ST DOMINIC-JACKSON MEMORIAL HOSPITAL: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- ST DOMINIC-JACKSON MEMORIAL HOSPITAL (EIN 64-0303091)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-13
- IRS object ID
- 201803179349301305
- Schema version
- 2017v2.3
- 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 L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-13T07:59:47-06:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 190 E Capitol Street Ste 500 | AddressLine1Txt |
| City | Jackson | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 392012190 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | 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) |
|---|---|---|
| In Care Of | % SAM SCOTT | InCareOfNm |
| Business Name Control | STDO | BusinessNameControlTxt |
| Phone | 6012002000 | 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 | LESTER K DIAMOND | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 6012006955 | PhoneNum |
| Signature | 2018-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Fatima Chase CPA | PreparerPersonNm |
| PTIN | P01677201 | PTIN |
| Phone | 6019486700 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 167.68.126.162 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 64248120183175000004 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2018-11-13 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | D1C40A0FB9ED889897236B17A1DE3D5FB0A8D9DC | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 468D4A6F67C914A138C9D1D024C98E150145FE59 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LESTER K DIAMOND | 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 | $510,847,513 | GrossReceiptsAmt |
| Group Return For Affiliates | false | 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 | 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. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 4604 | TotalEmployeeCnt |
| Total Volunteers | 355 | TotalVolunteersCnt |
| Total Gross UBI | $626,050 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$70,955 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $58,015 | PYContributionsGrantsAmt |
| CY Contributions Grants | $87,035 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $480,814,294 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $490,335,664 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,617,598 | PYInvestmentIncomeAmt |
| CY Investment Income | $9,793,505 | CYInvestmentIncomeAmt |
| PY Other Revenue | $10,686,561 | PYOtherRevenueAmt |
| CY Other Revenue | $10,607,849 | CYOtherRevenueAmt |
| PY Total Revenue | $495,176,468 | PYTotalRevenueAmt |
| CY Total Revenue | $510,824,053 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,556,085 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,347,714 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $239,030,446 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $239,065,738 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $257,521,438 | PYOtherExpensesAmt |
| CY Other Expenses | $273,828,541 | CYOtherExpensesAmt |
| PY Total Expenses | $499,107,969 | PYTotalExpensesAmt |
| CY Total Expenses | $515,241,993 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$3,931,501 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$4,417,940 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $347,022,982 | TotalAssetsBOYAmt |
| Total Assets EOY | $369,248,286 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $103,121,538 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $102,276,893 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $243,901,444 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $266,971,393 | NetAssetsOrFundBalancesEOYAmt |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $476,842,827 | ExpenseAmt |
| Revenue | $493,002,743 | RevenueAmt |
| Desc | 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 2017 St. Dominic Hospital provided over $1 Billion (charges) in hospital services to patients throughout the central region of Mississippi, and employed over 3,200 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 2017 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 2,209 screenings in 2017 an increase of over 176 participants compared to the previous year. The Healthy Heart staff also participated in 20 health fairs and events throughout the year and came into contact with 1,923 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 2017, the program added one new specialty clinic hub site in Kosciusko in addition to its already existing sites located in Magee, Pelahatchie, Greenville, Cleveland, Brookhaven and Vicksburg. At these locations, 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 2016 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 2017 St. Dominics treated 1,515 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 2017, St. Dominic's women's services worked with families to deliver 1,429 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, is a geriatric psychiatric unit that 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 frequently reaches out to the community to help individuals identify disorders and find help. In 2017 Behavioral Health Services provided screening materials to more than 1,000 people for anxiety and depression disorders throughout multiple community events. Also, more collaborative efforts and partnerships are being 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 2017. Participation in many community events in the Jackson and the surrounding area were completed to educate the public on 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 2015 with an Outstanding Achievement Award by the Commission on Cancer (CoC) of the American College of Surgeons. St. Dominics was the only hospital in the state of Mississippi to receive this award twice, and since then no other Mississippi has received this designation. 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 well as convenient parking. Treatments at the center include medical cancer therapy, radiation therapy and lymphedema treatment. In 2017 alone, 25,613 radiatio | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $26,565,658 | ExpenseAmt |
| Desc | 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 $15,752,000. 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 2017 were approximately $26,567,000. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,347,714 | ExpenseAmt |
| Grant | $2,347,714 | GrantAmt |
| Desc | 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 approximately $718,000 during 2017 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. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $505,756,199 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 241 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 4604 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SAM SCOTT | PersonNm |
| 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 (31 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| JEFF FLETCHER MD | |||||||||
| CHAIRMAN | 0.75 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DAN GRAFTON | |||||||||
| VICE CHAIRMAN | 0.75 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| SISTER MARY TRINITA OP | |||||||||
| SECRETARY | 0.75 | 40.5 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| SISTER THECLA KUHNLINE OP | |||||||||
| DIRECTOR | 0.75 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| SISTER CELESTINE OP | |||||||||
| DIRECTOR | 0.75 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| SISTER KATHLEEN GALLAGHER OP | |||||||||
| DIRECTOR | 0.75 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| SISTER KRISTIN REVER OP | |||||||||
| DIRECTOR | 0.75 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| SISTER CORDE LENN OP | |||||||||
| DIRECTOR | 0.75 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| DONNA SIMS | |||||||||
| DIRECTOR | 0.75 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| WILL MCCRANEY MD | |||||||||
| DIRECTOR | 0.75 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| EDDIE MALONEY | |||||||||
| DIRECTOR | 0.75 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| JIMMY JONES MD | |||||||||
| DIRECTOR | 0.75 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| JOHNNY DONALDSON | |||||||||
| DIRECTOR | 0.75 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| CLAUDE W HARBARGER | |||||||||
| DIRECTOR | 0.75 | 42.0 | Yes (X) | $0 | $848,319 | $115,728 | |||
| LESTER K DIAMOND | |||||||||
| PRESIDENT | 40.0 | 0.0 | Yes (X) | Yes (X) | $622,129 | $0 | $89,788 | ||
| JENNIFER SINCLAIR | |||||||||
| EXECUTIVE VP - OPERATIONS | 40.0 | 0.0 | Yes (X) | $398,747 | $0 | $56,263 | |||
| KEITH VAN CAMP | |||||||||
| VP - INFORMATION TECHNOLOGY | 40.0 | 0.0 | $334,405 | $0 | $33,045 | Yes (X) | |||
| RAYMOND SWARTZFAGER | |||||||||
| VP - BUSINESS DEVELOPMENT | 40.0 | 0.0 | $276,857 | $0 | $38,396 | Yes (X) | |||
| THERESA A HORNE | |||||||||
| VP - PATIENT CARE SERVICES | 40.0 | 0.0 | $259,775 | $0 | $26,499 | Yes (X) | |||
| FRANK LENOIR | |||||||||
| VP - HUMAN RESOURCES | 0.0 | 0.0 | $0 | $272,068 | $34,935 | Yes (X) | |||
| MICHAEL L SANDERS | |||||||||
| INTERIM VP - MEDICAL AFFAIRS | 40.0 | 0.0 | $316,746 | $0 | $30,160 | Yes (X) | |||
| SAMUEL T SCOTT | |||||||||
| VP - FINANCE | 40.0 | 0.0 | $323,117 | $0 | $33,655 | Yes (X) | |||
| TANDRA R DAVISON | |||||||||
| VP - QUALITY & PERFORMANCE | 40.0 | 0.0 | $224,760 | $0 | $23,274 | Yes (X) | |||
| DAVID C HENRY | |||||||||
| VP - CLINICAL OPERATIONS | 40.0 | 0.0 | $216,015 | $0 | $27,215 | Yes (X) | |||
| DAVID W SINCLAIR | |||||||||
| VP - NETWORK ADMINISTRATION | 40.0 | 0.0 | $283,698 | $0 | $27,616 | Yes (X) | |||
| ERIC A MCVEY | |||||||||
| EXEC VP - MEDICAL AFFAIRS | 40.0 | 0.0 | $362,154 | $0 | $11,688 | Yes (X) | |||
| JOHN LANCON | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $1,265,695 | $0 | $15,607 | Yes (X) | |||
| D P SEAGO | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $944,277 | $0 | $8,511 | Yes (X) | |||
| PB KERR | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $986,822 | $0 | $14,527 | Yes (X) | |||
| VERN A KELLER | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $1,088,527 | $0 | $16,327 | Yes (X) | |||
| ZACHARY K BALDWIN | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $917,721 | $0 | $16,327 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $8,821,445 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,120,387 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $619,561 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 209 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CERNER CORPORATION | |||||
| PO BOX 959156 | ST LOUIS | MO | 63195 | IT SERVICES | $8,611,212 |
| ALLIED EMERGENCY SERVICES PC | |||||
| PO BOX 2120 | RIDGELAND | MS | 39158 | ER PHYSICIANS | $8,502,234 |
| TEKSYSTEMS INC | |||||
| PO BOX 198568 | ATLANTA | GA | 30381 | IT CONSULTING | $6,335,569 |
| JACKSON HEART CLINIC PA | |||||
| 970 LAKELAND DRIVE | JACKSON | MS | 39216 | CO-MGMT SERVICES | $4,142,316 |
| FOUNTAIN CONSTRUCTION CO INC | |||||
| PO BOX 10506 | JACKSON | MS | 39289 | CONSTRUCTION | $3,674,321 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 68 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $53,892 | RelatedOrganizationsAmt |
| All Other Contributions | $33,143 | AllOtherContributionsAmt |
| Total Contributions | $87,035 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Service Revenue | 621990 | $490,335,687 | $490,335,687 |
| Pharmaceutical Sales | 446110 | -$682 | -$682 |
| Spa Sales | 812900 | $659 | $659 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $490,335,664 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,804,648 | TotalRevenueColumnAmt |
| Exclusion | $9,804,648 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,940,181 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,940,181 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,940,181 | TotalRevenueColumnAmt |
| Exclusion | $2,940,181 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $12,317 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $23,460 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$11,143 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$11,143 | TotalRevenueColumnAmt |
| Exclusion | -$11,143 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|---|
| Cafeteria Sales | 722514 | $3,327,587 | $3,327,587 | ||
| Day Care Center | 624410 | $1,120,347 | $494,297 | $626,050 | |
| WEIGHT LOSS CENTER | 812900 | $1,035,381 | $1,035,381 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,184,353 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,631,698 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $552,655 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $7,667,668 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $510,824,053 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $493,002,743 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $626,050 | UnrelatedBusinessRevenueAmt |
| Exclusion | $17,108,225 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,251,851 | TotalAmt |
| Program Services | $2,251,851 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,863 | TotalAmt |
| Program Services | $95,863 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,016,002 | TotalAmt |
| Management And General | $4,016,002 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,324 | TotalAmt |
| Program Services | $82,324 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $197,548,955 | TotalAmt |
| Program Services | $193,927,166 | ProgramServicesAmt |
| Management And General | $3,621,789 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,213,663 | TotalAmt |
| Program Services | $3,213,663 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,187,331 | TotalAmt |
| Program Services | $20,692,772 | ProgramServicesAmt |
| Management And General | $494,559 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,017,463 | TotalAmt |
| Program Services | $12,549,145 | ProgramServicesAmt |
| Management And General | $468,318 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,375,725 | TotalAmt |
| Program Services | $1,375,725 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $510,703 | TotalAmt |
| Management And General | $510,703 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $374,423 | TotalAmt |
| Management And General | $374,423 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,701 | TotalAmt |
| Program Services | $27,701 | ProgramServicesAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,698,256 | TotalAmt |
| Program Services | $30,698,256 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,416,231 | TotalAmt |
| Program Services | $1,416,231 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,502,060 | TotalAmt |
| Program Services | $3,502,060 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,643,076 | TotalAmt |
| Program Services | $8,643,076 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,894,780 | TotalAmt |
| Program Services | $2,894,780 | ProgramServicesAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $122,821 | TotalAmt |
| Program Services | $122,821 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $215,720 | TotalAmt |
| Program Services | $215,720 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,647,632 | TotalAmt |
| Program Services | $21,647,632 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,783,530 | TotalAmt |
| Program Services | $4,783,530 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Medical & Other Supplies | $94,940,059 | $94,940,059 |
| BAD DEBT EXPENSE | $26,565,658 | $26,565,658 |
| Repairs & Maintenance | $21,709,365 | $21,709,365 |
| LICENSES & TAXES | $19,547,728 | $19,547,728 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,853,073 | TotalAmt |
| Program Services | $34,853,073 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $515,241,993 | TotalAmt |
| Program Services | $505,756,199 | ProgramServicesAmt |
| Management And General | $9,485,794 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,020,381 | BOYAmt |
| EOY | $757,865 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,497,284 | BOYAmt |
| EOY | $44,416,336 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,902,303 | BOYAmt |
| EOY | $60,186,773 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,653,570 | BOYAmt |
| EOY | $11,593,821 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,519,035 | BOYAmt |
| EOY | $4,832,169 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $481,105,608 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $293,472,964 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $188,509,824 | BOYAmt |
| EOY | $187,632,644 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $8,863,631 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,920,585 | BOYAmt |
| EOY | $50,965,047 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $347,022,982 | BOYAmt |
| EOY | $369,248,286 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,226,109 | BOYAmt |
| EOY | $40,285,278 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,068,417 | BOYAmt |
| EOY | $20,864,189 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,827,012 | BOYAmt |
| EOY | $41,127,426 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $103,121,538 | BOYAmt |
| EOY | $102,276,893 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $243,901,444 | BOYAmt |
| EOY | $266,971,393 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $243,901,444 | BOYAmt |
| EOY | $266,971,393 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $347,022,982 | BOYAmt |
| EOY | $369,248,286 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$4,417,940 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | $915,219 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $26,572,670 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $27,701 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $27,701 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1I: | FormAndLineReferenceDesc |
| Explanation | ST. DOMINIC-JACKSON MEMORIAL HOSPITAL PAID DUES TO THE MISSISSIPPI HOSPITAL ASSOCIATION. THE MISSISSIPPI HOSPITAL ASSOCIATION REPORTS THAT 17.84% OF THE $155,275 OF DUES PAID WERE RELATED TO LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,272,580 | OtherCostOrOtherBasisAmt |
| Book Value | $9,272,580 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $215,628,151 | OtherCostOrOtherBasisAmt |
| Depreciation | $108,744,822 | DepreciationAmt |
| Book Value | $106,883,329 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,297,783 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,017,997 | DepreciationAmt |
| Book Value | $2,279,786 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $228,096,545 | OtherCostOrOtherBasisAmt |
| Depreciation | $170,497,225 | DepreciationAmt |
| Book Value | $57,599,320 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,810,549 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,212,920 | DepreciationAmt |
| Book Value | $11,597,629 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $187,632,644 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Investment in Affiliates | $6,175,303 |
| Other Receivables | $3,137,484 |
| Due from Affiliates | $41,652,260 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $50,965,047 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Liability for Pension Benefits | $33,781,994 |
| Due to Third Party Payors | $7,345,432 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $41,127,426 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent350 | Yes (X) | Percent350Ind |
| Free Care Medically Indigent | false | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,103,986 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $16,103,986 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03300 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $61,442,829 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $63,113,738 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$1,670,909 | NetCommunityBenefitExpnsAmt |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $149,087 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $88,521 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $60,566 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $77,695,902 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $63,202,259 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,493,643 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03310 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,403,002 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,403,002 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00290 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $80,640 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $80,640 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,278,562 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,025,893 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,252,669 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00660 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,675,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,675,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00340 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,437,204 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,025,893 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,411,311 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01310 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $98,133,106 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $77,228,152 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $20,904,954 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04620 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $550,218 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $550,218 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $550,218 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $550,218 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $26,565,658 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $11,688,890 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $149,930,759 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $154,714,007 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$4,783,248 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST DOMINIC ASC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | OUTPATIENT SURGERY CENER | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.46316 | OrgProfitOrOwnershipPct |
| Ofcr Etc Profit Or Ownership | 0.0 | OfcrEtcProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.53684 | 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 |
| Facility Reporting Group | 1 | FacilityReportingGroupCd |
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 | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | 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 |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | 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 (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | see section C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 350. | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | http://www.stdom.com/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | http://www.stdom.com/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | http://www.stdom.com/ | 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 |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | 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 (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 2015 St. Dominics built upon what it learned in its prior CHNA and used that information to conduct a new and more extensive needs assessment. The results of the new assessment were later published in December of 2015 as the 20162018 Community Health Needs Assessment and can be found online at 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 20162018 are: - access to care; - behavioral health or mental health; - chronic disease care and screening (especially for heart disease, cancer, diabetes, stroke and obesity); - HIV prevention and treatment; and - managing the expected growth in senior health services. In 2017, 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 2017 the hospitals strategic plan contained a strategy 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 strategy indicated, "Conduct a market analysis and create a long-term plan for addressing current and anticipated community needs in the primary service area." Following are ways in which that strategy was implemented as well as ways other identified needs were met in 2017. Access to Care - Added three care access points to the overall network, bringing the total up to 58 by the end of 2017. Early in the year St. Dominics tele-stroke services were launched at Delta Regional Medical Center in Greenville. Later clinical outreach began operating in Kosciusko with Premier Medical Group and a new family medicine site was added in Flowood. Access to Care/Senior Health Services - Served nearly 4,200 vulnerable children and mature adults throughout the state in 2017 through the Care-A-Van program. The mobile screening service hosted by St. Dominics traveled to schools to provide screening and educational programs. St. Dominics employees contributed approximately 600 volunteer hours to the service. Behavioral Health or Mental Health - Conducted screening or education events in communities throughout the state. At two events 700 people were screened for anxiety and depression disorders. Another nine events covered topics from general mental health to adult mental health, including geriatric mental health. Over 1,500 community members attended these events throughout the year. Chronic Disease Care and Screening - Conducted screening or education events at local businesses. The events focused on heart and cancer screenings. In all, 1,487 community members attended education events and/or were screened at 20 separate events. HIV Prevention and Treatment - Initiated social service referrals from St. Dominics Community Health Clinic to the Mississippi Department of Health. In 2017 the Community Health Clinic had 13,162 patient visits. When appropriate, HIV prevention was discussed with patients. For testing, the clinic has partnered with the Mississippi Department of Health. Every other month a bus comes to the clinic to transport individuals who may have a need to the Department of Health for HIV testing. |
| 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 37 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (37 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| ST DOMINIC'S HOSPITAL MEDICINE | ||||
| 971 LAKELAND DRIVE SUITE 1453 | JACKSON | MS | 39216 | HOSPITALIST CLINIC |
| ST DOMINIC'S CARDIOVASCULAR SURGERY | ||||
| 971 LAKELAND DRIVE SUITE 657 | JACKSON | MS | 39216 | PHYSICIAN CLINIC |
| ST DOMINIC'S NEUROSURGERY ASSOCIATES | ||||
| 971 LAKELAND DRIVE SUITE 657 | 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 NEUROCARE | ||||
| 971 LAKELAND DRIVE SUITE 557 | 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 FAMILY MEDICINE OF MADISON | ||||
| 106 HIGHLAND WAY SUITE 103 | MADISON | MS | 39110 | PHYSICIAN CLINIC |
| ST DOMINIC'S PAIN MANAGEMENT CENTER | ||||
| 971 LAKELAND DRIVE SUITE 1159 | JACKSON | MS | 39216 | PHYSICIAN CLINIC |
| ST DOMINIC'S INFECTIOUS DISEASE | ||||
| 971 LAKELAND DRIVE SUITE 954 | JACKSON | MS | 39216 | PHYSICIAN CLINIC |
| ST DOMINIC'S UROLOGY | ||||
| 971 LAKELAND DRIVE SUITE 360 | JACKSON | MS | 39216 | PHYSICIAN CLINIC |
| ST DOMINIC'S GYNECOLOGIC ONCOLOGY | ||||
| 971 LAKELAND DRIVE SUITE 750 | 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 FLOWOOD | ||||
| 1050 RIVER OAKS DRIVE | FLOWOOD | MS | 39232 | PHYSICIAN CLINIC |
| ST DOMINIC'S PSYCHIATRIC ASSOCIATES | ||||
| 890 LAKELAND DRIVE | JACKSON | MS | 39216 | 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 BRANDON | ||||
| 1297 WEST GOVERNMENT STREET | BRANDON | MS | 39042 | PHYSICIAN CLINIC |
| ST DOMINIC'S VASCULAR & ENDOVASCULAR | ||||
| 971 LAKELAND DRIVE SUITE 1250 | JACKSON | MS | 39216 | PHYSICIAN CLINIC |
| ST DOMINIC'S INTERNAL MEDICINE GROUP | ||||
| 112 SOUTH LAKE CIRCLE | CANTON | MS | 39046 | PHYSICIAN CLINIC |
| ST DOMINIC'S FAMILY MEDICINE OF JACKSON | ||||
| 890 LAKELAND DRIVE | JACKSON | MS | 39056 | PHYSICIAN CLINIC |
| ST DOMINIC'S FAMILY MEDICNE OF MAGEE | ||||
| 360 SIMPSON HWY 149 SUITE 220 | MAGEE | MS | 39111 | 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 SURGICAL ONCOLOGY | ||||
| 106 HIGHLAND WAY SUITE 200 | MADISON | MS | 39110 | PHYSICIAN CLINIC |
| ST DOMINIC'S CHRONIC CARE CLINIC | ||||
| 890 LAKELAND DRIVE | JACKSON | MS | 39216 | PHYSICIAN CLINIC |
| ST DOMINIC'S FAMILY MEDICINE OF PEARL | ||||
| 342 GILCHRIST DRIVE | PEARL | MS | 39208 | PHYSICIAN CLINIC |
| ST DOMINIC'S FAMILY MEDICINE OF DOGWOOD | ||||
| 205A BELLE MEADE POINTE | FLOWOOD | MS | 39232 | PHYSICIAN CLINIC |
| ST DOMINIC'S OUTREACH PROGRAM-MAGEE | ||||
| 360 SIMPSON HWY 149 SUITE 220 | MAGEE | MS | 39111 | PHYSICIAN CLINIC |
| ST DOMINIC'S FAMILY MEDICINE | ||||
| 1777 ELLIS AVENUE | JACKSON | MS | 39204 | PHYSICIAN CLINIC |
| ST DOMINIC'S OUTREACH PROGRAM-TELEMEDIC | ||||
| 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-VICKSBURG | ||||
| 4204 CLAY STREET | VICKSBURG | MS | 39180 | PHYSICIAN CLINIC |
| ST DOMINIC'S OUTREACH PROGRAM-GREENVILL | ||||
| 1502 S COLORADO STREET | GREENVILLE | MS | 38703 | PHYSICIAN CLINIC |
| ST DOMINIC'S OUTREACH PROGRAM-PELAHATCH | ||||
| 610 2ND STREET | PELAHATCHIE | MS | 39145 | PHYSICIAN CLINIC |
| ST DOMINIC'S OUTREACH PROGRAM-KOSCIUSKO | ||||
| 332 HIGHWAY 12 WEST | KOSCIUSKO | MS | 39090 | PHYSICIAN CLINIC |
| ST DOMINIC'S OUTREACH PROGRAM-BROOKHAVE | ||||
| 427 HWY 51N | BROOKHAVEN | MS | 39601 | PHYSICIAN CLINIC |
Supplemental Information Detail SupplementalInformationDetail (17 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 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 $26,565,658. |
| 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 increased from 64% of self-pay accounts receivable at December 31, 2016, to 72% of self-pay accounts receivable at December 31, 2017. In addition, the Hospital's self-pay bad debt write-offs increased from approximately $19,422,000 in 2016 to $24,067,000 in 2017. |
| 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 2016-2018 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. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (21 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| 100 BLACK MEN OF JACKSON | |||||||
| 5360 HIGHLAND DRIVE | JACKSON | MS | 39286 | 640817928 | 501(C)(3) | $30,000 | GENERAL SUPPORT |
| BEGINNING AGAIN IN CHRIST | |||||||
| PO BOX 26 | BRANDON | MS | 39042 | 640592123 | 501(C)(3) | $15,000 | GENERAL SUPPORT |
| BOY SCOUTS OF AMERICA | |||||||
| 855 RIVERSIDE DR | JACKSON | MS | 39202 | 640303071 | 501(C)(3) | $32,000 | GENERAL SUPPORT |
| CATHOLIC CHARITIES | |||||||
| 850 East River Place | JACKSON | MS | 39201 | 640466850 | 501(C)(3) | $155,000 | 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 | AFFILIATE SUPPORT |
| MISSION MISSISSIPPI | |||||||
| PO BOX 22655 | JACKSON | MS | 39225 | 640824240 | 501(C)(3) | $35,000 | GENERAL SUPPORT |
| OPERATION SHOESTRING | |||||||
| 1711 BAILEY AVENUE | JACKSON | MS | 39283 | 640471554 | 501(C)(3) | $25,000 | GENERAL SUPPORT |
| REAL CHRISTIAN FOUNDATION | |||||||
| PO BOX 180059 | RICHLAND | MS | 39218 | 640885750 | 501(C)(3) | $35,000 | GENERAL SUPPORT |
| SOUTHERN CHRISTIAN SERVICES | |||||||
| 860 E RIVER PL STE 104 | JACKSON | MS | 39202 | 640758344 | 501(C)(3) | $12,500 | GENERAL SUPPORT |
| TUTWILER COMMUNITY EDUCATION CENTER INC | |||||||
| PO BOX 448 | TUTWILER | MS | 38963 | 581887449 | 501(C)(3) | $20,000 | GENERAL SUPPORT |
| ST DOMINIC HEALTH SERVICES INC | |||||||
| 969 LAKELAND DRIVE | JACKSON | MS | 39216 | 640714999 | 501(c)(3) | $1,500,000 | AFFILIATE SUPPORT |
| LEADERSHIP NEXT GENERATION PLUS | |||||||
| 842 N PRESIDENT STREET | JACKSON | MS | 39202 | 471606134 | 501(C)(3) | $10,000 | GENERAL SUPPORT |
| METHODIST CHILDREN'S HOMES | |||||||
| PO BOX 66 | CLINTON | MS | 39060 | 640303087 | 501(C)(3) | $20,000 | GENERAL SUPPORT |
| MISSISSIPPI HOUSING PARTNERSHIP | |||||||
| PO BOX 22987 | JACKSON | MS | 39225 | 640816305 | 501(C)(3) | $10,000 | GENERAL SUPPORT |
| NEWK'S CARES | |||||||
| 2680 CRANE RIDGE DRIVE | JACKSON | MS | 39216 | 270705547 | 501(C)(3) | $25,000 | GENERAL SUPPORT |
| THE WINGARD HOME | |||||||
| 1279 N WEST STREET | JACKSON | MS | 39202 | 203861994 | 501(C)(3) | $13,000 | GENERAL SUPPORT |
| GRACE HOUSE SERVICES | |||||||
| PO BOX 68924 | JACKSON | MS | 392868924 | 640836580 | 501(c)(3) | $10,000 | GENERAL SUPPORT |
| CANOPY CHILDRENS SOLUTIONS | |||||||
| 1465 LAKELAND DRIVE | JACKSON | MS | 39216 | 640303085 | 501(C)(3) | $25,000 | GENERAL SUPPORT |
| MISSION FIRST INC | |||||||
| PO BOX 250 | JACKSON | MS | 39205 | 640797107 | 501(C)(3) | $20,000 | GENERAL SUPPORT |
| STEWPOT COMMUNITY SERVICES | |||||||
| 1100 WEST CAPITOL ST | JACKSON | MS | 39203 | 640655566 | 501(C)(3) | $15,000 | GENERAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 21 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIPS/TUITION REIMBURSEMENT | GrantTypeTxt |
| Recipient | 45 | RecipientCnt |
| Cash Grant | $95,863 | 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 HOSPITALS 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 | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CLAUDE W HARBARGER | ||||||||||||||
| DIRECTOR | $801,984 | $0 | $46,335 | $103,990 | $11,738 | $964,047 | $0 | |||||||
| LESTER K DIAMOND | ||||||||||||||
| PRESIDENT | $593,948 | $0 | $28,181 | $73,462 | $16,326 | $711,917 | $0 | |||||||
| JENNIFER SINCLAIR | ||||||||||||||
| EXECUTIVE VP - OPERATIONS | $387,358 | $0 | $11,389 | $47,893 | $8,370 | $455,010 | $0 | |||||||
| KEITH VAN CAMP | ||||||||||||||
| VP - INFORMATION TECHNOLOGY | $329,417 | $0 | $4,988 | $32,665 | $380 | $367,450 | $0 | |||||||
| RAYMOND SWARTZFAGER | ||||||||||||||
| VP - BUSINESS DEVELOPMENT | $276,857 | $0 | $0 | $30,152 | $8,244 | $315,253 | $0 | |||||||
| THERESA A HORNE | ||||||||||||||
| VP - PATIENT CARE SERVICES | $259,775 | $0 | $0 | $18,271 | $8,228 | $286,274 | $0 | |||||||
| JOHN LANCON | ||||||||||||||
| PHYSICIAN | $1,157,236 | $48,188 | $60,271 | $0 | $15,607 | $1,281,302 | $0 | |||||||
| D P SEAGO | ||||||||||||||
| PHYSICIAN | $899,311 | $0 | $44,966 | $0 | $8,511 | $952,788 | $0 | |||||||
| PB KERR | ||||||||||||||
| PHYSICIAN | $891,571 | $48,259 | $46,992 | $0 | $14,527 | $1,001,349 | ||||||||
| VERN A KELLER | ||||||||||||||
| PHYSICIAN | $1,036,692 | $0 | $51,835 | $0 | $16,327 | $1,104,854 | $0 | |||||||
| FRANK LENOIR | ||||||||||||||
| VP - HUMAN RESOURCES | $272,068 | $0 | $0 | $27,764 | $7,171 | $307,003 | $0 | |||||||
| MICHAEL L SANDERS | ||||||||||||||
| INTERIM VP - MEDICAL AFFAIRS | $316,746 | $0 | $0 | $16,200 | $13,960 | $346,906 | $0 | |||||||
| SAMUEL T SCOTT | ||||||||||||||
| VP - FINANCE | $323,117 | $0 | $0 | $17,925 | $15,730 | $356,772 | $0 | |||||||
| TANDRA R DAVISON | ||||||||||||||
| VP - QUALITY & PERFORMANCE | $224,760 | $0 | $0 | $16,159 | $7,115 | $248,034 | $0 | |||||||
| DAVID C HENRY | ||||||||||||||
| VP - CLINICAL OPERATIONS | $216,015 | $0 | $0 | $15,484 | $11,731 | $243,230 | $0 | |||||||
| DAVID W SINCLAIR | ||||||||||||||
| VP - NETWORK ADMINISTRATION | $282,445 | $0 | $1,253 | $19,662 | $7,954 | $311,314 | $0 | |||||||
| ERIC A MCVEY | ||||||||||||||
| EXEC VP - MEDICAL AFFAIRS | $362,154 | $0 | $0 | $0 | $11,688 | $373,842 | $0 | |||||||
| ZACHARY K BALDWIN | ||||||||||||||
| PHYSICIAN | $874,020 | $0 | $43,701 | $0 | $16,327 | $934,048 | $0 | |||||||
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4B: | FormAndLineReferenceDesc |
| Explanation | 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 - 28,181 JENNIFER SINCLAIR - 11,389 KEITH VAN CAMP - 4,988 DAVID W. SINCLAIR - 1,253 CLAUDE HARBARGER - 46,335 DEFERRED AMOUNTS UNDER THE 457(F) PLAN REFLECTED IN RETIREMENT AND OTHER DEFERRED COMPENSATION ON SCHEDULE J INCLUDE: LESTER K. DIAMOND - 61,726 JENNIFER SINCLAIR - 28,515 CLAUDE HARBARGER - 84,419 FRANK LENOIR - 10,296 KEITH VAN CAMP - 13,094 SAMUEL T. SCOTT - 9,490 RAYMOND SWARTZFAGER - 10,581 THERESA HORNE - 9,845 TANDRA R. DAVISON - 8,810 DAVID C. HENRY - 8,330 DAVID W. SINCLAIR - 11,227 | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MELANIE GRAFTON | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | SEE PART V | RelationshipDescriptionTxt |
| Transaction | $82,324 | TransactionAmt |
| Transaction | SEE PART V | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART VI, COLUMNS B & D: | FormAndLineReferenceDesc |
| Explanation | MELANIE GRAFTON RELATIONSHIP: DAUGHTER OF DIRECTOR, DAN GRAFTON TRANSACTION: EMPLOYEE OF ST. DOMINIC - JACKSON MEMORIAL HOSPITAL | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6: | St. Dominic Health Services, Inc. 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 XI, LINE 9: | Pension Related Changes- 27,057,058 Intercompany Transactions- (484388) Other Changes in Net Assets: 26,572,670 |
| 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. |
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 | $49,024,924 | $8,941,237 | SDJMH |
| ST DOMINIC HOSPITAL MEDICINE LLC | |||||||||
| 969 LAKELAND DRIVE | JACKSON | MS | 39216 | 814908606 | HEALTHCARE | MS | $1,315,727 | $1,384,005 | SDJMH |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| 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. | MS | 501(C)(3) | 12-I | NA | false |
| ST CATHERINE'S VILLAGE INC | ||||||||||
| 969 LAKELAND DRIVE | JACKSON | MS | 39216 | 640714997 | RET HOME | MS | 501(C)(3) | 10 | SDHS | false |
| COMMUNITY HEALTH SERVICES - ST DOMINIC | ||||||||||
| 969 LAKELAND DRIVE | JACKSON | MS | 39216 | 640884870 | HLTH PROGRAM | MS | 501(C)(3) | 10 | SDHS | false |
| CONGREGATION OF THE DOMINICAN SISTERS | ||||||||||
| 1237 WEST MONROE ST | SPRINGFIELD | IL | 62704 | 370968955 | CONGREGATION | IL | 501(C)(3) | 1 | NA | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| ST DOMINIC AMBULATORY SURGERY CENTER | |||||||||
| 971 LAKELAND DRIVE SUITE 200 | JACKSON | MS | 39216 | 640908713 | HEALTHCARE | MS | NA | false | false |
| HIGHLAND MEDICAL ARTS LLC | |||||||||
| PO BOX 55769 | JACKSON | MS | 39296 | 743073171 | MEDICAL BLDG | MS | NA | false | false |
| D1 SPORTS TRAINING OF MS LLC | |||||||||
| 7115 SOUTH SPRINGS DRIVE | FRANKLIN | TN | 37067 | 275277568 | ATHLETIC TRAI | MS | NA | false | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ST DOMINIC MADISON HEALTH SERVICES INC | ||||||||||||
| 969 LAKELAND DRIVE | JACKSON | MS | 392164699 | 202870254 | HEALTHCARE | MS | SDHS | C CORP | false | |||
| FIRST INTERMED CORPORATION | ||||||||||||
| 308 CORPORATE DRIVE | RIDGELAND | MS | 39157 | 640824796 | MEDICAL SERVICES | MS | SDHS | C CORP | false | |||
| ST DOMINIC INTEGRATED SERVICES INC | ||||||||||||
| 969 LAKELAND DRIVE | JACKSON | MS | 392164699 | 271493623 | INVESTMENTS | MS | SDJMH | C CORP | Yes (true) | $661,690 | $4,381,185 | 1.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST DOMINIC INTEGRATED SERVICES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | Q | TransactionTypeTxt |
| Involved | $83,743 | InvolvedAmt |
| Method Of Amount Determination | CASH | MethodOfAmountDeterminationTxt |