2019-11-14T09:01:28-06:00 2018-12-31 BKD LLP 190 E Capitol Street Ste 500 Jackson MS 392012190 990 2018-01-01 640303091 St Dominic - Jackson Memorial Hospital % SAM SCOTT STDO 6012002000 969 Lakeland Drive Jackson MS 392164699 SAMUEL T SCOTT VP - FINANCE 6012006955 2019-11-15 true Fatima Chase CPA P01677201 6019486700 167.68.126.162 64248120193185000005 2019-11-14 P 28EF72228E503E89FAB341F3BEBCB6353318B8A5 964D791E5BA400E9D5C434A48C5D78239BDB96EF 2018 2020-01-14 16:20:31Z LESTER K DIAMOND 969 LAKELAND DRIVE JACKSON MS 392164699 536472591 false X WWW.STDOM.COM X 1946 MS ST. DOMINIC-JACKSON MEMORIAL HOSPITAL OPERATES A 571 BED PATIENT FACILITY FOR THE CITIZENS OF THE JACKSON, MS METROPOLITAN AREA THAT EXPRESSES A MISSION OF CHRISTIAN HEALING. 15 13 4681 367 759490 87035 101245 490335664 526709506 9793505 -1839196 10607849 11449094 510824053 536420649 2347714 2393938 0 0 239065738 234250051 0 0 0 273828541 298567628 515241993 535211617 -4417940 1209032 369248286 353638017 102276893 111028837 266971393 242609180 ST. DOMINIC-JACKSON MEMORIAL HOSPITALS (THE HOSPITAL OR ST. DOMINIC'S) MISSION: 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. false false 484800074 526709506 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 2018 St. Dominic Hospital provided over $1 Billion (charges) in hospital services to patients throughout the central region of Mississippi, and employed over 3,400 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 2018 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 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 2,390 screenings in 2018 an increase of 181 participants compared to the previous year. The Healthy Heart staff also participated in 203 health fairs and events throughout the year and came into contact with 1,367 people in the community through those events. Clinical outreach also aims to spread its ministry further by providing services to communities across the state to augment existing medical resources. In 2018, the program added one new specialty clinic hub site in Indianola in addition to its already existing sites located in Kosciusko, Magee, Pelahatchie, Greenville, Cleveland, Brookhaven and Vicksburg. At these locations, pain management, neurology, cardiology and ear, nose and throat 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. Three locations Vicksburg, Brookhaven and Cleveland also offer tele-medicine clinics where physicians remain at St. Dominics and the patients remain in their local community to receive consultations and care. COMPRESHENSIVE STROKE CENTER St. Dominics Comprehensive Stroke Center offers rapid diagnosis, high-tech intervention, expert care and intensive rehabilitation in a caring, compassionate setting. St. Dominics 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 2018 St. Dominics earned The Joint Commissions Gold Seal of Approval and the American Heart Association/American Stroke Associations Heart-Check mark for Advanced Certification for Comprehensive Stroke Centers. The Gold Seal of Approval and the Heart-Check mark represent symbols of quality from their respective organizations. To be eligible for this distinction, hospitals must demonstrate compliance with stroke-related standards as a Primary Stroke Center and meet additional requirements, including those related to advanced imaging capabilities, 24/7 availability of specialized treatments, and providing staff with the unique education and competencies to care for complex stroke patients. St. Dominics has worked to extend this expertise to areas outside of the Jackson area. St. Dominics tele-stroke network links seven hospitals in rural areas with stroke neurologists at St. Dominics who can provide specialized, urgent care for those suspected of having a stroke. In 2018 St. Dominics treated 1,500 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 2018, St. Dominic's women's services worked with families to deliver 1,627 babies. Of those only a small fraction were low birth weight, which can be partially attributed to prenatal care efforts. BEHAVIORAL HEALTH SERVICES For St. Dominics, the treatment of behavioral health conditions has been a priority since the inception of its behavioral health program. St. Dominics 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. Dominics Behavioral Health Services continually reaches out to the community to assist individuals in identifying mental health issues and providing direction to receive the appropriate level of care needed. In 2018 Behavioral Health Services provided screening materials, including anxiety, depression and related issues to more than 1,600 people throughout multiple community events and in rural health center locations. 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. Efforts to reduce the stigmas associated with mental health were also a focus in marketing and social media coverage during 2018. 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. CANCER CENTER AND CANCER SERVICES St. Dominics 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. Dominics is the only hospital in the state of Mississippi to have received this award three times. In 2017 St. Dominics was recognized by Beckers Hospital Review as one of 100 hospitals and health systems in the nation with great oncology programs. According to Beckers Hospital Review, "Hospitals selected for this list lead the way in oncology expertise, outcomes, research and treatment options." An integral part of St. Dominics cancer services is the freestanding Cancer Center, which provides easy access to a large variety of services as w 38489062 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 $14,226,000. 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 during 2018 were approximately $38,489,000. 2393938 2393938 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 $779,000 during 2018 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 measureable 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. 525683074 true true false true false false false false false false true false false true true false false true false false false false false false false false true true true true true false false false false false false false false false false false false true true true false false false true 274 0 4681 true true true false false false false false false false false false false false X 15 13 false false false false true true true true true false false true true true true true true true true true false X SAM SCOTT 6012006570 969 LAKELAND DRIVE JACKSON MS 392164699 JEFF FLETCHER MD CHAIRMAN 0.75 0.0 X X 0 0 0 SISTER MARY TRINITA OP SECRETARY 0.75 40.5 X X 0 0 0 SISTER THECLA KUHNLINE OP DIRECTOR 0.75 0.0 X 0 0 0 SISTER DOROTHEA SONDGEROTH OP DIRECTOR 0.75 0.0 X 0 0 0 SISTER KATHLEEN GALLAGHER OP DIRECTOR 0.75 0.0 X 0 0 0 SISTER KRISTIN REVER OP DIRECTOR 0.75 0.0 X 0 0 0 SISTER KATHLEEN ANNE TAIT OP DIRECTOR 0.75 0.0 X 0 0 0 DONNA SIMS VICE CHAIRMAN 0.75 0.0 X X 0 0 0 RUTH FREDERICKS MD DIRECTOR 0.75 0.0 X 0 0 0 EDDIE MALONEY DIRECTOR 0.75 0.0 X 0 0 0 JIMMY JONES MD DIRECTOR 0.75 0.0 X 0 0 0 JOHNNY DONALDSON DIRECTOR 0.75 0.0 X 0 0 0 CLAUDE W HARBARGER DIRECTOR 0.75 42.0 X 0 974251 115067 LESTER K DIAMOND PRESIDENT 40.0 0.0 X X 712687 0 188067 BILL BROWN DIRECTOR 0.75 0.0 X 0 0 0 JENNIFER SINCLAIR EXECUTIVE VP - OPERATIONS 40.0 0.0 X 146585 0 2653 KEITH VAN CAMP VP - INFORMATION TECHNOLOGY 40.0 0.0 X 354810 0 51829 RAYMOND SWARTZFAGER VP - BUSINESS DEVELOPMENT 40.0 0.0 X 300745 0 53875 FRANK LENOIR VP - HUMAN RESOURCES 0.0 0.0 X 0 277343 36552 SAMUEL T SCOTT VP - FINANCE 40.0 0.0 X 333100 0 42264 TANDRA R MARBURGH VP - QUALITY & PERFORMANCE 40.0 0.0 X 228525 0 32878 DAVID C HENRY VP - CLINICAL OPERATIONS 40.0 0.0 X 223321 0 35570 DAVID W SINCLAIR VP - NETWORK ADMINISTRATION 40.0 0.0 X 286770 0 27983 ERIC A MCVEY EXEC VP - MEDICAL AFFAIRS 40.0 0.0 X 520053 0 19498 WILLIAM MORGAN CHIEF OPERATING OFFICER 40.0 0.0 X 370981 0 34401 WILMA WALKER INTERIM VP OF PATIENT CARE 40.0 0.0 X 178370 0 0 JOHN LANCON PHYSICIAN 40.0 0.0 X 1139359 0 15834 D P SEAGO PHYSICIAN 40.0 0.0 X 928890 0 8093 PB KERR PHYSICIAN 40.0 0.0 X 1020126 0 15879 VERN A KELLER PHYSICIAN 40.0 0.0 X 1040579 0 15519 RUTH K FREDERICKS PHYSICIAN 40.0 0.0 X 881648 0 7166 THERESA A HORNE FORMER KEY EMPLOYEE 40.0 0.0 X 133866 0 0 8800415 1251594 703128 235 true true false ALLIED EMERGENCY SERVICES PC PO BOX 2120 RIDGELAND MS 39158 ER PHYSICIANS 8396221 CERNER CORPORATION PO BOX 959156 ST LOUIS MO 63195 IT SERVICES 6764091 PHYSICIANS ANESTHESIA GROUP PA 971 LAKELAND DRIVE JACKSON MS 39207 ANESTHESIA SERVICE 4242400 JACKSON HEART CLINIC PA 970 LAKELAND DRIVE JACKSON MS 39216 CO-MGMT SERVICES 3992279 MEDICAL MANAGEMENT SERVICES 308 CORPORATE DRIVE RIDGELAND MS 39157 CLINIC MGMT SERVICES 3422185 47 20000 81245 101245 Patient Service Revenue 621990 526709506 526709506 526709506 -1855011 -1855011 0 0 3123502 3123502 0 3123502 3123502 67757 51942 15815 15815 15815 0 0 0 0 0 0 0 0 0 Cafeteria Sales 722514 3525127 3525127 Day Care Center 624410 1285963 759490 526473 Weight Loss Center 812900 496557 496557 3017945 2297468 720477 8325592 536420649 529503531 759490 6056383 2314559 2314559 79379 79379 0 0 3966595 3966595 0 201812780 197904797 3907983 -3540697 -3540697 0 18769029 18692597 76432 13242344 12765935 476409 1422350 1422350 641863 641863 459261 459261 27751 27751 0 0 31959328 31959328 1318478 1318478 2901363 2901363 0 0 9781572 9781572 909730 909730 0 165239 165239 685883 685883 0 22849371 22849371 7106256 7106256 Medical & Other Supplies 106003325 106003325 BAD DEBT EXPENSE 38489062 38489062 REPAIRS & MAINTENANCE 22409119 22409119 LICENSES & TAXES 19406501 19406501 32031176 32031176 535211617 525683074 9528543 0 757865 1135936 44416336 34822020 0 0 60186773 64567743 0 0 0 0 0 0 11593821 12450273 4832169 7216784 465683240 284980468 187632644 180702772 0 0 0 0 0 0 8863631 8262707 50965047 44479782 369248286 353638017 40285278 38216711 0 0 0 0 0 0 0 0 0 0 20864189 22755900 0 0 41127426 50056226 102276893 111028837 X 266971393 242609180 0 0 0 0 266971393 242609180 369248286 353638017 X 1209032 185104 -25756349 X false true X true false X false false false false false false false false true 27751 27751 false PART II-B, LINE 1I: ST. DOMINIC-JACKSON MEMORIAL HOSPITAL PAID DUES TO THE MISSISSIPPI HOSPITAL ASSOCIATION. THE MISSISSIPPI HOSPITAL ASSOCIATION REPORTS THAT 17.35% OF THE $159,950 OF DUES PAID WERE RELATED TO LOBBYING ACTIVITIES. 9272580 9272580 214869058 111466709 103402349 9320209 7482031 1838178 212836033 158505065 54330968 19385360 7526663 11858697 180702772 Investment in Affiliates 6472682 Other Receivables 2252698 Due from Affiliates 35754402 44479782 0 Liability for Pension Benefits 47172791 Due to Third Party Payors 2883435 50056226 PART X, LINE 2: MANAGEMENT HAS EVALUATED THE COMPANY'S INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. true true true X true X false true false true true 14019119 1043338 12975781 0.02620 61276281 63369390 -2093109 199843 174625 25218 0.00010 75495243 64587353 10907890 0.02630 1448338 1448338 0.00290 80640 80640 0.00020 17029668 11556732 5472935 0.01110 1745000 1745000 0.00350 20303646 11556732 8746913 0.01770 95798889 76144085 19654803 0.04400 543018 543018 0.00110 543018 543018 0.00110 true 38489062 16935187 161673954 162726022 -1052068 X true true ST DOMINIC ASC OUTPATIENT SURGERY CENER 0.36357 0.63643 1 1 ST DOMINIC-JACKSON MEMORIAL HOSPITAL 969 LAKELAND DRIVE JACKSON MS 392164699 HTTP://WWW.STDOM.COM/ 14-031 X X X 1 ST DOMINIC-JACKSON MEMORIAL HOSPITAL 1 false false true X X X X X X X X 18 true false false true X see section C X true 18 true see section C false true X 200. 350. X X X true true X X X true X http://www.stdom.com/ X http://www.stdom.com/ X http://www.stdom.com/ X X X X true X false X X X X X true X false false 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. PART V, SECTION A, LINES 7A &10: https://www.stdom.com/about-us/community-benefit-and-needs/ PART V, SECTION B, LINE 11: In 2018 St. Dominics built upon what it learned in its prior CHNA and used that information to conduct a new and more extensive needs assessments. The results of the new assessment were later published in December of 2018 as the 20192021 Community Health Needs Assessment and can be found online at https://www.stdom.com/about-us/community-benefit-and-needs/. 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. Dominics focus to establish community and provide service, setting an example to others in community service. St. Dominic Hospitals overall approach to community benefit is to target the intersection of documented unmet community health needs and the organizations key strengths and mission commitments. Specifically, members of the task force that led the development of the assessment identified priority health issues in St. Dominics service area based on its review of demographic information, focus group feedback and the results of community surveys. Those identified pressing issues for 20192021 are: - access to affordable health care; - mental health and substance abuse; and - lifestyle related conditions. In 2018, as it did in prior years, St. Dominics integrated its commitment to community service into its management and governance structures as well as its strategic and operational plans. In 2018 the hospitals 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 2018. Access to Care - Served over 5,000 vulnerable children and mature adults throughout the state in 2018 through the Care-A-Van program, exceeding its goal for health contacts by 38 percent. The mobile screening service hosted by St. Dominics traveled to schools to provide screening and educational programs. Access to Care - Continued to partner with facilities in outlying areas to offer critically needed tele-stroke services. Some of these included Delta Regional Medical Center in Greenville and Copiah County Medical Center in Hazlehurst. In 2018 St. Dominics also expanded its outreach efforts and launched the states first Epilepsy Telemedicine Clinic. In addition, care access locations were added to the overall network, bringing the total up to over 60 by the end of 2018. Behavioral or Mental Health - Conducted screening or education events in communities throughout the state and exceeded the goal of 400 referral development contacts by 8 percent. St. Dominics also expanded its telemedicine offerings to encompass behavioral health and assist outlying communities with limited personnel and resources to conduct proper assessments. In addition, St. Dominics conducted a "Making Your Tomorrow Better" speaker series covering topics throughout the year ranging from general mental health to adult mental health, including geriatric mental health. Chronic Disease Care and Screening - Promoted lung cancer screening services to internal medicine, family medicine and MEA clinics. St. Dominics organized and promoted the third annual lung cancer lunch and learn. The hospital also partnered with Newks Cares to host an Ovarian Cancer Lunch and Learn as well as an Ovarian Cycle Event. The latter raised more than $250,000 for ovarian cancer research. Finally, St. Dominics launched a highly targeted educational campaign encouraging breast/ovarian genetic testing risk assessments. The email component of the campaign achieved a 25 percent open rate which exceeds the national average for similar campaigns. 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. 35 ST DOMINIC'S HOSPITAL MEDICINE 971 LAKELAND DRIVE SUITE 1453 JACKSON MS 39216 HOSPITALIST CLINIC ST DOMINIC'S NEUROSURGERY ASSOCIATES 971 LAKELAND DRIVE SUITE 657 JACKSON MS 39216 PHYSICIAN CLINIC ST DOMINIC'S NEUROCARE 971 LAKELAND DRIVE SUITE 557 JACKSON MS 39216 PHYSICIAN CLINIC ST DOMINIC'S EAR NOSE & THROAT SURG GP 970 LAKELAND DRIVE SUITE 40 JACKSON MS 39216 PHYSICIAN CLINIC ST DOMINIC'S VASCULAR AND ENDOVASCULAR 971 LAKELAND DRIVE SUITE 1250 JACKSON MS 39216 PHYSICIAN CLINIC ST DOMINIC'S INTERNAL MEDICINE GROUP 971 LAKELAND DRIVE SUITE 250 JACKSON MS 39216 PHYSICIAN CLINIC STDOMINIC'S INTERNAL MEDICINE - MADISON 106 HIGHLAND WAY 200 MADISON MS 39110 PHYSICIAN CLINIC ST DOMINIC'S CARDIOVASCULAR SURGERY 971 LAKELAND DRIVE SUITE 657 JACKSON MS 39216 PHYSICIAN CLINIC ST DOMINIC'S FAMILY MEDICINE OF MADISON 106 HIGHLAND WAY SUITE 103 MADISON MS 39110 PHYSICIAN CLINIC ST DOMINIC'S GYNECOLOGIC ONCOLOGY 971 LAKELAND DRIVE SUITE 750 JACKSON MS 39216 PHYSICIAN CLINIC ST DOMINIC'S PAIN MANAGEMENT CENTER 971 LAKELAND DRIVE SUITE 1159 JACKSON MS 39216 PHYSICIAN CLINIC ST DOMINIC'S UROLOGY 971 LAKELAND DRIVE SUITE 360 JACKSON MS 39216 PHYSICIAN CLINIC ST DOMINIC'S INFECTIOUS DISEASE 971 LAKELAND DRIVE SUITE 954 JACKSON MS 39216 PHYSICIAN CLINIC ST DOMINIC'S PSYCHIATRIC ASSOCIATES 890 LAKELAND DRIVE JACKSON MS 39216 PHYSICIAN CLINIC ST DOMINIC'S RHEUMATOLOGY 106 HIGHLAND WAY SUITE 200 MADISON MS 39110 PHYSICIAN CLINIC ST DOMINIC'S FAMILY MEDICINE OF BRANDON 1297 WEST GOVERNMENT STREET BRANDON MS 39042 PHYSICIAN CLINIC ST DOMINIC'S FAMILY MEDICINE OF CLINTON 728 CLINTON PARKWAY SUITE B CLINTON MS 39056 PHYSICIAN CLINIC ST DOMINIC'S FAMILY MEDICINE OF FLOWOOD 1050 RIVER OAKS DRIVE FLOWOOD MS 39232 PHYSICIAN CLINIC ST DOMINIC'S FAMILY MEDICINE OF DOGWOOD 205A BELLE MEADE POINTE FLOWOOD MS 39232 PHYSICIAN CLINIC ST DOMINIC'S FAMILY MEDICINE OF MAGEE 360 SIMPSON HWY 149 SUITE 220 MAGEE MS 39111 PHYSICIAN CLINIC ST DOMINIC'S FAMILY MEDICNE OF JACKSON 890 LAKELAND DRIVE JACKSON MS 39056 PHYSICIAN CLINIC ST DOMINIC'S MARTIN SURGICAL ASSOCIATES 971 LAKELAND DRIVE SUITE 211 JACKSON MS 39216 PHYSICIAN CLINIC ST DOMINIC'S FAMILY MED OF PELAHATCHIE 610 2ND STREET PELAHATCHIE MS 39145 PHYSICIAN CLINIC ST DOMINIC'S FAMILY MEDICINE OF RALEIGH 342 MAGNOLIA DRIVE RALEIGH MS 39153 PHYSICIAN CLINIC ST DOMINIC'S INTERNAL MEDICINE CLINIC 112 SOUTH LAKE CIRCLE CANTON MS 39046 PHYSICIAN CLINIC ST DOMINIC'S COUMADIN CLINIC 890 LAKELAND DRIVE JACKSON MS 39056 PHYSICIAN CLINIC ST DOMINIC'S CHRONIC CARE CLINIC 969 LAKELAND DRIVE JACKSON MS 39216 PHYSICIAN CLINIC ST DOMINIC'S OUTREACH PROGRAM-CLEVELAND 810 E SUNFLOWER ROAD CLEVELAND MS 38732 PHYSICIAN CLINIC ST DOMINIC'S OUTREACH PROGRAM-MAGEE 360 SIMPSON HWY 149 SUITE 370 MAGEE MS 39111 PHYSICIAN CLINIC ST DOMINIC'S OUTREACH PROGRAM-TELEMEDIC 969 LAKELAND DRIVE JACKSON MS 39216 PHYSICIAN CLINIC ST DOMINIC'S OUTREACH PROGRAM-KOSCIUSKO 332 HIGHWAY 12 WEST KOSCIUSKO MS 39090 PHYSICIAN CLINIC ST DOMINIC'S OUTREACH PROGRAM-PELAHATCH 610 2ND STREET PELAHATCHIE MS 39145 PHYSICIAN CLINIC ST DOMINIC'S FAMILY MEDICINE-GLUCKSTADT 286 CALHOUN STATION PARKWAY MADISON MS 39110 PHYSICIAN CLINIC ST DOMINIC'S OUTREACH PROGRAM-VICKSBURG 4204 CLAY STREET VICKSBURG MS 39180 PHYSICIAN CLINIC ST DOMINIC'S OUTREACH PROGRAM-BROOKHAVE 427 HWY 51N BROOKHAVEN MS 39601 PHYSICIAN CLINIC 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 7, COLUMN (F): The bad debt expense included on form 990, part IX, line 25(a) but subtracted for purposes of calculating the percentage in this column is $38,489,062. 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: St. Dominic Hospital 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 audited financial statements. PART III, LINE 3: St. Dominic Hospital frequently has patient accounts that are initially 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: Patient accounts receivable are reduced by an allowance for doubtful accounts and reported at net realizable value. In evaluating the collectability of accounts receivable, the Hospital analyzes its historical experience and identifies trends for each of its major payer sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for uncollectible accounts. Management regularly reviews data about these major payer sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Hospital analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for uncollectible accounts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payer has not yet paid, or for payers who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Hospital records a provision for uncollectible accounts in the period of service on the basis of their past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. The Hospital's allowance for doubtful accounts for self-pay patients decreased from 77% of self-pay accounts receivable at December 31, 2017, to 75% of self-pay accounts receivable at December 31, 2018. In addition, the Hospital's self-pay bad debt write-offs increased from approximately $24,067,000 in 2017 to $53,795,000 in 2018. PART III, LINE 8: The shortfall should not be included in the community benefit total. 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's 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: Needs assessment 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; and 4) public health information. PART VI, LINE 3: Patient education of eligibility for assistance St. Dominic Hospital works to educate its patients and community on assistance options by: 1-posting signage in the emergency room and other registration areas informing patients that financial assistance is available. 2-providing brochures in the waiting rooms and at the registration desks that explain the billing and collection process as well as information about the Hospital's financial assistance policy and phone numbers to call for assistance. 3-contracting and paying an agency to meet with all uninsured patients to assist them in applying for federal and state assistance (i.e. Medicaid, disability, etc.). 4-providing financial counselors to meet with patients. These counselors fully understand the Hospital's charity policy and are available to assist with the applications, set up interest free payment plans and offer advice on public assistance that may be available. 5-staffing patient representatives to answer questions and assist patients as needed. 6-educating the early-out and bad debt collection agencies on the Hospital's financial assistance policies so they can assist patients whom they find might have financial need. PART VI, LINE 4: Community information The community served by the hospital, including geographic and demographic areas, is addressed in the 2019-2021 community health needs assessment. The CHNA can be accessed at: https://www.stdom.com/about-us/community-benefit-and-needs/. PART VI, LINE 5: Promotion of community health 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. Dominics 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: Affiliated health care system 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), First Intermed Corporation (physician clinics) and St. Dominic Madison Health Services, Inc. (a medical office building and fitness center). In addition, St. Dominic Health Services operates Community Health Services St. Dominic, Inc., which incorporates the outreach services of The Club at St. Dominic's, New Directions for over 55, St. Dominic Community Health Clinic, Madison school nurse program and the Care-a-Van screening program. As a whole, all of the services, entities and Hospital are collectively referred to as St. Dominic's. St. Dominic's seeks to give time, talents, and resources to make the communities served by the organization better places to live. The St. Dominic's family of caregivers not only serves patients, but also contributes to an atmosphere of care and compassion for those outside the Hospital's walls. St. Dominic's 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. PART VI, LINE 7: State filing of community benefit report St. 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. true 100 BLACK MEN OF JACKSON 5360 HIGHLAND DRIVE JACKSON MS 39286 640817928 501(C)(3) 30500 GENERAL SUPPORT BEGINNING AGAIN IN CHRIST PO BOX 26 BRANDON MS 39042 640592123 501(C)(3) 15000 GENERAL SUPPORT BOY SCOUTS OF AMERICA 855 RIVERSIDE DR JACKSON MS 39202 640303071 501(C)(3) 32000 GENERAL SUPPORT CATHOLIC CHARITIES 850 East River Place JACKSON MS 39201 640466850 501(C)(3) 155000 GENERAL SUPPORT CENTER FOR THE PREVENTION OF VIOLENCE PO BOX 6279 PEARL MS 39288 581959108 501(C)(3) 26250 GENERAL SUPPORT COMMUNITY HEALTH SERVICES 970 LAKELAND DR JACKSON MS 39216 640884870 501(C)(3) 175000 AFFILIATE SUPPORT MISSION MISSISSIPPI PO BOX 22655 JACKSON MS 39225 640824240 501(C)(3) 35000 GENERAL SUPPORT OPERATION SHOESTRING 1711 BAILEY AVENUE JACKSON MS 39283 640471554 501(C)(3) 45000 GENERAL SUPPORT REAL CHRISTIAN FOUNDATION PO BOX 180059 RICHLAND MS 39218 640885750 501(C)(3) 35000 GENERAL SUPPORT SOUTHERN CHRISTIAN SERVICES 860 E RIVER PL STE 104 JACKSON MS 39202 640758344 501(C)(3) 25000 GENERAL SUPPORT TUTWILER COMMUNITY EDUCATION CENTER INC PO BOX 448 TUTWILER MS 38963 581887449 501(C)(3) 25000 GENERAL SUPPORT ST DOMINIC HEALTH SERVICES INC 969 LAKELAND DRIVE JACKSON MS 39216 640714999 501(c)(3) 1500000 AFFILIATE SUPPORT LEXINGTON MEDICAL CLINIC 22741 HIGHWAY 12 LEXINGTON MS 39095 200378262 501(C)(3) 20000 GENERAL SUPPORT MISSISSIPPI HOUSING PARTNERSHIP PO BOX 22987 JACKSON MS 39225 640816305 501(C)(3) 10000 GENERAL SUPPORT NEWK'S CARES 2680 CRANE RIDGE DRIVE JACKSON MS 39216 270705547 501(C)(3) 50000 GENERAL SUPPORT CANOPY CHILDRENS SOLUTIONS 1465 LAKELAND DRIVE JACKSON MS 39216 640303085 501(C)(3) 25000 GENERAL SUPPORT MISSION FIRST INC PO BOX 250 JACKSON MS 39205 640797107 501(C)(3) 20000 GENERAL SUPPORT HOSPICE MINISTRIES 45 TOWNE CENTER BLVD RIDGELAND MS 39157 640789919 501(C)(3) 50000 GENERAL SUPPORT 18 SCHOLARSHIPS/TUITION REIMBURSEMENT 32 79379 PART I, LINE 2: THE HOSPITAL HAS A CONTRIBUTIONS COMMITTEE, WHICH IS A SUB-COMMITTEE OF THE BOARD, THAT OVERSEES THE HOSPITALS GIVING. THEY MONITOR THE REQUESTS AND OVERSEE ALL GIFTS. X X X X X false true false false false false false false false CLAUDE W HARBARGER DIRECTOR 927985 0 46266 103249 11818 1089318 0 LESTER K DIAMOND PRESIDENT 684517 0 28170 171828 16239 900754 0 KEITH VAN CAMP VP - INFORMATION TECHNOLOGY 350057 0 4753 51443 386 406639 0 RAYMOND SWARTZFAGER VP - BUSINESS DEVELOPMENT 300196 0 549 45680 8195 354620 0 JOHN LANCON PHYSICIAN 1037600 47504 54255 0 15834 1155193 0 D P SEAGO PHYSICIAN 884657 0 44233 0 8093 936983 0 PB KERR PHYSICIAN 930375 41174 48577 0 15879 1036005 0 VERN A KELLER PHYSICIAN 991028 0 49551 0 15519 1056098 0 FRANK LENOIR VP - HUMAN RESOURCES 277178 0 165 29291 7261 313895 0 SAMUEL T SCOTT VP - FINANCE 328851 0 4249 31341 10923 375364 0 TANDRA R MARBURGH VP - QUALITY & PERFORMANCE 228525 0 0 24355 8523 261403 0 DAVID C HENRY VP - CLINICAL OPERATIONS 223321 0 0 23883 11687 258891 0 DAVID W SINCLAIR VP - NETWORK ADMINISTRATION 285674 0 1096 20083 7900 314753 0 ERIC A MCVEY EXEC VP - MEDICAL AFFAIRS 520053 0 0 9681 9817 539551 0 RUTH K FREDERICKS PHYSICIAN 839665 0 41983 0 7166 888814 0 WILLIAM MORGAN CHIEF OPERATING OFFICER 370981 0 0 18416 15985 405382 0 THERESA A HORNE FORMER KEY EMPLOYEE 133866 0 0 0 0 133866 0 WILMA WALKER INTERIM VP OF PATIENT CARE 178370 0 0 0 0 178370 0 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)). THE PAYOUTS BEGAN IN FIRST QUARTER 2014, WHICH ARE INCLUDED IN THE FORM W-2 BOX 5 WAGES AND REFLECTED IN OTHER REPORTABLE COMPENSATION ON SCHEDULE J. THESE AMOUNTS ARE: LESTER K. DIAMOND - 28,170 KEITH VAN CAMP - 4,753 DAVID W. SINCLAIR - 1,096 CLAUDE HARBARGER - 46,266 SAMUEL T. SCOTT - 4,249 RAYMOND SWARTZFAGER - 549 DEFERRED AMOUNTS UNDER THE 457(F) PLAN REFLECTED IN RETIREMENT AND OTHER DEFERRED COMPENSATION ON SCHEDULE J INCLUDE: LESTER K. DIAMOND - 62,213 CLAUDE HARBARGER - 84,833 FRANK LENOIR - 10,883 KEITH VAN CAMP - 13,177 SAMUEL T. SCOTT - 12,925 RAYMOND SWARTZFAGER - 11,074 TANDRA R. MARBURGH - 8,990 DAVID C. HENRY - 8,641 DAVID W. SINCLAIR - 11,348 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 officers of the Hospital. FORM 990, PART VI, SECTION A, LINE 7B: The Board of Directors of the sole member of St. Dominic-Jackson Memorial Hospital, St. Dominic Health Services, Inc., has the right to approve the formation of, or participation in, any joint venture or partnership of the Hospital. St. Dominic Health Services, Inc.'s Board of Directors also has the right to approve any dissolution or merger enacted by the Hospital. If the Hospital's Board of Directors has a stalemate in any vote, the final decision rests with the Board of Directors of its sole member, St. Dominic Health Services, Inc. The General Council of the Dominican Sisters of Springfield Illinois has the authority to break any tie vote of the Board of Directors of St. Dominic Health Services, Inc. FORM 990, PART VI, SECTION B, LINE 11: The Board has delegated review of the form 990 to the Finance Committee of the board prior to filing. A full copy, as approved by the Finance Committee, is provided to the Board. FORM 990, PART VI, SECTION B, LINE 12C: All Board members are required to complete and sign a conflict of interest form annually. The President reviews the forms, and any conflicts are disclosed to the other members of the Board and made a matter of record. Persons with conflicts of interests do not vote or use his or her influence on the matter and are excluded from the count in determining the quorum for the meeting, even where permitted by law. FORM 990, PART VI, SECTION B, LINE 15: The executive compensation committee of the board of St. Dominic Health Services administers the organizations executive compensation program. The executive compensation committee is responsible for establishing and maintaining a competitive compensation program for the key executives of the organization. The executive compensation committee meets as needed to review the compensation program and make recommendations for any changes as appropriate. The executive compensation committee commissions an annual review by an independent consulting firm to evaluate the organization's executive compensation program against the competitive market. The evaluation is reviewed in the first quarter of each year and is intended to ensure that the compensation program falls within a reasonable range of competitive practices for comparable positions among similarly situated organizations as described in section 4958 of the internal revenue code. Following this review, the committee reviews and approves, for selected key executives, base salary and total compensation ranges for the upcoming year. The executive compensation committee maintains minutes and records to ensure that it can claim the rebuttable presumption of reasonable compensation for purposes of section 4958. The President for the Hospital assigns pay changes for the upcoming year for each of the Hospital executives within the limits established by the executive compensation committee. The President of St. Dominic Health Services, Inc., in conjunction with the Chair of St. Dominic-Jackson Memorial Hospital Board of Directors, assigns the pay change for the President (chief executive officer) of St. Dominic-Jackson Memorial Hospital within the limits established by the executive compensation committee. Key executives of the organization may attend the committee meeting of the executive compensation committee to provide the information needed by such committee. These executives are excused and the executive compensation committee meets in executive session to render its recommendations. 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 XI, LINE 9: Pension Related Changes- (25,280,856) Intercompany Transactions- (475,493) Other Changes in Net Assets: (25,756,349) ST DOMINIC MEDICAL ASSOCIATES 969 LAKELAND DRIVE JACKSON MS 39216 261969846 HEALTHCARE MS 42492945 9938398 SDJMH ST DOMINIC HOSPITAL MEDICINE LLC 969 LAKELAND DRIVE JACKSON MS 39216 814908606 HEALTHCARE MS 7726266 2059981 SDJMH ST DOMINIC HEALTH SERVICES FOUNDATION 969 LAKELAND DRIVE JACKSON MS 39216 431992975 FUNDRAISING MS 501(C)(3) 7 SDHS false ST DOMINIC HEALTH SERVICES INC 969 LAKELAND DRIVE JACKSON MS 39216 640714999 HOLDING CO. 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