt
Management And General$10,422ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$350TotalAmt
Program Services$313ProgramServicesAmt
Management And General$37ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,934,270TotalAmt
Program Services$3,557,538ProgramServicesAmt
Management And General$376,732ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$85,235TotalAmt
Program Services$76,290ProgramServicesAmt
Management And General$8,945ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$460,044TotalAmt
Program Services$411,767ProgramServicesAmt
Management And General$48,277ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$827,741TotalAmt
Program Services$740,878ProgramServicesAmt
Management And General$86,863ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$505TotalAmt
Program Services$452ProgramServicesAmt
Management And General$53ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$3,120TotalAmt
Program Services$2,793ProgramServicesAmt
Management And General$327ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$597,816TotalAmt
Management And General$597,816ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,356,027TotalAmt
Program Services$2,294,191ProgramServicesAmt
Management And General$61,836ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$414,675TotalAmt
Management And General$414,675ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
REPAIRS & MAINTENANCE$954,774$797,601$157,173
SUPPLIES$339,818$283,878$55,940
ALL OTHER EXPENSES$65,567$54,773$10,794

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$24,272,176TotalAmt
Program Services$20,923,048ProgramServicesAmt
Management And General$3,349,128ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,020,763BOYAmt
EOY$3,196,388EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$45,010BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$90,725BOYAmt
EOY$63,236EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$10,000BOYAmt
EOY$10,000EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$81,190BOYAmt
EOY$280,137EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$68,977,737LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,597,582LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$65,737,791BOYAmt
EOY$64,380,155EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$5,696,881BOYAmt
EOY$6,196,136EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$74,682,360BOYAmt
EOY$74,126,052EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,928,380BOYAmt
EOY$2,961,231EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$29,194,675BOYAmt
EOY$28,522,290EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$19,383,990BOYAmt
EOY$17,913,911EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,987,817BOYAmt
EOY$7,825,563EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$59,494,862BOYAmt
EOY$57,222,995EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,621,507BOYAmt
EOY$10,556,023EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,565,991BOYAmt
EOY$6,347,034EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$15,187,498BOYAmt
EOY$16,903,057EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$74,682,360BOYAmt
EOY$74,126,052EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,505,853ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$220,499NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments-$10,793PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$160,386CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$243,222CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$162,667CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$2,655,144CurrentTaxYearAmt
Total$3,221,419TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,575,355CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$22,699,690CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,159,915CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$23,130,123CurrentTaxYearMinus1YearAmt
Current Tax Year$22,805,906CurrentTaxYearAmt
Total$102,370,989TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,735,741CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$22,942,912CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,322,582CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$23,130,123CurrentTaxYearMinus1YearAmt
Current Tax Year$25,461,050CurrentTaxYearAmt
Total$105,592,408TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$105,592,408PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$158,323CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$141,011CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$62,141CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$131,357CurrentTaxYearMinus1YearAmt
Current Tax Year$147,579CurrentTaxYearAmt
Total$640,411TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$158,323CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$141,011CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$62,141CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$131,357CurrentTaxYearMinus1YearAmt
Current Tax Year$147,579CurrentTaxYearAmt
Total$640,411TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,975CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,443CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,921CurrentTaxYearMinus2YearsAmt
Current Tax Year$169,400CurrentTaxYearAmt
Total$206,739TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,908,039CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$23,099,366CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,392,644CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$23,261,480CurrentTaxYearMinus1YearAmt
Current Tax Year$25,778,029CurrentTaxYearAmt
Total$106,439,558TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99200PublicSupportCY509Pct
Public Support PY5090.98180PublicSupportPY509Pct
Investment Income CY0.00600InvestmentIncomeCYPct
Investment Income PY0.00590InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,565,991BeginningYearBalanceAmt
Contributions$28,462ContributionsAmt
Investment Earnings Or Losses$913,772InvestmentEarningsOrLossesAmt
Other Expenditures$161,191OtherExpendituresAmt
End Year Balance$6,347,034EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,465,758BeginningYearBalanceAmt
Contributions$68,397ContributionsAmt
Investment Earnings Or Losses$39,311InvestmentEarningsOrLossesAmt
Other Expenditures$7,475OtherExpendituresAmt
End Year Balance$5,565,991EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,429,426BeginningYearBalanceAmt
Contributions$263,163ContributionsAmt
Other Expenditures$226,831OtherExpendituresAmt
End Year Balance$5,465,758EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,568,523BeginningYearBalanceAmt
Contributions$107,563ContributionsAmt
Other Expenditures$246,660OtherExpendituresAmt
End Year Balance$5,429,426EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,005,152BeginningYearBalanceAmt
Contributions$723,757ContributionsAmt
Other Expenditures$160,386OtherExpendituresAmt
End Year Balance$5,568,523EndYearBalanceAmt
FieldValueIRS element (for citing)
Term Endowment Balance EOY1.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,600,000OtherCostOrOtherBasisAmt
Book Value$5,600,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$61,146,784OtherCostOrOtherBasisAmt
Depreciation$3,995,493DepreciationAmt
Book Value$57,151,291BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$356,649OtherCostOrOtherBasisAmt
Depreciation$81,625DepreciationAmt
Book Value$275,024BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,874,304OtherCostOrOtherBasisAmt
Depreciation$520,464DepreciationAmt
Book Value$1,353,840BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$64,380,155TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATES$766,880
INTEREST IN SDHS FOUNDATION$5,429,256
FieldValueIRS element (for citing)
Total Book Value Other Assets$6,196,136TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
SELF INSURANCE LIABILITY - LT$186,945
DUE TO/FROM AFFILIATES$5,082,987
RETIREMENT PAYABLE LONG TERM$2,025,068
OTHER LIABILITIES$530,563
FieldValueIRS element (for citing)
Total Liability$7,825,563TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2: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 RESERVES FOR UNCERTAIN TAX POSITIONS HAVE BEEN RECORDED.
PART V, LINE 4RESTRICTED NET ASSETS ARE CLASSIFIED AS SUCH BASED ON DONOR STIPULATIONS THAT THEY BE USED IN A LATER PERIOD, FOR A SPECIFIC PURPOSE OR BOTH. AT JUNE 30, 2021 AND JUNE 30, 2020, THE VILLAGE HAD TEMPORARILY RESTRICTED NET ASSETS OF $6,347,034 AND $5,565,991 RESPECTIVELY, RELATED TO THE INTEREST IN NET ASSETS OF THE FOUNDATION.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
LESTER DIAMOND
PRESIDENT$0$691,308$0$0$0$444,610$0$84,758$0$28,686$0$1,249,362$0$346,858
SAM SCOTT
TREASURER$0$516,351$0$0$0$77,698$0$7,762$0$18,820$0$620,631$0$35,767
LISA WILBURN
EXECUTIVE DIRECTOR$213,335$0$0$0$6,540$0$7,028$0$15,161$0$242,064$0$0$0
SCOTT KERSH
MANAGER FINANCE SCV$151,153$0$0$0$0$0$5,239$0$23,450$0$179,842$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4BEFFECTIVE FOR THE PLAN YEAR BEGINNING 1/1/2013, THE EXECTIVE COMPENSATION COMMITTEE ADOPTED A NON QUALIFIED RESTORATION PLAN THAT PROVIDES 5% OF PAY FOR SALARY IN EXCESS OF THE IRS LIMIT (CODE SECTION 401(A)(17)). PAYOUTS ARE INCLUDED IN FORM W-2 BOX 5 WAGES AND REFLECTED IN OTHER REPORTABLE COMPENSATION. IN THE CURRENT YEAR, PAYMENTS WERE MADE TO THE FOLLOWING INDIVIDUALS : LESTER DIAMOND - $31,327 AND SAMUEL SCOTT - $16,368. SDHS MAINTAINS ONE UNFUNDED DEFERRED COMPENSATION PLAN WHICH MEETS THE REQUIREMENTS OF IRC SECTION 457(F) AND IRC SECTION 409A. THE PLAN PROVIDES 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 PLAN IS LIMITED TO CERTAIN EXECUTIVES AND IS SUBJECT TO APPROVAL OF SDHS BOARD OF DIRECTORS OR A DESIGNATED COMMITTEE OF SUCH BOARD. THE FOLLOWING INDIVIDUALS RECEIVEDE PAYMENT FROM THE PLAN IN THE CURRENT YEAR: LESTER DIAMOND - $413,283 AND SAMUEL SCOTT - $61,330. FMOLHS MAINTAINS THREE 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 3THE ST. DOMINIC HEALTH SERVICES, INC. BOARD OF DIRECTORS DESIGNATES A COMPENSATION COMMITTEE, MADE UP OF INDEPENDENT BOARD MEMBERS, TO REVIEW AND SET THE CEO'S COMPENSATION ANNUALLY. THE COMPENSATION COMMITTEE OBTAINS AND RELIES UPON COMPARABLE DATA INCLUDING A COMPENSATION STUDY/SURVEY FROM AN INDEPENDENT COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE REVIEWS COMPENSATION PACKAGES AND APPROPRIATE COMPENSATION IS DETERMINED AND APPROVED. THE BASIS FOR MAKING SUCH DETERMINATION IS DOCUMENTED BY THE COMPENSATION COMMITTEE.
PART I, LINE 4AONE OFFICER IS ENTITLED TO A SEVERANCE BENEFIT. THE PAYOUT OF SUCH BENEFIT IS REMOTE AS IT IS EFFECTIVE ONLY FOR A TERMINATION FOR 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 12 MONTHS. NO PAYMENTS WERE MADE UNDER THE PLAN IN THE CURRENT YEAR.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6ST. DOMINIC HEALTH SERVICES, INC. IS THE SOLE MEMBER OF THE VILLAGE.
FORM 990, PART VI, SECTION A, LINE 7ATHE BOARD OF DIRECTORS OF THE ORGANIZATION'S SOLE MEMBER, ST. DOMINIC HEALTH SERVICES, INC., HAS THE AUTHORITY TO APPROVE THE ELECTION OF THE PRESIDENT/CEO, THE CHAIR OF THE BOARD AND THE VICE-CHAIR OF THE BOARD OF DIRECTORS OF THE VILLAGE AND ALL OTHER DIRECTORS AND OFFICERS OF THE VILLAGE.
FORM 990, PART VI, SECTION A, LINE 7BTHE RESERVED POWER TO THE MEMBER, ST. DOMINIC HEALTH SERVICES, 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, LEASE, 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 CHARGE 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 11BAFTER PREPARATION AND REVIEW OF FORM 990 BY KPMG LLP, THE TAXPAYER'S TAX ADVISORS, ONE OR MORE MEMBERS OF SENIOR MANAGEMENT REVIEWS THE RETURN. A COPY OF THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY BEFORE IT IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CDIRECTORS AND OFFICERS RECEIVE A COPY OF THE POLICY AND FORM FOR REPORTING EACH YEAR AT THE FIRST MEETING. FORMS ARE REVIEWED BY THE PRESIDENT AND ANY CONFLICTS SHARED WITH THE BOARD CHAIR. PERSONS WITH CONFLICTS OF INTERESTS ABSTAIN FROM ANY DECISIONS WHERE THE CONFLICT EXISTS.
FORM 990, PART VI, SECTION B, LINE 15OUR 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. CATHERINE'S VILLAGE 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 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GPURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,557,538. MANAGEMENT AND GENERAL EXPENSES 376,732. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,934,270.
SECTION 1.263(A) -3(N) - BOOK CONFORMITY ELECTIONST. CATHERINE'S VILLAGE, INC. IS MAKING THE ELECTION UNDER TREAS. REG. SECTION 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, 2021.
SECTION 1.263(A)-1(F) - DE MINIMIS SAFE HARBOR ELECTIONST. CATHERINE'S VILLAGE, INC. 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 ENDING JUNE 30, 2021. TAXPAYER HAS ANAPPLICABLE 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).

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
ST BERNARD HEALTH FUND
4200 ESSEN LANEBATON ROUGELA70809204685614HEALTHCARELA501(C)(3)LINE 12A, IFMOL0
HEALTH CARE CENTERS IN SCHOOLS
5000 HENNESSY BLVDBATON ROUGELA70808721443935HEALTHCARELA501(C)(3)LINE 10OLOL0
ST DOMINIC HEALTH SERVICES INC
969 LAKELAND DRIVEJACKSONMS39216640714999HOLDING COMS501(C)(3)LINE 12C, III-FIFMOLHS0
COMMUNITY HEALTH SERVICES - ST DOMINIC
969 LAKELAND DRIVEJACKSONMS39216640884870HEALTH PROGRAMMS501(C)(3)LINE 10SDHS0
ST DOMINIC - JACKSON MEMORIAL HOSPITAL
969 LAKELAND DRIVEJACKSONMS39216640303091HOSPITALMS501(C)(3)LINE 3SDHS0
ST DOMINIC - HEALTH SERVICES FOUNDATION
969 LAKELAND DRIVEJACKSONMS39216431992975FUNDRAISINGMS501(C)(3)LINE 7SDHS0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (24 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
LOURDES IMAGING DEVELOPMENT LLC
4801 AMBASSADOR CAFFERY PKWYLAFAYETTELA70508208326287REAL ESTATELAN/AN/A0Yes (1)
BRPT LAKE REHABILITATION CENTERS LLC
175 S ENGLISH STATION RD STE 218LOUISVILLEKY40245721506100HEALTHCARELAN/AN/A0Yes (1)
CONVENIENT CARE LLC
10319 JEFFERSON HIGHWAYBATON ROUGELA70809721439481HEALTHCARELAN/AN/A0Yes (1)
SURGICAL SPECIALTY CENTER OF BATON ROUGE LLC
8080 BLUEBONNET BLVDBATON ROUGELA70810263120962HEALTHCARELAN/AN/A0Yes (1)
ST ELIZABETH-MARY BIRD PERKINS CANCER CENTER LLC
4950 ESSEN LANEBATON ROUGELA70809260628752HEALTHCARELAN/AN/A0Yes (1)
LHCG-XIII LLC DBA LOURDES HOME HEALTH
901 S HUGH WALLIS ROADLAFAYETTELA70508208068308HEALTHCARELAN/AN/A0Yes (1)
LOURDES AFTER HOURS LLC
7777 HENNESSY BLVD SUITE 1004-202BATON ROUGELA70809201367299HEALTHCARELAN/AN/A0Yes (1)
NORTHEAST LA CANCER INSTITUTE LLC
411 CALYPSO STREETMONROELA71201721329499HEALTHCARELAN/AN/A0Yes (1)
LAKE URGENT CARE ASCENSION LLC
10319 JEFFERSON HIGHWAYBATON ROUGELA70809352463092HEALTHCARELAN/AN/A0Yes (1)
ST FRANCIS URGENT CARE LLC
10319 JEFFERSON HIGHWAYBATON ROUGELA70809474013731HEALTHCARELAN/AN/A0Yes (1)
GAMMA KNIFE OF LOUISIANA LLC
4950 ESSEN LANEBATON ROUGELA70809811827194HEALTHCARELAN/AN/A0Yes (1)
PREMIER HEALTH HOLDINGS LLC
10319 JEFFERSON HIGHWAYBATON ROUGELA70809472665226HEALTHCARELAN/AN/A0Yes (1)
LHCG LXVII LLC
901 S HUGH WALLIS ROADLAFAYETTELA70508474283509HEALTHCARELAN/AN/A0Yes (1)
PINNACLE CARE HOLDINGS LLC
5627 S SHERWOOD FOREST BLVDBATON ROUGELA70816821637627HEALTHCARELAN/AN/A0Yes (1)
LAFAYETTE SURGERY CENTER LIMITED PARTNERSHIP
C/O C T CORPORATION SYSTEM 3867 PLABATON ROUGELA70816HEALTHCARELAN/AN/A0Yes (1)
PARK PLACE SURGERY CENTER LLC
4811 AMBASSADOR CAFFERY PKWYLAFAYETTELA70508721404092HEALTHCARELAN/AN/A0Yes (1)
HIGHLAND MEDICAL ARTS LLC
PO BOX 55769JACKSONMS39296743073171MED BUILDINGMSN/AN/A0Yes (1)
OLOLUSP SURGERY CENTER LLC
15305 DALLAS PKWY STE 1600 LB 28ADDISONTX75001352457810HEALTHCARETXN/AN/A0Yes (1)
MARILLAC LLC
10319 JEFFERSON HIGHWAYBATON ROUGELA70809HEALTHCARELAN/AN/A0Yes (1)
FREMAUX OFFICE MM LLC
3500 NORTH CAUSEWAY BOULEVARD STE 6METAIRIELA70002843084552HEALTHCARELAN/AN/A0Yes (1)
FREMAUX MOB LLC
3500 NORTH CAUSEWAY BOULEVARD STE 6METAIRIELA70002MED BUILDINGLAN/AN/A0Yes (1)
SHP MANAGING MEMBER LLC
7015 HIGHWAY 190 E SERVICE ROAD STECOVINGTONLA70433832168844HEALTHCARELAN/AN/A0Yes (1)
OLOL PONTCHARTRAIN SURGERY CENTER LLC
4200 ESSEN LANEBATON ROUGELA70809461379031HEALTHCARELAN/AN/A0Yes (1)
LAKE SURGICAL HOSPITAL (SLIDELL) LLC
1700 LINDBERG DRSLIDELLLA70458HEALTHCARELAN/AN/A0Yes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINLegal Domicile StateLegalDomicileStateCd
LOUISE INSURANCE COMPANY
PO BOX 1051 KY1-1102 CAYMAN ISLANDSCAYMAN ISLANDSCJINSURANCECJN/AC0
FRANCISICAN HEALTH & WELLNESS SERVICES INC
HEALTHCAREN/AC04200 ESSEN LANEBATON ROUGELA70809455492379LA
FMOL HEALTH SYSTEM HOLDINGS INC
INVESTMENTN/AC04200 ESSEN LANEBATON ROUGELA70809454405024LA
ST DOMINIC MADISON HEALTH SERVICES INC
HEALTHCAREN/AC0969 LAKELAND DRIVEJACKSONMS39216202870254MS
FIRST INTERMED CORPORATION
MEDICAL SERVICESN/AC0308 CORPORATE DRIVERIDGELANDMS39157640824796MS
ST DOMINIC INTEGRATED SERVICES INC
INVESTMENTSN/AC0969 LAKELAND DRIVEJACKSONMS39216271493623MS
LAFAYETTE SURGICARE INC
HEALTHCAREN/AC0C/O C T CORPORATION SYSTEM 3867 PLABATON ROUGELA70816LA
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd