2021-05-17T17:43:28-05:00 2020-06-30 KPMG LLP 301 Main Street Suite 2150 Baton Rouge LA 70801 990 2019-07-01 640714999 ST DOMINIC HEALTH SERVICES INC % SAM SCOTT STDO 6012006570 969 LAKELAND DRIVE JACKSON MS 392164699 SAM SCOTT CFO 6012006844 2021-05-15 true BRITTANY ELLISER P01284594 2253444000 2021-05-17 2019 2022-09-23 18:48:47Z SAM SCOTT 969 LAKELAND DRIVE JACKSON MS 392164699 7160865 false X www.stdom.com X 1985 MS SDHS MANAGES AN INTEGRATED HEALTH SYSTEM TO MAKE A DIFFERENCE IN OUR COMMUNITIES THROUGH CATHOLIC HEALTH SERVICES BY CALLING FORTH ALL WHO SERVE IN THE HEALTHCARE MINISTRY. 11 8 47 8 12352 750000 1500000 1375748 2848686 2109169 2566227 0 0 4234917 6914913 1287360 323950 0 0 2325245 3433174 0 0 0 2944541 4750319 6557146 8507443 -2322229 -1592530 225193912 180262649 83111730 32824699 142082182 147437950 X INSPIRED BY THE VISION OF ST. FRANCIS 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 REVERANCE AND LOVE FOR ALL OF LIFE, WITH JOYFULNESS OF SPIRIT, AND WITH HUMILITY AND JUSTICE FOR ALL THOSE ENTRUSTED IN 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. false false 1198177 2848686 The St. Dominic Health Services (SDHS) is the parent company of a multi-dimensional provider of health care services with coporate headquarters in Jackson, MS. SDHS provides management services to its affiliated companies including the following entities: St. Dominic - Jackson Memorial Hospital I. 571-Bed Adult Tertiary Referral Center II. Serves a broad area encompassing Jackson and most of Central Mississippi III. Includes primary and specialty physician services. St. Catherine's Village, Inc. I. Consist of 246 Independent living units-multiple individuals in each unit including 54 garden homes. II. 120 Skilled nursing beds located in three different areas of skilled nursing. Three locations-Siena, Tuscany and Hughes Center. Licensed nursing home with 120 beds. III. 50 basic assisted living beds in Marian Hall IV. 24 Alzheimer's assisted living beds in Campbell Cove. Community Health Services - St. Dominic, Inc. I. The Club (St. Dominic's Community Wellness Program) offers a comprehensive selection of personalized, medically integrated health education and fitness programs available to employees, members and the community. II. New directions for over 55 (Senior Adult Program) provides education and services to help keep senior adults active and engaged. III. Care-A-Van Mobile Health Screening Unit provides health screenings across Central Mississippi with focus on underserved populations. IV. Community Health Clinic provides primary care to the uninsured in an underserved area of Jackson. V. School Nurse Program provides registered nurses to the Madison County Middle and Elementary Schools. Limited services are also provided to a high school located in an underserved area of the district. St. Dominic Health Services Foundation, Inc. I. Fundraising and Giving Initiatives that support the mission and vision of SDHS and its subsidiaries. First Intermed Corporation I. Operates 16 ambulatory/ industrial Medicare or primary care clinics to make these services more accessible in the state. St. Dominic Madison Health Services, Inc. I. Supports the SDHS mission through operation of a medical office building that increases access to health services. II. Partners in the operation of a health and wellness center in Madison County that offers family-oriented health and fitness services. 323950 323950 GRANTS ARE MADE TO CHARITABLE ORGANIZATIONS IN ORDER TO SUPPORT THE CHARITABLE MISSION OF FRANCISCAN MISSIONAIRES OF OUR LADY HEALTH SYSTEM, INC. 1522127 true true false true false false false false false false true true true false true false false true false false true false false false false false false true false true false false false false false false false false false false false false true true true true false false true 30 0 true 47 true true true false false false false false false false false false false false X 11 8 false false false false true true true true true false false true true true true true true true true false X SAM SCOTT 6012006642 969 LAKELAND DRIVE JACKSON MS 392164699 Richard Vath MD PRESIDENT/CEO, FMOLHS 1.0 40.0 X X 0 1434367 14151 Claude Harbarger PRESIDENT SDHS 40.0 0.0 X 1134014 0 16085 Lester K Diamond PRESIDENT SDHS 0.5 40.0 X X 0 688471 88512 Rene J Ragas DIRECTOR 1.0 40.0 X 0 446018 97074 Sam Scott TREASURER & CFO 40.0 2.0 X 485760 0 34724 Jonathan Werne VP GENERAL COUNSEL 40.0 0.0 X 370061 0 47550 Frank Lenoir VP HUMAN RESOURCES 40.0 0.0 X 335748 0 30088 Kay Mcree SR. DIRECTOR FND 40.0 0.0 X 216450 0 58046 Deidra Bell SDHS CFO 40.0 0.0 X 239427 0 29 Sister M Dorothea Sondgeroth VICE CHAIR 40.0 0.5 X X 0 0 0 Sister M Trinita Eddington SECRETARY 4.0 37.0 X X 0 0 0 Richard Hickson DIRECTOR 1.0 0.0 X 0 0 0 E B ROBINSON DIRECTOR 1.0 0.0 X 0 0 0 MARCELO J RUVINSKY MD CHAIR 1.0 0.0 X X 0 0 0 Sister Rose Miriam Schulte OP DIRECTOR 1.0 0.0 X 0 0 0 Bishop Joseph Kopacz DIRECTOR 1.0 0.0 X 0 0 0 Sister Beth Murphy DIRECTOR 1.0 0.0 X 0 0 0 Steward Gentry DIRECTOR 1.0 0.0 X 0 0 0 2781460 2568856 386259 6 true true false UNUM Life Insurance Co 1 FOUNTAIN SQUARE CHATTANOOGA TN 374021330 ADMINISTRATIVE 1246585 AETNA Life Insurance Co PO BOX 88863 CHICAGO IL 60695 ADMINISTRATIVE 1240482 Ameritas Life Insurance Co 5900 O STREET LINCOLN NE 68510 ADMINISTRATIVE 1182029 Ironshort Insurance Services 605 RENAISSANCE WAY RIDGELAND MS 39157 ADMINISTRATIVE 837942 BRUNINI GRANTHAM GROWER HEWES PO BOX 119 JACKSON MS 39205 LEGAL SERVICES 727088 22 1500000 0 1500000 MANAGEMENT REVENUE 561000 1364700 1364700 HEALTH SERVICE REVENUE 561499 821096 821096 RELATED RENTAL INCOME 531120 662890 662890 2848686 304114 12352 291762 0 0 0 0 0 2508065 245952 2262113 2262113 2262113 0 0 0 0 0 0 0 0 0 0 6914913 2848686 12352 2553875 X 323950 323950 0 0 0 0 0 2401861 467277 1934584 0 1031313 88606 942707 0 900927 401762 499165 10424 4649 5775 15132 6748 8384 25500 25500 0 7508 3348 4160 1896795 123040 1773755 55079 3573 51506 0 0 0 244139 15837 228302 0 0 0 273203 273203 0 221676 221676 53326 4582 48744 OTHER EXPENSES 141539 9181 132358 0 REPAIRS AND MAINTENANCE 388895 25227 363668 PENSION RELATED CHANGES 516176 44347 471829 8507443 1522127 6985316 0 2859024 998768 0 0 0 0 0 2113653 0 0 0 0 0 0 0 0 36000 101570 25869414 221676 32351714 25647738 0 0 179040461 135615000 0 15771227 0 0 10906713 14693 225193912 180262649 19573835 5113452 0 0 0 0 0 0 0 0 0 0 0 0 0 0 63537895 27711247 83111730 32824699 X 142082182 147437950 0 0 142082182 147437950 225193912 180262649 X -1592530 1761902 6454906 -1268510 X false true X true false X X 1 ST DOMINIC JACKSON MEMORIAL HOSPITAL 640303091 3 false 7640951 0 COMMUNITY HEALTH SERVICES - ST DOMINIC 640884870 10 false 10389 0 ST CATHERINE'S VILLAGE 640714997 10 false 90613 0 ST DOMINIC HEALTH SERVICES FOUNDATION 431992975 7 false 765490 0 4 8507443 false false false false false false false false false false false false false false false true true true X true true Sch A, Part IV, Section A, Question 1 ST. DOMINIC HEALTH SERVICES ("SDHS") SUPPORTS THE FOLLOWING ENTITIES: ST. DOMINIC JACKSON MEMORIAL HOSPITAL ("HOSPITAL") COMMUNITY HEALTH SERVICES - ST. DOMINIC ("CHS") ST. CATHERINE'S VILLAGE ("SCV") ST. DOMINIC HEALTH SERVICES FOUNDATION ("FOUNDATION") SDHS HAS A HISTORIC AND CONTINUING RELATIONSHIP WITH EACH OF THE ABOVE ENTITIES (COLLECTIVELY AFFILIATES) WHICH SPANS MANY DECADES. SDHS IS THE PARENT COMPANY OF THE AFFILIATES AND WORKS WITH EACH ON A DAILY BASIS TO PROVIDE CRITICAL HEALTHCARE, ELDERLY HOUSING AND ASSISTED LIVING, HEALTH EDUCATION AND OTHER COMMUNITY BENEFITS FOR THE SURROUNDING COMMUNITY AND ITS SCHOOLS. SDHS WAS FORMED IN 1985 FOR THE PURPOSE OF SUPPORTING THE HOSPITAL AND OTHER AFFILIATES. SDHS AND THE AFFILIATES ALSO HAVE SEVERAL OF THE SAME BOARD MEMBERS AND OFFICERS WHICH SERVE TO ENSURE A CLOSE AND CONTINUING RELATIONSHIP. DURING THIS FISCAL YEAR, THE HOSPITAL HAS THREE OF ITS BOARD MEMBERS WHO ALSO SERVED AS BOARD MEMBERS OF SDHS. BOTH THE PRESIDENT AND CFO OF SDHS ARE ALSO OFFICERS OF THE HOSPITAL. SDHS, CHS, AND SCV ALL HAVE TWO SIMILAR OFFICERS (PRESIDENT AND CFO) AND ONE SIMILAR BOARD MEMBER. SDHS AND FOUNDATION HAVE TWO SIMILAR BOARD MEMBERS AND ONE SIMILAR OFFICER (PRESIDENT). THE ENTITIES' INTERWOVEN HISTORY ALONG WITH ITS OVERLAPPING DIRECTORS/OFFICERS AND DAY-TO-DAY COLLABORATION SUPPORT A HISTORIC AND CONTINUING RELATIONSHIP BETWEEN SDHS AND THE ABOVE-LISTED AFFILIATES. Sch A, Part IV, Section D, Question 3 THE SUPPORTED ORGANIZATIONS (THE HOSPITAL, CHS, SCV, AND FOUNDATION) ALL HAD A SIGNIFICANT VOICE IN THE SDHS'S INVESTMENT POLICIES AND IN DIRECTING THE USE OF THE SDHS'S INCOME OR ASSETS AT ALL TIMES DURING THE YEAR SINCE THEY HAD MANY OF THE SAME OFFICERS AND BOARD MEMBERS AS SDHS. SDHS PROVIDES STRATEGIC PLANNING, LEADERSHIP SERVICES, AND BUSINESS SUPPORT SERVICES TO ITS SUPPORTED ORGANIZATIONS. THESE SERVICES ARE INFLUENCED BY AND RESULT FROM THE EXPRESSED NEEDS OF THE SUPPORTED ORGANIZATIONS. Sch A, Part IV, Section E, Question 3a WITH REGARDS TO EACH OF THE SUPPORTED ENTITIES, SDHS HAS THE POWER TO APPROVE THE ELECTION OF ALL OFFICERS AND BOARD MEMBERS INCLUDING THE CHAIR OF THE BOARD, THE VICE-CHAIR OF THE BOARD, AND THE PRESIDENT OF THE FOUNDATION. Sch A, Part IV, Section E, Question 3b SDHS PROVIDES MANAGEMENT AND OTHER SUPPORT SERVICES TO EACH OF ITS SUPPORTED ORGANIZATIONS ON A DAILY BASIS. SUCH SERVICES INCLUDE STRATEGIC PLANNING, LEADERSHIP SERVICES, PROJECT PLANNING, AND BUSINESS SUPPORT FUNCTIONS INCLUDING FINANCE LEADERSHIP, LEGAL, MISSION INTEGRATION, AND HUMAN RESOURCES LEADERSHIP. THE NATURE OF THESE SERVICES PROVIDED TO THE SUPPORTED ORGANIZATIONS NECESSITATE THE REQUISITE DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS, AND ACTIVITIES OF EACH SUPPORTED ORGANIZATION. THE SUPPORTED ORGANIZATIONS WOULD NOT BE ABLE TO ACCOMPLISH THE CRITICAL HEALTHCARE AND COMMUNITY SERVICES THEY PROVIDE WITHOUT THE GUIDANCE AND DIRECTION GAINED FROM SDHS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 25500 false false 25500 false PART II-B, LINE 1G: St. Dominic Health Services, Inc. paid a lobbying consultant who had direct contact with legislators to discuss various public policy issues and legislative matters. 20140000 20140000 5580184 186006 5394178 149230 35670 113560 25647738 IMP TRUST FUNDS 63359163 F RESERVE FOR SCV 30138559 F EMPLOYEE BENEFIT TRUST 18476822 F SELF INSURED TRUST 23640456 F 135615000 INVESTMENT IN FIC 7760975 C INVESTMENT N SDMHS 7610252 C INVESTMENT IN MS TRUE 400000 C 15771227 0 RETIREMENT PAYABLE LONG TERM 822194 DUE TO AFFILIATES 1067637 SELF INSURANCE LIABILITY - LT 20725013 EMPLOYEE BENEFIT TRUST 5096403 27711247 X Part X, Line 2 ST. DOMINIC HEALTH SERVICES 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 JUDGEMENT OCCURS. NO RESERVES FOR UNCERTAIN TAX POSITIONS HAVE BEEN RECORDED. Central America and the Caribbean INVESTMENTS 19882069 19882069 19882069 false false true true false false PART I, LINE 3: St. Dominic Health Services, Inc. owns an interest Oz Overseas Fund II, LTD, a hedge fund domiciled in the Cayman Islands. The book value of this investment as of 6/30/2020 was $19,882,069. PART IV, LINE 3: St. Dominic Health Services Inc. (SDHS) was not required to file form 5471 during the fiscal year ended 6/30/2020 for its ownership in a foreign corporation. Therefore, form 5471 was not filed by SDHS. PART IV, LINE 4: St. Dominic Health Services, Inc. (SDHS) was not required to file form 8621 during the fiscal year ended 6/30/2020 for its ownership of a passive foreign investment company (PFIC) since it is a tax-exempt organization under 501(a) and income from the PFIC was non-taxable. Therefore, form 8621 was not filed by SDHS. true American Cancer Society 1380 LIVINGSTON LANE JACKSON MS 39213 131788491 501(C)(3) 27000 GENERAL SUPPORT Mississippi Children's Museum 2660 RIDGEWOOD RD JACKSON MS 39216 640850010 501(C)(3) 25000 GENERAL SUPPORT BB King Museum 400 2ND ST INDIANOLA MS 38751 460501512 501(C)(3) 15000 GENERAL SUPPORT Jackson Heart Foundation PO BOX 5021 JACKSON MS 39216 270723542 501(C)(3) 20000 GENERAL SUPPORT Catholic Diocese of Jackson PO BOX 2248 JACKSON MS 39225 640303073 501(C)(3) 28500 GENERAL SUPPORT Catholic Charities PO BOX 2248 JACKSON MS 39225 640466850 501(C)(3) 13000 GENERAL SUPPORT Mississippi Blood Services 115 TREE ST FLOWOOD MS 39232 237447676 501(C)(3) 10000 GENERAL SUPPORT American Heart Association 4830 MCWILLIE CIRCLE JACKSON MS 39206 135613797 501(C)(3) 50000 GENERAL SUPPORT Epilepsy Foundation 5 OLD RIVER PL 105 JACKSON MS 39202 640605780 501(C)(3) 10000 GENERAL SUPPORT Junior League of Jackson PO BOX 4709 JACKSON MS 39296 646011106 501(C)(3) 10000 GENERAL SUPPORT Foundation for MS History PO BOX 571 JACKSON MS 392050571 202649529 501(C)(3) 20000 GENERAL SUPPORT United Way of the Capital Area 843 N PRESIDENT JACKSON MS 39202 640303075 501(C)(3) 7500 GENERAL SUPPORT Hope House of Hospitality 786 E NORTHSIDE DR JACKSON MS 39206 640622022 501(C)(3) 15000 GENERAL SUPPORT Refill Cafe - Jackson Initiative 136 S ADAMS ST JACKSON MS 39203 832814994 501(C)(3) 15000 GENERAL SUPPORT 14 Part I, Line 2 St. Dominic Health Service's (SDHS) contributions committee stays in contact with the organization receiving funds and receives follow-up reports on the outcome of projects. Most organizations are annual recipients, so SDHS receives the follow-up report for the previous year along with the request for the current year. In addition to providing financial support, many of the organizations have board members or volunteers that are employees of one of the St. Dominic affiliates. The committee also receives feedback from these individuals on the activities of the grantee organization. X X X X X false true false false false false false false Sam Scott TREASURER & CFO 481056 4704 21583 13141 520484 Lester K Diamond PRESIDENT SDHS 662371 26100 61375 27137 776983 Richard Vath MD PRESIDENT/CEO, FMOLHS 847395 577875 9097 349 13802 1448518 Rene J Ragas DIRECTOR 328740 115977 1301 44232 52842 543092 Kay Mcree SR. DIRECTOR FND 172244 44206 47907 10139 274496 Deidra Bell SDHS CFO 188816 50611 29 239456 0 Frank Lenoir VP HUMAN RESOURCES 335409 339 19906 10182 365836 Jonathan Werne VP GENERAL COUNSEL 367578 2483 21127 26423 417611 Claude Harbarger PRESIDENT SDHS 591214 542800 6130 9955 1150099 271348 PART 1, QUESTION 3 THE FMOLHS 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 DOCUMENTATED BY THE COMPENSATION COMMITTEE. PART 1, QUESTION 4A A BOARD MEMBER IS ENTITLED TO A SEVERANCE BENEFIT. THE PAYOUT OF SUCH BENEFIT IS REMOTE AS IT IS EFFECTIVE ONLY FOR TERMINATION OF EMPLOYMENT WITHOUT CAUSE FOR GOOD REASON AND FOR A CHANGE OF CONTROL. IF TRIGGERED, THE EXECUTIVE WOULD BE PAID HIS/HER BASE SALARY AND AN ANNUAL INCENTIVE AT TARGET AND PROVIDED RETIREMENT AND WELFARE BENEFITS FOR AN ENTITLEMENT PERIOD. THE ENTITLEMENT PERIOD IS 24 MONTHS. NO PAYMENTS WERE MADE UNDER THE PLAN IN THE CURRENT YEAR. A BOARD MEMBER 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 GENERALLY 12 MONTHS. NO PAYMENTS WERE MADE UNDER THE PLAN IN THE CURRENT YEAR. PART I, LINE 4B 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: Deidra Bell - 13,551 Lester Diamond - 26,100 Sam Scott - 4,704 Frank Lenior - 339 Jonathan Werne - 2,483 Claude Harbarger - 67,355 SDHS maintains one unfunded deferred compensation plan which meets the requirements of IRC Section 457(F) and IRC Section 409A. The plan provides for compensation to be deferred and paid upon the occurrence of certain events such as termination without cause, disability, death or attainment of a specific payment date. Participation in the plan is limited to certain executives and is subject to approval of SDHS board of directors or a designated committee of such board. The following individuals received payment from the plan in the current year: Claude Harbarger - 475,445 Deidra Bell - 37,060 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. FORM 990, PART VI, SECTION A, LINE 6: FMOL HEALTH SYSTEM (AN IRC SECTION 501(C)(3) ORGANIZATION) IS THE SOLE MEMBER OF ST. DOMINIC HEALTH SERVICES, INC. FORM 990, PART VI, SECTION A, LINE 7A: FMOL HEALTH SYSTEM, AS THE SOLE MEMBER OF ST. DOMINIC HEALTH SERVICES, INC. RETAINS THE POWER TO APPOINT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF ST. DOMINIC HEALTH SERVICES, INC. FORM 990, PART VI, SECTION A, 7B: THE RESERVED POWERS TO FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM, INC. ARE AS FOLLOWS: 1. TO CHANGE PHILOSOPHY, OBJECTIVES AND PURPOSES OF THE CORPORATION AND ANY CORPORATION IN WHICH SDHS RETAINS VOTING RIGHTS 2. TO APPOINT OR REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF ST. DOMINIC HEALTH SERVICES, INC. 3. ALTER ARTICLES OF INCORPORATION AND BYLAWS OF SDHS AND ANY CORPORATION IN WHICH SDHS RETAINS VOTING RIGHTS 4. TO AUTHORIZE MERGER, CONSOLIDATION, OR AFFILIATION, OR PARTICIPATE IN JOINT VENTURES 5. TO DISSOLVE AND TO DISTRIBUTE ASSETS OF SDHS OR ANY CORPORATION IN WHICH SDHS RETAINS VOTING RIGHTS 6. TO APPOINT AND TERMINATE THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION OR ANY CORPORATION IN WHICH SDHS RETAINS VOTING RIGHTS 7. TO ACQUIRE, LEASE, ENCUMBER, REAL ESTATE ON BEHALF OF SDHS OR ANY CORPORATION IN WHICH SDHS RETAINS VOTING RIGHTS 8. TO ADD OR TO INCUR LONG-TERM DEBT IN EXCESS OF $5 MILLION BY SDHS OR ANY CORPORATION IN WHICH SDHS RETAINS VOTING RIGHTS 9. TO APPOINT THE FISCAL AUDITOR FOR THE CORPORATION FORM 990, PART VI, SECTION B, LINE 12C: DIRECTORS AND OFFICERS RECEIVE A COPY OF THE POLICY AND FORM FOR REPORTING EACH YEAR AT THE FIRST MEETING OF THE YEAR. FORMS ARE REVIEWED BY THE PRESIDENT AND ANY CONFLICTS SHARED WITH THE BOARD CHAIR. PERSONS WITH CONFLICTS OF INTERESTS ABSTAIN FROM ANY DECISIONS WHERE THE CONFLICT EXISTS. FORM 990, PART VI, SECTION B, LINE 15A & 15B: 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 Health Services, Inc. is set by the compensation committee of FMOL Health System (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. FORM 990, PART VI, SECTION B, LINE 11 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 XI, LINE 9 Capital gain from capital reserve $(93,460) Intercompany contribution $(1,500,000) Book/tax differences $324,950 SECTION 1.263(A)-1(F)- DE MINIMIS SAFE HARBOR ELECTION ST. DOMINIC HEALTH SERVICES, INC. DOES HAVE APPLICABLE FINANCIAL STATEMENTS FOR THE YEAR OF THE ELECTION, AND INTEND TO APPLY THE DE MINIMIS SAFE HARBOR 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 ECONOMIC USEFUL LIFE OF TWELVE MONTHS OR LESS AS DESCRIBTED IN SECTION 1.263(A)-1(F)(1)(II). SECTION 1.263(A)-3(N) ELECTION- BOOK CONFORMITY ELECTION ST. DOMINIC HEALTH SERVICES, INC. IS MAKING THE ELECTION UNDER TREAS. REG. 1.263()-3(n) TO CAPITALIZE THOSE REPAIR AND MAINTENANCE COSTS THAT IT TREATS AS CAPITAL IMPROVEMENTS ON ITS BOOKS AND RECORDS FOR THE TAX YEAR ENDED JUNE 30, 2020. FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:1896795 ST DOMINIC HEALTH & WELLNESS LLC 969 LAKELAND DRIVE JACKSON MS 39216 823234006 HEALTHCARE MS 808744 126521 SDHS ST BERNARD HEALTH FUND 4200 ESSEN LANE BATON ROUGE LA 70809 204685614 HEALTHCARE LA 501(C)(3) 12 TYPE 1 FMOL false HEALTH CARE CENTERS IN SCHOOLS 4200 ESSEN LANE BATON ROUGE LA 70809 721443935 HEALTHCARE LA 501(C)(3) 10 OLOL false COMMUNITY HEALTH SERVICES - ST DOMINIC 969 LAKELAND DRIVE JACKSON MS 39216 640884870 HEALTH PROGRA MS 501(C)(3) 10 SDHS true ST DOMINIC - JACKSON MEMORIAL HOSPITAL 969 LAKELAND DRIVE JACKSON MS 39216 640303091 HOSPITAL MS 501(C)(3) 3 SDHS true ST DOMINIC - HEALTH SERVICES FOUNDATION 969 LAKELAND DRIVE JACKSON MS 39216 431992975 FUNDRAISING MS 501(C)(3) 7 SDHS true ST CATHERINE'S VILLAGE INC 969 LAKELAND AND DRIVE JACKSON MS 39216 640714997 RET HOME MS 501(C)(3) 10 SDHS true HEART HOSPITAL OF ACADIANA LLC 1105 KALISTE SALOOM ROAD LAFAYETTE LA 70508 300442368 HEALTHCARE LA LOURDES N/A LOURDES IMAGING DEVELOPMENT LLC 4801 AMBASSADOR CAFFERY PKWY LAFAYETTE LA 70508 208326287 REAL ESTATE LA LOURDES N/A PARK PLACE SURGERY CENTER LLC 4811 AMBASSADOR CAFFERY PKWY LAFAYETTE LA 70508 721404092 HEALTHCARE LA LOURDES N/A BRPT LAKE REHABILITATION CENTERS LLC 175 S ENGLISH STATION RD STE 218 LOUISVILLE KY 40245 721506100 HEALTHCARE LA OLOL N/A CONVENIENT CARE LLC 10319 JEFFERSON HIGHWAY BATON ROUGE LA 70809 721439481 HEALTHCARE LA OLOL N/A SURGICAL SPECIALTY CENTER OF BATON ROUGE 8080 BLUEBONNET BLVD BATON ROUGE LA 70810 263120962 HEALTHCARE LA OLOL N/A ST ELIZABETH-MARY BIRD PERKINS CANCER C 4950 ESSEN LANE BATON ROUGE LA 70809 260628752 HEALTHCARE LA OLOL N/A NORTHEAST LA CANCER INSTITUTE LLC 411 CALYPSO STREET MONROE LA 71201 721329499 HEALTHCARE LA SFMC N/A LHCG-XIII LLC dba Lourdes Home Health 901 S HUGH WALLIS ROAD LAFAYETTE LA 70508 208068308 HEALTHCARE LA LOURDES N/A LOURDES AFTER HOURS LLC 7777 HENNESSY BLVD SUITE 1004-202 BATON ROUGE LA 70809 201367299 HEALTHCARE LA LOURDES N/A LAKE URGENT CARE ASCENSION LLC 10319 JEFFERSON HIGHWAY BATON ROUGE LA 70809 352463092 HEALTHCARE LA OLOL N/A OLOLUSP SURGERY CENTER LLC 15305 DALLAS PKWY STE 1600 LB 28 ADDISON TX 75001 352457810 HEALTHCARE TX OLOL N/A ST FRANCIS URGENT CARE LLC 10319 JEFFERSON HIGHWAY BATON ROUGE LA 70809 474013731 HEALTHCARE LA SFMC N/A GAMMA KNIFE OF LOUISIANA LLC 4950 ESSEN LANE BATON ROUGE LA 70809 811827194 HEALTHCARE LA OLOL N/A LHCG LXVII LLC 901 S HUGH WALLIS ROAD LAFAYETTE LA 70508 474283509 HEALTHCARE LA LOURDES N/A PREMIER HEALTH HOLDINGS LLC 10319 JEFFERSON HIGHWAY BATON ROUGE LA 70809 472665226 HEALTHCARE LA OLOL N/A PINNACLE CARE HOLDINGS LLC 5627 S SHERWOOD FOREST BLVD BATON ROUGE LA 70816 821637627 HEALTHCARE LA OLOL N/A LAFAYETTE SURGERY CENTER LIMITED PARTNER C/O C T CORPORATION SYSTEM 3867 PL BATON ROUGE LA 70816 HEALTHCARE LA LOURDES N/A HIGHLAND MEDICAL ARTS LLC PO BOX 55769 JACKSON MS 39296 743073171 MED BUILDING MS SDHS RELATED 377745 8503516 false 0 false 0.74468 D1 SPORTS TRAINING OF MISSISSIPPI LLC 7715 SOUTH SPRINGS DRIVE FRANKLIN TN 37067 275277568 ATHLETIC CENTER MS SDMHS N/A MEA PRIMARY CARE PLUS LLC 308 CORPORATE DRIVE RIDGELAND MS 39157 HEALTHCARE MS FIC N/A FREMAUX OFFICE MM LLC 3500 NORTH CAUSEWAY BOULEVARD STE METAIRIE LA 70002 HEALTHCARE LA FMOLHS N/A FREMAUX MOB LLC 3500 NORTH CAUSEWAY BOULEVARD STE METAIRIE LA 70002 MED BLDG LA FMOLHS N/A SHP Managing Member LLC 7015 HIGHWAY 190 E SERVICE ROAD ST COVINGTON LA 70433 832168844 HEALTHCARE LA OLOL N/A HOSPITAL ASSISTANCE SERVICES 4200 ESSEN LANE BATON ROUGE LA 70809 721073486 HEALTHCARE LA LOURDES C CORP false LOUISE INSURANCE COMPANY PO BOX 1051 KY1-1102 CAYMAN ISLANDS CJ INSURANCE CJ FMOL C CORP false FRANCISICAN HEALTH & WELLNESS SERVICES I 4200 ESSEN LANE BATON ROUGE LA 70809 455492379 HEALTHCARE LA FMOL C CORP false FMOL HEALTH SYSTEM HOLDINGS INC 4200 ESSEN LANE BATON ROUGE LA 70809 454405024 INVESTMENT LA FMOL C CORP false ST DOMINIC MADISON HEALTH SERVICES INC 969 LAKELAND DRIVE JACKSON MS 39216 202870254 HEALTHCARE MS SDHS C CORP 2340736 18388134 1.00000 true FIRST INTERMED CORPORATION 308 CORPORATE DRIVE RIDGELAND MS 39157 640824796 MEDICAL SERVICES MS SDHS C CORP 26790500 3928038 1.00000 true ST DOMINIC INTEGRATED SERVICES INC 969 LAKELAND DRIVE JACKSON MS 39216 271493623 INVESTMENTS MS SDJMH C CORP false LAFAYETTE SURGICARE INC C/O C T CORPORATION SYSTEM 3867 PL BATON ROUGE LA 70816 943419282 HEALTHCARE LA LOURDES C CORP false true true true false false false false false false true true true false false true true true true true ST DOMINIC JACKSON MEMORIAL HOPSITAL C 1500000 FMV ST DOMINIC JACKSON MEMORIAL HOSPITAL S 542589 FMV St Dominic Jackson Memorial Hospital J 639507 FMV St Dominic Jackson Memorial Hospital L 1364700 FMV St Dominic Jackson Memorial Hospital R 258885 FMV St Dominic Health System Foundation C 747193 FMV