ST DOMINIC-JACKSON MEMORIAL HOSPITAL: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- ST DOMINIC-JACKSON MEMORIAL HOSPITAL (EIN 64-0303091)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-16
- IRS object ID
- 202231369349313233
- 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
- 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 | 2022-05-16T16:16:15-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | 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 | 2020-07-01 | 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 | REGIONAL CFO | PersonTitleTxt |
| Phone | 6012006570 | PhoneNum |
| Signature | 2022-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | SAM | PersonFirstNm |
| Person Last | SCOTT | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RYAN HOOKS | PreparerPersonNm |
| PTIN | P00746825 | PTIN |
| Phone | 2253444000 | PhoneNum |
| Preparation | 2022-05-15 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SAMUEL T 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 | $597,403,711 | 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 | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 4362 | TotalEmployeeCnt |
| Total Volunteers | 261 | TotalVolunteersCnt |
| Total Gross UBI | $609,495 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $12,536,961 | PYContributionsGrantsAmt |
| CY Contributions Grants | $49,243,178 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $495,371,318 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $525,283,460 | CYProgramServiceRevenueAmt |
| PY Investment Income | $953,969 | PYInvestmentIncomeAmt |
| CY Investment Income | $8,870,762 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,541,326 | PYOtherRevenueAmt |
| CY Other Revenue | $8,633,917 | CYOtherRevenueAmt |
| PY Total Revenue | $513,403,574 | PYTotalRevenueAmt |
| CY Total Revenue | $592,031,317 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,275,686 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,523,206 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $234,963,334 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $247,519,837 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $297,894,593 | PYOtherExpensesAmt |
| CY Other Expenses | $269,299,712 | CYOtherExpensesAmt |
| PY Total Expenses | $535,133,613 | PYTotalExpensesAmt |
| CY Total Expenses | $519,342,755 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$21,730,039 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $72,688,562 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $456,520,111 | TotalAssetsBOYAmt |
| Total Assets EOY | $502,151,354 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $233,727,811 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $213,774,579 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $222,792,300 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $288,376,775 | 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 | $416,807,806 | ExpenseAmt |
| Revenue | $526,499,679 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $15,472,527 | ExpenseAmt |
| Desc | SEE SCHEDULE O | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,523,206 | ExpenseAmt |
| Grant | $2,523,206 | GrantAmt |
| Desc | SEE SCHEDULE O | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $434,803,539 | 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 | Yes (1) | 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 | 225 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 4362 | 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 | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | 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 (33 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| SISTER KATHLEEN ANNE TAIT OP | ||||||||||
| BOARD MEMBER | 0.75 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| WILLIAM BROWN | ||||||||||
| BOARD MEMBER | 0.75 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| SISTER KRISTIN REVER OP | ||||||||||
| BOARD MEMBER | 0.75 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| SISTER KATHLEEN GALLAGHER OP | ||||||||||
| BOARD MEMBER | 0.75 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MONSIGNOR ELVIN SUNDS | ||||||||||
| BOARD MEMBER | 0.75 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| 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 | ||||
| D PAUL SEAGO MD | ||||||||||
| BOARD MEMBER/PHYSICIAN | 40.00 | 0.50 | Yes (X) | $817,663 | $0 | $20,028 | ||||
| SISTER ROSE MIRIAM SCHULTE OP | ||||||||||
| BOARD MEMBER | 0.75 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| DUANE A O'NEILL | ||||||||||
| BOARD MEMBER | 0.75 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| REBEKAH MOULDER MD | ||||||||||
| BOARD MEMBER/PHYSICIAN | 40.00 | 0.00 | Yes (X) | $548,919 | $0 | $2,676 | ||||
| REGINALD MARTIN MD | ||||||||||
| BOARD MEMBER/PHYSICIAN | 40.00 | 0.00 | Yes (X) | $368,126 | $0 | $25,571 | ||||
| EDDIE MALONEY | ||||||||||
| BOARD MEMBER | 0.75 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| RICK GUYNES MD | ||||||||||
| BOARD MEMBER | 40.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| RUTH FREDERICKS MD | ||||||||||
| BOARD MEMBER/PHYSICIAN | 40.00 | 0.00 | Yes (X) | $876,871 | $0 | $10,482 | ||||
| SISTER M THECLA KUHNLINE OP | ||||||||||
| BOARD MEMBER | 0.75 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| JIMMY JONES MD | ||||||||||
| BOARD MEMBER | 0.75 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| WILL MCCRANEY MD | ||||||||||
| BOARD MEMBER | 0.75 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| JEFF FLETCHER | ||||||||||
| CHAIR | 0.75 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| LESTER DIAMOND | ||||||||||
| PRESIDENT (THRU 03/2021) | 2.00 | 40.00 | Yes (X) | $0 | $1,135,918 | $113,444 | Yes (X) | |||
| SISTER M TRINITA EDDINGTON OP | ||||||||||
| SECRETARY | 0.75 | 40.25 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| JOHNNY DONALDSON | ||||||||||
| VICE CHAIR | 0.75 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| SAMUEL SCOTT | ||||||||||
| SVP, CFO | 0.75 | 41.00 | $0 | $594,049 | $26,582 | Yes (X) | ||||
| WILLIAM MORGAN | ||||||||||
| COO | 40.00 | 0.00 | $622,038 | $0 | $37,444 | Yes (X) | ||||
| DAVID HENRY | ||||||||||
| VP CLINICAL OPERATIONS | 40.00 | 0.00 | $334,304 | $0 | $33,905 | Yes (X) | ||||
| KEITH VAN CAMP | ||||||||||
| VP INFORMATION TECHNOLOGY | 40.00 | 0.00 | $506,089 | $0 | $11,789 | Yes (X) | ||||
| DAVID SINCLAIR | ||||||||||
| VP NETWORK ADMIN | 40.00 | 0.00 | $427,715 | $0 | $32,015 | Yes (X) | ||||
| JOHN LANCON | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $1,315,650 | $0 | $28,310 | Yes (X) | ||||
| BRYAN A GASPARD | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $973,230 | $0 | $25,610 | Yes (X) | ||||
| PB KERR | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $963,315 | $0 | $25,610 | Yes (X) | ||||
| RONALD KENNEDY | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $841,692 | $0 | $12,994 | Yes (X) | ||||
| ZACHARY K BALDWIN | ||||||||||
| PHYSICIAN | 40.00 | 0.00 | $813,760 | $0 | $25,610 | Yes (X) | ||||
| CLAUDE HARBARGER | ||||||||||
| FORMER PRESIDENT SDHS | 0.00 | 0.00 | $0 | $439,241 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $9,409,372 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,169,208 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $432,070 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 237 | 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 |
|---|---|---|---|---|---|
| ALLIED EMERGENCY SERVICES PC | |||||
| PO BOX 2120 | RIDGELAND | MS | 39158 | EMERGENCY ROOM DOCTO | $7,490,988 |
| FLAGSTAR CONSTRUCTION COMPANY | |||||
| 2006 ASPEN CV | BRANDON | MS | 39042 | VARIOUS CONSTRUCTION | $7,212,661 |
| NTHRIVE INC | |||||
| PO BOX 676188 | DALLAS | TX | 752676188 | PATIENT FINANCIAL SV | $6,248,613 |
| PHYSICIANS ANESTHESIA GROUP PA | |||||
| 971 LAKELAND DRIVE | JACKSON | MS | 39207 | ANESTHESIA SERVICE A | $4,832,584 |
| CERNER CORPORATION | |||||
| PO BOX 959156 | ST LOUIS | MO | 63195 | INFORMATION TECHNOLO | $4,609,078 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 59 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $6,373,643 | RelatedOrganizationsAmt |
| Government Grants | $42,859,535 | GovernmentGrantsAmt |
| All Other Contributions | $10,000 | AllOtherContributionsAmt |
| Total Contributions | $49,243,178 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|---|
| PATIENT SERVICE REVENUE | 621990 | $519,329,706 | $519,329,706 | ||
| CAFETERIA SALES | 722516 | $2,331,671 | $2,331,671 | ||
| COOR CARE INCENTIVE | 621900 | $1,132,542 | $1,132,542 | ||
| CHILD CARE INCOME | 624410 | $1,099,481 | $489,986 | $609,495 | |
| RETAIL SALES | 453000 | $860,107 | $860,107 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $529,953 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $529,953 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $525,283,460 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,069,043 | TotalRevenueColumnAmt |
| Exclusion | $8,069,043 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,653,370 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,526,931 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,126,439 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,126,439 | TotalRevenueColumnAmt |
| Exclusion | $3,126,439 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,647,182 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,845,463 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $801,719 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $801,719 | TotalRevenueColumnAmt |
| Exclusion | $801,719 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PENSION RELATED CHANGES | Desc |
| Business | 990009 | BusinessCd |
| Total Revenue Column | $5,507,478 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,507,478 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $5,507,478 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $592,031,317 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $526,499,679 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $609,495 | UnrelatedBusinessRevenueAmt |
| Exclusion | $15,678,965 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,515,950 | TotalAmt |
| Program Services | $2,515,950 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,256 | TotalAmt |
| Program Services | $7,256 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $219,541,771 | TotalAmt |
| Program Services | $177,228,629 | ProgramServicesAmt |
| Management And General | $42,313,142 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,022,662 | TotalAmt |
| Program Services | $11,320,020 | ProgramServicesAmt |
| Management And General | $2,702,642 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,955,404 | TotalAmt |
| Program Services | $11,265,725 | ProgramServicesAmt |
| Management And General | $2,689,679 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,293,368 | TotalAmt |
| Program Services | $23,378,664 | ProgramServicesAmt |
| Management And General | $3,914,704 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,247,834 | TotalAmt |
| Program Services | $3,133,702 | ProgramServicesAmt |
| Management And General | $114,132 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,000 | TotalAmt |
| Program Services | $46,096 | ProgramServicesAmt |
| Management And General | $14,904 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,449,264 | TotalAmt |
| Program Services | $34,489,697 | ProgramServicesAmt |
| Management And General | $2,959,567 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,150,041 | TotalAmt |
| Program Services | $869,680 | ProgramServicesAmt |
| Management And General | $280,361 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,501,993 | TotalAmt |
| Program Services | $7,936,126 | ProgramServicesAmt |
| Management And General | $2,565,867 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,077,300 | TotalAmt |
| Program Services | $9,126,552 | ProgramServicesAmt |
| Management And General | $2,950,748 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,734 | TotalAmt |
| Program Services | $67,054 | ProgramServicesAmt |
| Management And General | $21,680 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,225 | TotalAmt |
| Program Services | $3,948 | ProgramServicesAmt |
| Management And General | $1,277 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $784,384 | TotalAmt |
| Management And General | $784,384 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,061,894 | TotalAmt |
| Program Services | $430,222 | ProgramServicesAmt |
| Management And General | $16,631,672 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,169,146 | TotalAmt |
| Program Services | $3,150,532 | ProgramServicesAmt |
| Management And General | $1,018,614 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL & OTHER SUPPLIE | $132,587,817 | $132,587,817 | |
| REPAIRS & MAINTENANCE | $20,791,344 | $15,711,564 | $5,079,780 |
| MISCELLANEOUS EXPENSES | $2,030,368 | $1,534,305 | $496,063 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $519,342,755 | TotalAmt |
| Program Services | $434,803,539 | ProgramServicesAmt |
| Management And General | $84,539,216 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $124,277,290 | BOYAmt |
| EOY | $117,018,469 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,331,301 | BOYAmt |
| EOY | $75,326,090 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,016,194 | BOYAmt |
| EOY | $15,422,662 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,025,660 | BOYAmt |
| EOY | $22,543,161 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $247,383,259 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $32,621,656 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $207,082,669 | BOYAmt |
| EOY | $214,761,603 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,241,160 | BOYAmt |
| EOY | $31,561,936 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,419,942 | BOYAmt |
| EOY | $7,846,405 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $7,361,321 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,125,895 | BOYAmt |
| EOY | $10,309,707 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $456,520,111 | BOYAmt |
| EOY | $502,151,354 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,513,885 | BOYAmt |
| EOY | $58,236,879 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,541,494 | BOYAmt |
| EOY | $30,610,778 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,985,961 | BOYAmt |
| EOY | $12,548,941 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $103,686,471 | BOYAmt |
| EOY | $112,377,981 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $233,727,811 | BOYAmt |
| EOY | $213,774,579 | 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 | $222,792,300 | BOYAmt |
| EOY | $288,376,775 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $222,792,300 | BOYAmt |
| EOY | $288,376,775 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $456,520,111 | BOYAmt |
| EOY | $502,151,354 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $72,688,562 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $5,028,208 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$12,132,295 | 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 | 0 | FederalGrantAuditRequiredInd |
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 | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $25,284 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $25,284 | 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 | ST. DOMINIC-JACKSON MEMORIAL HOSPITAL PAID DUES TO THE MISSISSIPPI HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION. THE MISSISSIPPI HOSPITAL ASSOCIATION REPORTS THAT 8.89% OF THE $162,822 OF DUES PAID WERE RELATED TO LOBBYING ACTIVITIES. AMERICAN HOSPITAL ASSOCIATION REPORTS THAT 25.56% OF THE $42,288 OF DUES PAID WERE RELATED TO LOBBYING ACTIVITIES. | 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 | $14,930,000 | OtherCostOrOtherBasisAmt |
| Book Value | $14,930,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $181,871,777 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,924,569 | DepreciationAmt |
| Book Value | $168,947,208 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $50,442,602 | OtherCostOrOtherBasisAmt |
| Depreciation | $19,666,619 | DepreciationAmt |
| Book Value | $30,775,983 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $138,880 | OtherCostOrOtherBasisAmt |
| Depreciation | $30,468 | DepreciationAmt |
| Book Value | $108,412 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $214,761,603 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | IMPROVEMENT TRUST FUND | Desc |
| Book Value | $31,561,936 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $31,561,936 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (11 entries)
| DescDesc | AmtAmt |
|---|---|
| PENSION LIABILITY | $58,334,244 |
| DUE TO/FROM OLOL | $17,508,914 |
| NOTES PAYABLE | $2,437,021 |
| INTERCOMPANY PAYABLES | $10,262,651 |
| DUE TO FMOLHS | $4,220,320 |
| LT OBLIGATION - OPERATING LEASE | $7,393,576 |
| WORKERS COMPENSATION LIABILITY | $3,284,341 |
| LT LIABILITY WC LOUISE | $2,796,403 |
| ST OBLIGATION - OPERATING LEASE | $2,280,780 |
| CAPITAL LEASES | $182,165 |
| OTHER NON CURRENT LIAB | $3,677,566 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $112,377,981 | 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 |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent350 | Yes (X) | Percent350Ind |
| Free Care Medically Indigent | 0 | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,315,511 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,728,096 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,587,415 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01080 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $59,611,975 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $69,113,003 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $88,439 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $59,015 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $29,424 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $74,015,925 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $77,900,114 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,616,839 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01090 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $90,979 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $90,979 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $107,520 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $107,520 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,937,853 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,086,224 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,851,629 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00360 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,534,075 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,534,075 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00490 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,670,427 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,086,224 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,584,203 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00890 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $94,686,352 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $93,986,338 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,201,042 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01980 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $100,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $100,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $100,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $100,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $5,371,423 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,554,163 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $139,214,323 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $108,418,129 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $30,796,194 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 ST DOMINIC ASC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | OUTPATIENT SURGERY CENTER | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.46300 | OrgProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.53700 | 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/ | 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 | 18 | 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 | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE SECTION C | 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 | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 350.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| 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 |
| 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 |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| 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 (5 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: ST. DOMINIC'S BUILT UPON WHAT IT LEARNED IN ITS PRECEDING CHNAS AND USED THAT INFORMATION TO CONDUCT A NEW AND MORE EXTENSIVE NEEDS ASSESSMENT. THE RESULTS OF THE NEW ASSESSMENT WERE LATER PUBLISHED WITHIN THE 2019-2021 COMMUNITY HEALTH NEEDS ASSESSMENT AND CAN BE FOUND ONLINE AT: HTTPS://WWW.STDOM.COM/ASSETS/DOCUMENTS/WP-2019/01/CHNA_2019-2021.PDF.THE OVERARCHING GOAL OF BOTH ASSESSMENTS WAS TO IDENTIFY AND RESPOND TO COMMUNITY HEALTH NEEDS, IMPROVE ACCESS AND IMPROVE HEALTH STATUS - ESPECIALLY FOR THE MOST VULNERABLE AND UNDERSERVED IN THE COMMUNITY. IT IS INTEGRAL TO ST. DOMINIC'S FOCUS TO ESTABLISH COMMUNITY AND PROVIDE SERVICE, SETTING AN EXAMPLE TO OTHERS IN COMMUNITY SERVICE.ST. DOMINIC HOSPITAL'S OVERALL APPROACH TO COMMUNITY BENEFIT IS TO TARGET THE INTERSECTION OF DOCUMENTED UNMET COMMUNITY HEALTH NEEDS AND THE ORGANIZATION'S KEY STRENGTHS AND MISSION COMMITMENTS. SPECIFICALLY, MEMBERS OF THE TASK FORCE THAT LED THE DEVELOPMENT OF THE ASSESSMENTIDENTIFIED PRIORITY HEALTH ISSUES IN ST. DOMINIC'S SERVICE AREA BASED ON ITS REVIEW OF DEMOGRAPHIC INFORMATION, FOCUS GROUP FEEDBACK AND THE RESULTS OF COMMUNITY SURVEYS. THOSE IDENTIFIED PRESSING ISSUES FOR 2020-2021 ARE:- ACCESS TO AFFORDABLE HEALTH CARE;- MENTAL HEALTH AND SUBSTANCE ABUSE; AND- LIFESTYLE RELATED CONDITIONS.IN 2021, AS IT DID IN PRIOR YEARS, ST. DOMINIC'S INTEGRATED ITS COMMITMENT TO COMMUNITY SERVICE INTO ITS MANAGEMENT AND GOVERNANCE STRUCTURES AS WELL AS ITS STRATEGIC AND OPERATIONAL PLANS. IN 2020 AND 2021 THE HOSPITAL'S STRATEGIC PLAN CONTAINED A GOAL AND STRATEGIES SPECIFICALLY DIRECTED AT ALLOCATING RESOURCES TO MEET THE NEEDS OF THE COMMUNITY IN RESPONSE TO THE IDENTIFIED FOCUS AREAS IN THE NEEDS ASSESSMENT. THE OVERARCHING GOAL INDICATED, "GROW OUR SERVICES AND ADOPT INNOVATIVE STRATEGIES TO MEET COMMUNITY HEALTH NEEDS." FOLLOWING ARE WAYS IN WHICH THAT STRATEGY WAS IMPLEMENTED AS WELL AS WAYS OTHER IDENTIFIED NEEDS WERE MET IN 2020 AND 2021.ACCESS TO CARE - SERVED OVER 9,067 VULNERABLE CHILDREN AND MATURE ADULTS THROUGHOUT THE STATE FROM JULY 2020 - JUNE 2021 THROUGH THE CARE-A-VAN PROGRAM. RECORDED 100 REFERRALS FOR FOLLOW UP CARE AND GAVE 8,245 COVID VACCINATIONS. THE MOBILE SCREENING SERVICE HOSTED BY ST. DOMINIC'S TRAVELED TO SCHOOLS TO PROVIDE SCREENING AND EDUCATIONAL PROGRAMS.BEHAVIORAL OR MENTAL HEALTH - STEERED SCREENING OR EDUCATION ACTIONS IN COMMUNITIES THROUGHOUT THE STATE, MANY THROUGH VIRTUAL MEANS. THE NUMBER OF REFERRAL DEVELOPMENT CONTACTS RECORDED FROM JULY 2020 JUNE 2021 WAS 4675, OR AN AVERAGE OF 390 PER MONTH. ST. DOMINIC'S ALSO EXPANDED ITS TELEMEDICINE OFFERINGS TO ENCOMPASS BEHAVIORAL HEALTH AND ASSIST OUTLYING COMMUNITIES WITH LIMITED PERSONNEL AND RESOURCES TO CONDUCT PROPER ASSESSMENTS. OUR PHYSICIAN, LOCATION AND SCHEDULING OF TELEPSYCHIATRY CONTINUED SINCE THE FIRST OUTPATIENT PSYCHIATRY APPOINTMENTS HELD IN PRIOR OCTOBER. ST. DOMINIC'S BEHAVIORAL HEALTH PARTNERED WITH OTHER SENIOR CARE AGENCIES TO PROMOTE SENIOR CARE SERVICES ACROSS THE STATE AND PARTICIPATED IN COMMUNITY OUTREACH PROGRAMS WHERE BHS CLINICAL STAFF SPOKE TO SMALLER AUDIENCES IN AGENCIES AND COMMUNITY SETTINGS, SOMETIMES VIRTUALLY TO ADHERE TO COVID GUIDELINES. |
| ST. DOMINIC-JACKSON MEMORIAL HOSPITAL | PART V, SECTION B, LINE 20E: THE HOSPITAL PROACTIVELY SCREENS PATIENTS FOR FINANCIAL ASSISTANCE ELIGIBILITY IF THERE IS AN INDICATION THAT THE PATIENT MAY QUALIFY UNDER THE FINANCIAL ASSISTANCE POLICY. |
| PART V, SECTION A, LINES 7A &10 | HTTPS://WWW.STDOM.COM/ASSETS/DOCUMENTS/WP-2019/01/CHNA_2019-2021.PDF |
| 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.STDOM.COM/PATIENTS-AND-VISITORS/PATIENT-GUIDE/FINANCIAL-ASSISTANCE |
| 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 (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | ST. DOMINIC HOSPITAL HAS A DISCOUNT POLICY THAT IS BASED ON FEDERAL POVERTY GUIDELINES WITH A SLIDING SCALE THAT OFFERS DISCOUNTS RANGING FROM 20% TO 100%. IN ADDITION, ST. DOMINIC OFFERS A 68% DISCOUNT OFF GROSS CHARGES TO ALL UNINSURED PATIENTS. |
| PART I, LINE 6A: | THE COMMUNITY BENEFIT REPORT FOR ST. DOMINIC HOSPITAL IS CONSOLIDATED WITH THE PARENT ORGANIZATION, ST. DOMINIC HEALTH SERVICES, INC. THE REPORT IS AVAILABLE AT HTTPS://WWW.STDOM.COM/ABOUT-US/COMMUNITY-BENEFIT-AND-NEEDS/. |
| PART I, LINE 7: | ST. DOMINIC HOSPITAL USED A COST-TO-CHARGE RATIO BASED ON WORKSHEET 2 PROVIDED IN THE FORM 990, SCHEDULE H INSTRUCTIONS. |
| PART I, LINE 7G: | ST. DOMINIC HOSPITAL DID NOT INCLUDE LOSSES ON ITS OWNED PHYSICIAN CLINICS AS SUBSIDIZED HEALTH SERVICES. IN ORDER TO MEET THE NEEDS OF THE COMMUNITY IT SERVES, ST. DOMINIC CONTINUES ITS MINISTRY IN VARIOUS SERVICE LINES THAT ARE NOT PROFITABLE TO THE ORGANIZATION. EXAMPLES OF THESE SERVICES INCLUDE BUT ARE NOT LIMITED TO THE EMERGENCY DEPARTMENT AND BEHAVIORAL HEALTH SERVICES. |
| 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 44 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: | THE BAD DEBT FOOTNOTE IS ON PAGES 14-16 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. |
| 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) EDUCATION 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: | ST. DOMINIC JACKSON MEMORIAL HOSPITAL SERVCES THE HINDS, MADISON, AND RANKIN TRI-COUNTY AREA OF MISSISSIPPI. HINDS COUNTY INCLUDES 239.497 RESIDENTS, NEARLY HALF OF THE SERVICES AREA POPULATION. THE COUNTY'S RACIAL MAKEUP IS PREDOMINATELY (71.7%) AFRICAN AMERICAN. IN ADDITION, RESIDENTS HAVE A MUCH LOWER MEDIAN HOUSEHOLD INCOME COMPARED TO MADISON AND RANKIN COUNTIES AND A HIGHER PERCENTAGE WHO INDICATE THAT THEY HAVE A POOR OR FAIR HEALTH STATUS. THESE TWO INDICATORS OFTEN COORELATE WITH A HIGHER LEVEL OF COMMUNITY HEALTH NEEDS. MADISON COUNTY RESIDENTS TEND TO HAVE HIGHER HOUSEHOLD INCOME AND BETTER HEALTH STATUS COMPARED TO HINDS COUNTY. THE COUNTY IS RACIALLY DIVERSE, WITH NEARLY 40% OF ITS RESIDENTS BEING AFRICAN AMERICAN. RANKIN COUNTRY IS THE LEAST RACIALLY DIVERSE COUNTY IN THE ST. DOMINIC'S SERVICE AREA, AS ONLY ON OF FIVE RESIDENTS (19%) ARE AFRICAN AMERICAN. RANKIN AND MADISON COUNTIES HAVE FEWER PEOPLE LIVING IN POVERTY THAN HINDS COUNTRY (6.4% AND 9.3% COMPARED TO HINDS' 25%). |
| 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. THE HOSPITAL INVOLVES MEMBERS OF ITS COMMUNITY IN ITS GOVERNANCE SO THAT IT MAINTAINS THE FOCUS ON THE NEEDS OF ITS COMMUNITY. THE HOSPITAL HAS AN OPEN MEDICAL STAFF. |
| 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 OUTREACHES 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. ONLY JULY 1, 2019, ST. DOMINIC HEALTH SERVICES ENTERED INTO A SHARED MISSION AGREEMENT WITH FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM (FMOLHS) TO INTEGRATE THE TWO CATHOLIC MINISTRIES. AS CONSIDERATION FOR THE ACQUISITION, FMOLHS WILL CONTRIBUTE SUPPORT PAYMENTS OVER SEVEN YEAR FOR SDHS' ONGOING MINISTRIES. |
| PART VI, LINE 7 | STATE FILING OF COMMUNITY BENEFIT REPORTST. DOMINIC HOSPITAL (CONSOLIDATED WITH ST. DOMINIC HEALTH SERVICES, INC.) PREPARES ANNUALLY A COMMUNITY BENEFIT REPORT WHICH IS DISTRIBUTED TO KEY MEMBERS OF THE LOCAL COMMUNITY AND STATE GOVERNMENT. HOWEVER, THERE ARE CURRENTLY NO REQUIREMENTS TO DO SO IN THE STATE OF MISSISSIPPI. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (26 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| AMERICAN CANCER SOCIETY | |||||||
| 250 WILLIAMS STREET | ATLANTA | GA | 30303 | 131788491 | 501 (C)(3) | $25,000 | GENERAL SUPPORT |
| AMERICAN HEART ASSOCIATION | |||||||
| 4830 MCWILLIE CIRCLE | JACKSON | MS | 39206 | 135613797 | 501 (C)(3) | $50,000 | GENERAL SUPPORT |
| BOY SCOUTS OF AMERICA | |||||||
| 855 RIVERSIDE DR | JACKSON | MS | 39202 | 640303071 | 501 (C)(3) | $16,000 | GENERAL SUPPORT |
| CATHOLIC CHARITIES | |||||||
| 850 EAST RIVER PLACE | JACKSON | MS | 39201 | 640466850 | 501 (C)(3) | $163,000 | GENERAL SUPPORT |
| CATHOLIC DIOCESE OF JACKSON | |||||||
| PO BOX 2248 | JACKSON | MS | 392252248 | 640303073 | 501 (C)(3) | $28,500 | GENERAL SUPPORT |
| CENTER FOR THE PREVENTION OF VIOLENCE | |||||||
| PO BOX 6279 | PEARL | MS | 39288 | 581959108 | 501 (C)(3) | $35,000 | GENERAL SUPPORT |
| COMMUNITY HEALTH SERVICES | |||||||
| 970 LAKELAND DR | JACKSON | MS | 39216 | 640884870 | 501 (C)(3) | $175,000 | GENERAL SUPPORT |
| HOPE HOUSE OF HOSPITALITY | |||||||
| 786 EAST NORTHSIDE DRIVE | JACKSON | MS | 39206 | 640622022 | 501 (C)(3) | $15,000 | GENERAL SUPPORT |
| HOSPICE MINISTRIES | |||||||
| 45 TOWNE CENTER BLVD | RIDGELAND | MS | 39157 | 640789919 | 501 (C)(3) | $50,000 | GENERAL SUPPORT |
| JUNIOR LEAGUE OF JACKSON | |||||||
| 805 RIVERSIDE DRIVE | JACKSON | MS | 39202 | 646011106 | 501 (C)(3) | $10,000 | GENERAL SUPPORT |
| LEXINGTON MEDICAL CLINIC | |||||||
| 22741 HIGHWAY 12 | LEXINGTON | MS | 39095 | 200378262 | 501 (C)(3) | $25,000 | GENERAL SUPPORT |
| MISSION FIRST INC | |||||||
| PO BOX 250 | JACKSON | MS | 39205 | 640797107 | 501 (C)(3) | $20,000 | GENERAL SUPPORT |
| MISSION MISSISSIPPI | |||||||
| PO BOX 22655 | JACKSON | MS | 39225 | 640824240 | 501 (C)(3) | $35,000 | GENERAL SUPPORT |
| MISSISSIPPI HOUSING PARTNERSHIP | |||||||
| PO BOX 22987 | JACKSON | MS | 39225 | 640816305 | 501 (C)(3) | $7,500 | GENERAL SUPPORT |
| MS CHILDREN'S MUSEUM | |||||||
| PO BOX 55409 | JACKSON | MS | 392965409 | 640850010 | 501 (C)(3) | $20,000 | GENERAL SUPPORT |
| MS SYMPHONY ORCHESTRA | |||||||
| PO BOX 2052 | JACKSON | MS | 39225 | 640273405 | 501 (C)(3) | $20,800 | GENERAL SUPPORT |
| NEWK'S CARES | |||||||
| 2680 CRANE RIDGE DRIVE | JACKSON | MS | 39216 | 270705547 | 501 (C)(3) | $50,000 | GENERAL SUPPORT |
| OPERATION SHOESTRING | |||||||
| 1711 BAILEY AVENUE | JACKSON | MS | 39283 | 640471554 | 501 (C)(3) | $45,000 | GENERAL SUPPORT |
| REAL CHRISTIAN FOUNDATION | |||||||
| PO BOX 180059 | RICHLAND | MS | 39218 | 640885750 | 501 (C)(3) | $35,000 | GENERAL SUPPORT |
| REFILL CAFE | |||||||
| 136 SOUTH ADAMS STREET | JACKSON | MS | 39203 | 832814994 | 501 (C)(3) | $15,000 | GENERAL SUPPORT |
| SISTERS IN BIRTH | |||||||
| 5839 PEAR ORCHARD RD | JACKSON | MS | 39211 | 812072883 | 501 (C)(3) | $15,000 | GENERAL SUPPORT |
| SOUTHERN CHRISTIAN SERVICES | |||||||
| 860 EAST RIVER PLACE SUITE 104 | JACKSON | MS | 39202 | 640758344 | 501 (C)(3) | $25,000 | GENERAL SUPPORT |
| ST JOSEPH CATHOLIC SCHOOL | |||||||
| PO BOX 2027 | MADISON | MS | 391302027 | 640339825 | 501 (C)(3) | $55,000 | GENERAL SUPPORT |
| ST RICHARD CATHOLIC SCHOOL | |||||||
| 100 HOLLY DRIVE | JACKSON | MS | 39206 | 461541862 | 501 (C)(3) | $5,700 | GENERAL SUPPORT |
| TUTWILER COMMUNITY EDUCATION CENTER INC | |||||||
| PO BOX 448 | TUTWILER | MS | 38963 | 581887449 | 501 (C)(3) | $25,000 | GENERAL SUPPORT |
| ST DOMINIC HEALTH SERVICES INC | |||||||
| 969 LAKELAND DRIVE | JACKSON | MS | 39216 | 640714999 | 501 (C)(3) | $1,500,000 | GENERAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 26 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIP/TUITION REIMBURSEMENT | GrantTypeTxt |
| Recipient | 50 | RecipientCnt |
| Cash Grant | $7,256 | CashGrantAmt |
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 (16 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 | $1,315,650 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $28,310 | $0 | $1,343,960 | $0 | $0 | $0 |
| LESTER DIAMOND | ||||||||||||||
| PRESIDENT (THRU 03/2021) | $0 | $691,308 | $0 | $0 | $0 | $444,610 | $0 | $84,758 | $0 | $28,686 | $0 | $1,249,362 | $0 | $346,858 |
| BRYAN A GASPARD | ||||||||||||||
| PHYSICIAN | $973,230 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $25,610 | $0 | $998,840 | $0 | $0 | $0 |
| PB KERR | ||||||||||||||
| PHYSICIAN | $963,315 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $25,610 | $0 | $988,925 | $0 | $0 | $0 |
| RUTH FREDERICKS MD | ||||||||||||||
| BOARD MEMBER/PHYSICIAN | $876,871 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $10,482 | $0 | $887,353 | $0 | $0 | $0 |
| RONALD KENNEDY | ||||||||||||||
| PHYSICIAN | $841,692 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $12,994 | $0 | $854,686 | $0 | $0 | $0 |
| ZACHARY K BALDWIN | ||||||||||||||
| PHYSICIAN | $813,760 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $25,610 | $0 | $839,370 | $0 | $0 | $0 |
| D PAUL SEAGO MD | ||||||||||||||
| BOARD MEMBER/PHYSICIAN | $817,663 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $20,028 | $0 | $837,691 | $0 | $0 | $0 |
| WILLIAM MORGAN | ||||||||||||||
| COO | $543,349 | $0 | $0 | $0 | $78,689 | $0 | $8,885 | $0 | $28,559 | $0 | $659,482 | $0 | $14,869 | $0 |
| SAMUEL SCOTT | ||||||||||||||
| SVP, CFO | $0 | $516,351 | $0 | $0 | $0 | $77,698 | $0 | $7,762 | $0 | $18,820 | $0 | $620,631 | $0 | $35,767 |
| REBEKAH MOULDER MD | ||||||||||||||
| BOARD MEMBER/PHYSICIAN | $548,919 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $2,676 | $0 | $551,595 | $0 | $0 | $0 |
| KEITH VAN CAMP | ||||||||||||||
| VP INFORMATION TECHNOLOGY | $407,498 | $0 | $0 | $0 | $98,591 | $0 | $8,885 | $0 | $2,904 | $0 | $517,878 | $0 | $75,289 | $0 |
| DAVID SINCLAIR | ||||||||||||||
| VP NETWORK ADMIN | $353,190 | $0 | $0 | $0 | $74,525 | $0 | $6,425 | $0 | $25,590 | $0 | $459,730 | $0 | $44,905 | $0 |
| CLAUDE HARBARGER | ||||||||||||||
| FORMER PRESIDENT SDHS | $0 | $0 | $0 | $0 | $0 | $439,241 | $0 | $0 | $0 | $0 | $0 | $439,241 | $0 | $0 |
| REGINALD MARTIN MD | ||||||||||||||
| BOARD MEMBER/PHYSICIAN | $368,126 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $25,571 | $0 | $393,697 | $0 | $0 | $0 |
| DAVID HENRY | ||||||||||||||
| VP CLINICAL OPERATIONS | $284,357 | $0 | $0 | $0 | $49,947 | $0 | $8,417 | $0 | $25,488 | $0 | $368,209 | $0 | $31,358 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | THE ST. DOMINIC HEALTH SERVICES INC. 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 | EFFECTIVE FOR THE PLAN YEAR BEGINNING 1/1/2013, THE EXECUTIVE 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 DAVID W. SINCLAIR - 4,134 WILLIAM MORGAN - 15,892 SAMUEL SCOTT - 16,368 KEITH VAN CAMP - 8,184 SDHS MAINTAINS AN 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 OCCURENCE 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 BY SDHS BOARD OF DIRECTORS OR A DESIGNATED COMMITTEE OF SUCH BOARD. THE FOLLOWING INDIVIDUALS RECEIVED PAYMENT FROM THE PLAN IN THE CURRENT YEAR: LESTOR DIAMOND 413,283 SAMUEL SCOTT 61,330 DAVID SINCLAIR 70,391 WILLIAM MORGAN 62,797 DAVID HENRY 49,947 KEITH VAN CAMP 90,407 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. NONE OF THE INDIVIDUALS ON PART VII RECEIVED PAYMENTS IN THE CURRENT YEAR. |
| PART I, QUESTION 4A | A FORMER DIRECTOR IS ENTITLED TO A SEVERANCE BENEFIT. THE PAYOUT OF SUCH BENEFIT IS REMOTE AS IT IS EFFECTIVE ONLY CHANGE OF CONTROL. IF TRIGGERED, THE EXECUTIVE WOULD BE PAID HIS/HER AND WELFARE BENEFITS FOR AN ENTITLEMENT PERIOD. THE ENTITLEMENT PERIOD IS 24 MONTHS. CLAUDE HARBARGER RECEIVED A SEVERANCE PAYMENT OF $439,241 IN THE CURRENT YEAR. AN OFFICER IS ENTITLED TO A SEVERANCE BENEFIT. THE PAYOUT OF SUCH BENEFIT IS REMOTE AS IT IS EFFECTIVE ONLY FOR A TERMINATION OF EMPLOYEMENT 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 (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III - PROGRAM SERVICE, LINE 4A | ST. DOMINIC HOSPITAL IS A 571-BED ACUTE CARE FACILITY IN JACKSON, MS. AS PART OF ITS HEALING MINISTRY, ST. DOMINIC'S IS ONE OF THE LARGEST EMPLOYERS IN THE AREA, AND THOSE EMPLOYEES, AS WELL AS HOSPITAL OPERATIONS, SIGNIFICANTLY HELP TO SUPPORT THE LOCAL ECONOMY. IN FISCAL YEAR 2021, ST. DOMINIC HOSPITAL PROVIDED OVER $1.7 BILLION (CHARGES) IN HOSPITAL SERVICES TO PATIENTS THROUGHOUT THE CENTRAL REGION OF MISSISSIPPI, AND EMPLOYED OVER 2,700 PEOPLE. ST. DOMINIC HOSPITAL'S MEDICAL STAFF OF NEARLY 500 LEADING PHYSICIANS AND SPECIALISTS MAKES ST. DOMINIC'S ONE OF THE MOST COMPREHENSIVE HOSPITALS IN MISSISSIPPI. THESE PHYSICIANS AND STAFF MEMBERS HAVE PLAYED AN INTEGRAL ROLE IN DEVELOPING HIGHLY REGARDED CLINICAL PROGRAMS AND SERVICES. SOME OF THOSE KEY SERVICES INCLUDE THE MISSISSIPPI HEART AND VASCULAR INSTITUTE, STROKE SERVICES, WOMEN'S SERVICES, BEHAVIORAL HEALTH SERVICES, AND THE CANCER CENTER (AND CANCER SERVICES AS A WHOLE). MISSISSIPPI HEART AND VASCULAR INSTITUTE IN 1974, ST. DOMINIC'S ESTABLISHED A CENTER FOR COMPREHENSIVE CARDIAC CARE. THEN KNOWN AS THE MISSISSIPPI HEART INSTITUTE THE NAME HAS SINCE BEEN REVISED TO MISSISSIPPI HEART AND VASCULAR INSTITUTE (MHVI) TO SHOW ST. DOMINIC'S ONGOING COMMITMENT TO EXPERTISE AND CARE OF THE ENTIRE CIRCULATORY SYSTEM. MANY OF ST. DOMINIC'S HEART AND VASCULAR PHYSICIANS ARE NATIONALLY KNOWN FOR USING THE MOST ADVANCED TECHNOLOGY AND PROCEDURES AND FOR THEIR CLINICAL EXCELLENCE IN DELIVERING PATIENT CARE. SERVICES OFFERED RANGE FROM MINIMALLY INVASIVE CARDIAC TREATMENTS TO TRADITIONAL OPEN-HEART SURGERY TO COMPLICATED AND VERY SPECIALIZED VALVE REPAIRS. IN FISCAL YEAR 2021 HEART AND VASCULAR SERVICE VOLUMES CONTINUED TO CLIMB COMPARED TO PRIOR YEARS. MUCH OF THESE INCREASES CAN BE ATTRIBUTED TO ST. DOMINIC'S EFFORTS TO OFFER OUTREACH SERVICES TO THE BROADER COMMUNITY. ST. DOMINIC'S CLINICAL OUTREACH, FIRST ESTABLISHED IN 2013, PROVIDES SCREENINGS, SPECIALTY CLINIC HUBS AND OTHER HEALTH SERVICES TO INDIVIDUALS IN BOTH THE JACKSON AREA AND IN OUTLYING COMMUNITIES. THE PROGRAM IS MADE UP OF TWO PARTS: SCREENINGS, WHICH ENCOMPASSES THE HEALTHY HEART SCREENING PROGRAM, LUNG CANCER SCREENING PROGRAM, AND COMMUNITY SCREENING EVENTS, AND OUTREACH, WHICH INCLUDES TELEMEDICINE AND SPECIALTY CLINICS IN RURAL AREAS. PATIENTS WHO SCHEDULE AN APPOINTMENT WITH THE HEALTHY HEART PROGRAM RECEIVE A (HOSPITAL SUBSIDIZED) HEART RISK ASSESSMENT FOR $99. UP TO 18 PATIENTS A DAY CAN BE SEEN AT TWO LOCATIONS. THE HEALTHY HEART PROGRAM STAFF CONDUCTED A TOTAL OF 1,862 SCREENINGS IN FISCAL YEAR 2021. CLINICAL OUTREACH ALSO AIMS TO SPREAD ITS MINISTRY FURTHER BY PROVIDING SERVICES TO COMMUNITIES ACROSS THE STATE TO AUGMENT EXISTING MEDICAL RESOURCES. THE PROGRAM HAS SPECIALTY CLINIC HUB SITES IN INDIANOLA, KOSCIUSKO, MAGEE, PELAHATCHIE, CLEVELAND, BROOKHAVEN, AND VICKSBURG. AT THESE LOCATIONS, NEUROLOGY, CARDIOLOGY, AND PSYCHIATRY PHYSICIANS SEE PATIENTS VIA FACE-TO-FACE ENCOUNTERS ONCE OR TWICE EACH MONTH, ALLOWING PATIENTS TO RECEIVE MEDICAL SERVICES WITHOUT THE NEED TO TRAVEL TO SEE A SPECIALIST. ALL LOCATIONS ALSO OFFER TELE-MEDICINE CLINICS WHERE PHYSICIANS REMAIN AT ST. DOMINIC'S AND THE PATIENTS REMAIN IN THEIR LOCAL COMMUNITY TO RECEIVE CONSULTATIONS AND CARE. CLINICAL OUTREACH ALSO OFFERS LUNG CANCER SCREENINGS TO PATIENTS WHO MEET CRITERIA. THE LUNG NAVIGATOR PLAYS A KEY ROLE IN ENSURING THAT PATIENTS MEET CRITERIA, ARE SCREENED, AND FOLLOW UP OF ANY CONCERNING REPORTS. THE LUNG SCREENING MUST BE DONE ANNUALLY IF NOT SOONER. IN FISCAL YEAR 2021, 362 PATIENTS WERE SCREENED. COMPRESHENSIVE STROKE CENTER ST. DOMINIC'S COMPREHENSIVE STROKE CENTER OFFERS RAPID DIAGNOSIS, HIGH-TECH INTERVENTION, EXPERT CARE AND INTENSIVE REHABILITATION IN A CARING, COMPASSIONATE SETTING. ST. DOMINIC'S IS CAPABLE OF DELIVERING 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. THE PROGRAM PROVIDES CARE TO THE ADULT POPULATION OF CENTRAL MISSISSIPPI AND OUTLYING RURAL AREAS. IN JUNE 2020, ST. DOMINIC HOSPITAL RECEIVED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES TARGET: STROKE GOLD PLUS WITH HONOR ROLL ELITE QUALITY ACHIEVEMENT AWARD. IN 2021. ST. DOMINIC HOSPITAL RECEIVED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES TARGET: STROKE GOLD PLUS WITH HONOR ROLL ELITE/ADVANCED THERAPY QUALITY ACHIEVEMENT AWARD. THE AWARD RECOGNIZES THE HOSPITAL'S COMMITMENT TO ENSURING STROKE PATIENTS RECEIVE THE MOST APPROPRIATE TREATMENT ACCORDING TO NATIONALLY RECOGNIZED, RESEARCH-BASED GUIDELINES BASED ON THE LATEST SCIENTIFIC EVIDENCE. ST. DOMINIC'S HAS WORKED TO EXTEND THIS EXPERTISE TO AREAS OUTSIDE OF THE JACKSON AREA. ST. DOMINIC'S TELE-STROKE NETWORK LINKS SEVEN HOSPITALS IN RURAL AREAS WITH STROKE NEUROLOGISTS AT ST. DOMINIC'S WHO CAN PROVIDE SPECIALIZED, URGENT CARE FOR THOSE SUSPECTED OF HAVING A STROKE. IN FISCAL YEAR 2021, ST. DOMINIC'S TREATED 2,900 STROKE PATIENTS, 2/3 OF WHOM WERE TRANSFERRED IN FROM OUTLYING, RURAL HOSPITALS. WOMEN'S SERVICES ST. DOMINIC'S MATERNAL AND NEWBORN CARE CENTER EMPHASIZES A TEAM APPROACH TO CARE WITH PHYSICIANS, NURSES AND EDUCATORS WORKING TOGETHER TO MEET THE TOTAL NEEDS OF THE PATIENT AND THE ENTIRE FAMILY. ST. DOMINIC'S OFFERS SERVICES AND PROGRAMS NOT ONLY DURING A PATIENT'S HOSPITAL STAY, BUT ALSO CLASSES AND RESOURCES TO ASSIST WITH THE FAMILY TRANSITION LONG BEFORE AND LONG AFTER THE BIRTH OF A BABY. SERVICES INCLUDE PRENATAL CARE, LABOR AND DELIVERY, NEWBORN CARE, DIGITAL MAMMOGRAPHY, WELLNESS CHECKS, LACTATION CONSULTATIONS, GYNECOLOGICAL SURGERIES AND A WIDE ARRAY OF CLASSES. IN FISCAL YEAR 2021, ST. DOMINIC'S WOMEN'S SERVICES WORKED WITH FAMILIES TO DELIVER OVER 1,600 BABIES. BEHAVIORAL HEALTH SERVICES FOR ST. DOMINIC'S, THE TREATMENT OF BEHAVIORAL HEALTH CONDITIONS HAS BEEN A PRIORITY SINCE THE INCEPTION OF ITS BEHAVIORAL HEALTH PROGRAM. ST. DOMINIC'S BEHAVIORAL HEALTH SERVICES PROVIDES QUALITY AND COMPASSIONATE TREATMENT TO ADULT INDIVIDUALS AND THEIR FAMILIES SUFFERING FROM MENTAL ILLNESS. BOARD CERTIFIED PSYCHIATRISTS, SOCIAL WORKERS AND OTHER THERAPISTS WORK TOGETHER WITHIN A MULTI-DISCIPLINARY TEAM TO MEET THE INDIVIDUALIZED NEEDS OF EACH PATIENT. ONE OF THE SPECIALTY PSYCHIATRIC UNITS AT ST. DOMINIC'S, THE OAKES, PROVIDES COMPASSIONATE CARE FOR SENIOR ADULT PATIENTS IN A SECURE AND THERAPEUTIC ENVIRONMENT. THE OAKES USES PROVEN METHODS TO HELP PATIENTS, SUCH AS SOCIAL GROUP INTERACTION, REALITY ORIENTATION, SENSORY STIMULATION, RECREATION AND SELF-EXPRESSION. ST. DOMINIC'S BEHAVIORAL HEALTH SERVICES FACILITY COMPLETED IN 2013 CAN ACCOMMODATE PATIENTS IN NEED OF PSYCHIATRIC INPATIENT SERVICES IN THE METRO AREA. THE TWO-STORY, STATE-OF-THE-ART FACILITY CONTAINS 78,000 SQUARE FEET AND 77 PRIVATE ROOMS. SEPARATE UNITS WITHIN THE FACILITY HAVE INDIVIDUAL GROUP MEETING AND DINING AREAS. ST. DOMINIC'S BEHAVIORAL HEALTH SERVICES CONTINUED TO REACH OUT TO THE COMMUNITY TO ASSIST INDIVIDUALS IN IDENTIFYING MENTAL HEALTH ISSUES AND PROVIDE DIRECTION TO RECEIVE THE APPROPRIATE LEVEL OF CARE NEEDED EVEN DURING THE HEIGHT OF THE PANDEMIC. FROM JULY 1, 2020 JUNE 2021, BEHAVIORAL HEALTH SERVICES PROVIDED SCREENING MATERIALS, INCLUDING DEPRESSION, ANXIETY, AND RELATED MENTAL HEALTH ISSUES TO MORE THAN 1,200 PEOPLE THROUGHOUT MULTIPLE VIRTUAL COMMUNITY EVENTS AND IN RURAL HEALTH CENTER LOCATIONS. COVID-19 AND MENTAL HEALTH RELATED NEWSLETTERS WERE DISTRIBUTED ELECTRONICALLY TO OVER 150 INDIVIDUALS IN 2021. ALSO, MORE COLLABORATIVE EFFORTS AND PARTNERSHIPS WERE ESTABLISHED WITHIN THE COMMUNITY TO DEVELOP A COORDINATED APPROACH TO ADDRESSING ISSUES SURROUNDING MENTAL HEALTH IN THE COMMUNITY. TELE-PHYCHIATRY BECAME A WAY TO MEET THE NEEDS OF THOSE IN NEED IN OUR RURAL COMMUNITIES AND THOSE WHO WE NEEDED TO RACH DURING COVID OUTBREAKS. EFFORTS TO REDUCE THE STIGMAS ASSOCIATED WITH MENTAL HEALTH WERE ALSO A FOCUS IN MARKETING AND SOCIAL MEDIA COVERAGE, WITH SPECIFIC FOCUS ON DEPRESSION AND THE IMPACT OF COVID-19. ST. DOMINIC'S BEHAVIORAL HEALTH SERVICES STAFF SERVED IN LEADERSHIP ROLES AND PARTICIPATED IN MANY COMMUNITY EVENTS IN THE JACKSON AND THE SURROUNDING AREAS TO EDUCATE THE PUBLIC ON MENTAL HEALTH, AS WELL AS MENTAL ILLNESS. |
| FORM 990, PART III, LINE 4A | CANCER CENTER AND CANCER SERVICES ST. DOMINIC'S CANCER SERVICES ARE A LEADER IN COMMUNITY OUTREACH AND CANCER EDUCATION. THE COMPREHENSIVE PROGRAM WAS RECOGNIZED IN 2018, FOR THE THIRD TIME, WITH AN OUTSTANDING ACHIEVEMENT AWARD BY THE COMMISSION ON CANCER (COC) OF THE AMERICAN COLLEGE OF SURGEONS. ST. DOMINIC'S IS THE ONLY HOSPITAL IN THE STATE OF MISSISSIPPI TO HAVE RECEIVED THIS AWARD THREE TIMES. ST. DOMINIC'S IS ONE OF A SELECT GROUP OF 24 ACCREDITED CANCER PROGRAMS IN THE UNITED STATES TO RECEIVE THIS NATIONAL HONOR FOR CANCER SURVEYS PERFORMED IN 2018. ST. DOMINIC'S ALSO RECEIVED THE THREE-YEAR ACCREDITATION FOR THE 2009, 2014, AND 2018 SURVEYS. TO EARN THIS VOLUNTARY ACCREDITATION, ST. DOMINIC'S CANCER SERVICES IS REQUIRED TO MEET OR EXCEED QUALITY CARE STANDARDS AS OUTLINED BY THE COC, BE EVALUATED EVERY THREE YEARS THROUGH A SURVEY PROCESS AND MAINTAIN LEVELS OF EXCELLENCE IN THE DELIVERY OF COMPREHENSIVE PATIENT-CENTERED CARE. THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC) IS A CONSORTIUM OF NATIONAL, PROFESSIONAL ORGANIZATIONS FOCUSED ON BREAST HEALTH AND DEDICATED TO THE IMPROVEMENT OF QUALITY OUTCOMES OF PATIENTS OF DISEASES OF THE BREAST THROUGH EVIDENCE-BASED STANDARDS AND PROFESSIONAL EDUCATION. ST. DOMINIC'S IS ONE OF TWO PROGRAMS ACCREDITED BY THE NAPBC IN MISSISSIPPI AND WAS FIRST ACCREDITED THROUGH THE NAPBC IN 2011. ST. DOMINIC'S WAS SELECTED IN 2017 BY THE OVARIAN CANCER RESEARCH ALLIANCE TO RECEIVE A GRANT TO KICK OFF THE WOMAN-TO-WOMAN PATIENT SUPPORT PROGRAM THAT PAIRS GYNECOLOGIC CANCER PATIENTS WITH TRAINED AND SUPERVISED SURVIVOR VOLUNTEERS TO PROVIDE ONE-ON-ONE MENTORING AND SUPPORT. THE PROGRAM CONTINUES TO GROW FROM THAT INITIAL $50,000 GRANT. AN INTEGRAL PART OF ST. DOMINIC'S CANCER SERVICES IS THE FREESTANDING CANCER CENTER, WHICH PROVIDES EASY ACCESS TO A LARGE VARIETY OF SERVICES AS WELL AS CONVENIENT PARKING. TREATMENTS AT THE CENTER INCLUDE MEDICAL CANCER THERAPY AND RADIATION THERAPY. IN 2021, 31,000 RADIATION THERAPY PROCEDURES AND 16,500 OUTPATIENT INFUSIONS WERE CONDUCTED. ST. DOMINIC'S ALSO ACQUIRED THE DIGNICAP SCALP COOLING SYSTEM IN APRIL 2019 TO MINIMIZE HAIR LOSS FROM CHEMOTHERAPY. POSITIVE RESULTS FROM THE MULTI-CENTER FDA CLINICAL TRIAL, PUBLISHED IN FEBRUARY 2017 BY THE JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (JAMA), INDICATE THAT SEVEN OUT OF TEN PATIENTS USING THE DIGNICAP SYSTEM KEPT AT LEAST 50 PERCENT OF THEIR HAIR. FDA-CLEARED SINCE 2015, THE DIGNICAP SCALP COOLING SYSTEM MINIMIZES HAIR LOSS FROM CERTAIN CHEMOTHERAPY TREATMENTS FOR WOMEN AND MEN WITH SOLID TUMOR CANCERS SUCH AS THOSE ASSOCIATED WITH BREAST, OVARIAN, UTERINE, PROSTATE AND OTHER TISSUES. |
| FORM 990, PART III - PROGRAM SERVICE, LINE 4B | THE HOSPITAL IS AN ACTIVE, CARING MEMBER OF THE COMMUNITY IT SERVES. IN CARRYING OUT ITS HEALING MINISTRY, THE BOARD OF DIRECTORS HAS ESTABLISHED A POLICY UNDER WHICH THE HOSPITAL PROVIDES CARE TO THE NEEDY MEMBERS OF ITS COMMUNITY. FOLLOWING THAT POLICY, THE HOSPITAL MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICIES. THE DIRECT AND INDIRECT COSTS ASSOCIATED WITH THESE SERVICES CANNOT BE IDENTIFIED TO SPECIFIC CHARITY CARE PATIENTS. THEREFORE, MANAGEMENT ESTIMATED THE COSTS OF THESE SERVICES BY CALCULATING A COST TO GROSS CHARGE RATIO AND MULTIPLYING IT BY THE CHARGES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS MEETING THE HOSPITAL'S CHARITY CARE GUIDELINES. THE ESTIMATED COST OF CHARGES FOREGONE, BASED ON THE COST TO CHARGE RATIO, WAS APPROXIMATELY $14,316,000. THE FOREGONE CHARGES ARE NETTED AGAINST PATIENT SERVICE REVENUE TO ARRIVE AT NET PATIENT SERVICE REVENUE AS REFLECTED AS PROGRAM SERVICE REVENUE ON PART VIII OF FORM 990 IN ORDER TO BE CONSISTENT WITH FINANCIAL STATEMENT REPORTING AND ARE NOT REPORTED AS FUNCTIONAL EXPENSES ON THE FORM 990. THE HOSPITAL ALSO PROVIDES HEALTH CARE SERVICES TO A SIGNIFICANT PORTION OF THE UNINSURED POPULATION IN THE SURROUNDING COMMUNITY. WHILE A PORTION OF THESE PATIENTS MAY ULTIMATELY QUALIFY FOR COVERAGE UNDER THE MEDICAID PROGRAM OR THE CHARITY CARE POLICY DISCUSSED ABOVE, THE HOSPITAL IS UNABLE TO COLLECT A SIGNIFICANT PORTION OF THESE ACCOUNTS. CHARGES DEEMED UNCOLLECTIBLE WERE APPROXIMATELY $49,477,000. |
| FORM 990, PART III - PROGRAM SERVICE, LINE 4C | THE HOSPITAL SERVES THE COMMUNITY IN NUMEROUS WAYS. SOME EXAMPLES INCLUDE ASSISTING IN EDUCATING THE COMMUNITY REGARDING HEALTH-RELATED ISSUES. THE HOSPITAL PARTICIPATES IN NUMEROUS HEALTH FAIRS AND GIVES PRESENTATIONS TO VARIOUS SCHOOLS AND INDUSTRIES REGARDING SUCH ISSUES AS DRUG ABUSE AND SAFETY IN THE WORKPLACE. THE HOSPITAL HAS SPONSORED ANNUAL CHOLESTEROL AND CANCER SCREENINGS UPON WHICH THE TESTS ARE MADE AVAILABLE TO THE PUBLIC FOR A NOMINAL FEE AND THE MAJORITY OF THE COSTS INCURRED ARE ABSORBED BY THE HOSPITAL. THE HOSPITAL ALSO ORGANIZES EMPLOYEE PARTICIPATION IN FUNDRAISING FOR ORGANIZATIONS, SUCH AS THE UNITED WAY, STEWPOT MINISTRIES AND JUNIOR ACHIEVEMENT, AMONG OTHERS. IN ADDITION, THE HOSPITAL GAVE NEARLY $1,034,000 DURING FISCAL YEAR 2021 IN CHARITABLE CORPORATE DONATIONS TO VARIOUS AREA COMMUNITY SERVICE ORGANIZATIONS. ALTHOUGH THE HOSPITAL HAS ESTIMATED THE COST OF EACH OF THESE EFFORTS TO SERVE THE JACKSON, MISSISSIPPI METROPOLITAN AREA, MANAGEMENT AND THE BOARD OF DIRECTORS BELIEVE THAT SUCH COSTS REPRESENT ONLY ONE FACET OF THE MANY WAYS THE HOSPITAL SERVES THE GREATER JACKSON COMMUNITY. THE ABOVE EXAMPLES RELATE ONLY TO CERTAIN MEASURABLE BENEFITS THAT THE HOSPITAL PROVIDES TO ITS SERVICE AREA AND IS NOT INTENDED TO MEASURE ALL SUCH COMMUNITY BENEFITS, MANY OF WHICH ARE INTANGIBLE IN NATURE OR OTHERWISE NOT QUANTIFIABLE. |
| FORM 990, PART VI, SECTION A, LINE 6 | ST. DOMINIC HEALTH SERVICES, INC. IS 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, ST. DOMINIC HEALTH SERVICES, 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, ST. DOMINIC HEALHT 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, 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 | AFTER PREPARATION OF THE FORM 990 BY KPMG LLP, MANAGEMENT REVIEWED THE FORM 990. A COPY OF THE FORM 990 WAS PROVIDED TO THE ORGANIZATION'S GOVERNING BOARD BEFORE IT WAS FILED WITH THE IRS. |
| 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, 2021. 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, 2021. 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 TRANSFERS -6,777,507. OTHER BOOK/TAX DIFFERENCES -5,354,788. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 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 | $46,120,618 | $18,071,157 | SDJMH |
| ST DOMINIC HOSPITAL MEDICINE LLC | |||||||||
| 969 LAKELAND DRIVE | JACKSON | MS | 39216 | 814908606 | HEALTHCARE | MS | $9,025,019 | $3,290,280 | SDJMH |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| ST BERNARD HEALTH FUND | ||||||||||
| 4200 ESSEN LANE | BATON ROUGE | LA | 70809 | 204685614 | HEALTHCARE | LA | 501(C)(3) | LINE 12A, I | FMOL | 0 |
| 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 PROGRA | MS | 501(C)(3) | LINE 10 - A | SDHS | 0 |
| ST DOMINIC - HEALTH SERVICES FOUNDATION | ||||||||||
| 969 LAKELAND DRIVE | JACKSON | MS | 39216 | 431992975 | FUNDRAISING | MS | 501(C)(3) | LINE 7 - AN | SDHS | 0 |
| ST CATHERINE'S VILLAGE INC | ||||||||||
| 969 LAKELAND AND DRIVE | JACKSON | MS | 39216 | 640714997 | RET HOME | MS | 501(C)(3) | LINE 10 - A | SDHS | 0 |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (24 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|---|
| LOURDES IMAGING DEVELOPMENT LLC | ||||||||||
| 4801 AMBASSADOR CAFFERY PKWY | LAFAYETTE | LA | 70508 | 208326287 | REAL ESTATE | LA | N/A | N/A | 0 | 0 |
| PARK PLACE SURGERY CENTER LLC | ||||||||||
| 4811 AMBASSADOR CAFFERY PKWY | LAFAYETTE | LA | 70508 | 721404092 | HEALTHCARE | LA | N/A | N/A | 0 | 0 |
| BRPT LAKE REHABILITATION CENTERS LLC | ||||||||||
| 175 S ENGLISH STATION RD STE 218 | LOUISVILLE | KY | 40245 | 721506100 | HEALTHCARE | LA | N/A | N/A | 0 | 0 |
| CONVENIENT CARE LLC | ||||||||||
| 10319 JEFFERSON HIGHWAY | BATON ROUGE | LA | 70809 | 721439481 | HEALTHCARE | LA | N/A | N/A | 0 | 0 |
| SURGICAL SPECIALTY CENTER OF BATON ROUGE LLC | ||||||||||
| 8080 BLUEBONNET BLVD | BATON ROUGE | LA | 70810 | 263120962 | HEALTHCARE | LA | N/A | N/A | 0 | 0 |
| ST ELIZABETH-MARY BIRD PERKINS CANCER CENTER LLC | ||||||||||
| 4950 ESSEN LANE | BATON ROUGE | LA | 70809 | 260628752 | HEALTHCARE | LA | N/A | N/A | 0 | 0 |
| NORTHEAST LA CANCER INSTITUTE LLC | ||||||||||
| 411 CALYPSO STREET | MONROE | LA | 71201 | 721329499 | HEALTHCARE | LA | N/A | N/A | 0 | 0 |
| LHCG-XIII LLC DBA LOURDES HOME HEALTH | ||||||||||
| 901 S HUGH WALLIS ROAD | LAFAYETTE | LA | 70508 | 208068308 | HEALTHCARE | LA | N/A | N/A | 0 | 0 |
| LOURDES AFTER HOURS LLC | ||||||||||
| 7777 HENNESSY BLVD SUITE 1004-202 | BATON ROUGE | LA | 70809 | 201367299 | HEALTHCARE | LA | N/A | N/A | 0 | 0 |
| LAKE URGENT CARE ASCENSION LLC | ||||||||||
| 10319 JEFFERSON HIGHWAY | BATON ROUGE | LA | 70809 | 352463092 | HEALTHCARE | LA | N/A | N/A | 0 | 0 |
| OLOLUSP SURGERY CENTER LLC | ||||||||||
| 15305 DALLAS PKWY STE 1600 LB 28 | ADDISON | TX | 75001 | 352457810 | HEALTHCARE | TX | N/A | N/A | 0 | 0 |
| ST FRANCIS URGENT CARE LLC | ||||||||||
| 10319 JEFFERSON HIGHWAY | BATON ROUGE | LA | 70809 | 474013731 | HEALTHCARE | LA | N/A | N/A | 0 | 0 |
| GAMMA KNIFE OF LOUISIANA LLC | ||||||||||
| 4950 ESSEN LANE | BATON ROUGE | LA | 70809 | 811827194 | HEALTHCARE | LA | N/A | N/A | 0 | 0 |
| LHCG LXVII LLC | ||||||||||
| 901 S HUGH WALLIS ROAD | LAFAYETTE | LA | 70508 | 474283509 | HEALTHCARE | LA | N/A | N/A | 0 | 0 |
| PREMIER HEALTH HOLDINGS LLC | ||||||||||
| 10319 JEFFERSON HIGHWAY | BATON ROUGE | LA | 70809 | 472665226 | HEALTHCARE | LA | N/A | N/A | 0 | 0 |
| PINNACLE CARE HOLDINGS LLC | ||||||||||
| 5627 S SHERWOOD FOREST BLVD | BATON ROUGE | LA | 70816 | 821637627 | HEALTHCARE | LA | N/A | N/A | 0 | 0 |
| LAFAYETTE SURGERY CENTER LIMITED PARTNERSHIP | ||||||||||
| C/O C T CORPORATION SYSTEM 3867 PLA | BATON ROUGE | LA | 70816 | 943419282 | HEALTHCARE | LA | N/A | N/A | 0 | 0 |
| HIGHLAND MEDICAL ARTS LLC | ||||||||||
| PO BOX 55769 | JACKSON | MS | 39296 | 743073171 | MED BUILDING | MS | N/A | N/A | 0 | 0 |
| FREMAUX OFFICE MM LLC | ||||||||||
| 3500 NORTH CAUSEWAY BOULEVARD STE 6 | METAIRIE | LA | 70002 | 843084552 | HEALTHCARE | LA | N/A | N/A | 0 | 0 |
| FREMAUX MOB LLC | ||||||||||
| 3500 NORTH CAUSEWAY BOULEVARD STE 6 | METAIRIE | LA | 70002 | MED BLDG | LA | N/A | N/A | 0 | 0 | |
| SHP MANAGING MEMBER LLC | ||||||||||
| 7015 HIGHWAY 190 E SERVICE ROAD STE | COVINGTON | LA | 70433 | 832168844 | HEALTHCARE | LA | N/A | N/A | 0 | 0 |
| OLOL PONTCHARTRAIN SURGERY CENTER LLC | ||||||||||
| 4200 ESSEN LANE | BATON ROUGE | LA | 70809 | 461379031 | HEALTHCARE | LA | N/A | N/A | 0 | 0 |
| LAKE SURGICAL HOSPITAL (SLIDELL) LLC | ||||||||||
| 1700 LINDBERG DR | SLIDELL | LA | 70458 | 474228147 | HEALTHCARE | LA | N/A | N/A | 0 | 0 |
| PREMIER HEALTH HOLDINGS LLC | ||||||||||
| 10319 JEFFERSON HIGHWAY | BATON ROUGE | LA | 70809 | 472665226 | HEALTHCARE | LA | N/A | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)
| Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LOUISE INSURANCE COMPANY | ||||||||||||||
| PO BOX 1051 | CAYMAN ISLANDS | CJ | KY1-1102 | INSURANCE | CJ | FMOL | C | Yes (1) | ||||||
| FMOL HEALTH SYSTEM HOLDINGS INC | ||||||||||||||
| INVESTMENT | FMOL | C | Yes (1) | 4200 ESSEN LANE | BATON ROUGE | LA | 70809 | 454405024 | LA | |||||
| ST DOMINIC MADISON HEALTH SERVICES INC | ||||||||||||||
| HEALTHCARE | SDHS | C | Yes (1) | 969 LAKELAND DRIVE | JACKSON | MS | 39216 | 202870254 | MS | |||||
| FIRST INTERMED CORPORATION | ||||||||||||||
| MEDICAL SERVICES | SDHS | C | Yes (1) | 308 CORPORATE DRIVE | RIDGELAND | MS | 39157 | 640824796 | MS | |||||
| ST DOMINIC INTEGRATED SERVICES INC | ||||||||||||||
| INVESTMENTS | SDJMH | C | Yes (1) | 969 LAKELAND DRIVE | JACKSON | MS | 39216 | 271493623 | MS | |||||
| LAFAYETTE SURGICARE INC | ||||||||||||||
| HEALTHCARE | LOURDES | C | Yes (1) | C/O C T CORP SYSTEM 3867 PLAZA TOWE | BATON ROUGE | LA | 70816 | 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 | 0 | 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 | 0 | TransferFromOtherOrgInd |